[pegleg]

I am writing an article about pain with Parkinson's and need your help. Would as many of you as possible answer a few questions and return to me by November 1, 2010? You may cut and paste the info below online in your reply to this thread, or send me a Private Message with the informtion. Thank you - all information will be kept confidential, and your name will not be identified at all; not even with your responses:
Peggy

---------cut below here and return or paste info in your reply -----------

PAIN QUESTIONNAIRE

1. Do you have pain that accompanies or is a result of your Parkinson's symptoms?

___ Yes ___ No

2. Where is your pain located? (Please be as descriptive as possible)

For example: Headache - temple area or
or writhing of lower leg muscles.

3. Does the pain get disabling enough that you take medication or do some other therapy for relief?

___ Yes ___ No
If yes, give details; e.g. yes; I take 2 Tylenol for my headaches. Or yes; I have physical therapy twice a week.

4. How long have you been diagnosed with Parkinson's?
____ days ____ months ____ years

5. Do you believe, or has your doctor told you that the pain is due to your Parkinson's?

___ Yes ___ No

Example, if yes:
Yes - I have dystonia due to dyskinesia in my feet.

6. Do you believe or have you been told the pain is due to a medication you have taken long term for Parkinson's?

___ Yes ___ No

7. On a scale of 1-5 (with 5 being the most severe), how would you rate your pain most of the time?

1 ___ 2 ___ 3 ___ 4 ___ 5 ___

8. Have you been told that you have or have you ever been diagnosed with any of the following (if associated with your site of pain) ? Check all that apply:

Fibromyalgia ____ Dystonia ____ Severe dyskinesia ____

Degenerative disc disease or herniated disc _____ Arthritis _____

Spinal cord injury ____ Spinal stenosis ____ Scoliosis _____

None of the above _____

Comments?

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Thank you!