After mentioning debilitating ankle pain to my PD docs and having them just shrug it off, I went to a general practice doctor and X-rays showed that I had a healed ankle fracture. Turns out 2 years ago I twisted my ankle hiking and I had actually broken it in 2 places. The bones had healed but the muscles and ligaments were still not right. . A brace and 7 visits of PT and it is SO much better.
I had assumed the ongoing muscle pain was from PD. I discussed with my family doc the necessity of looking at symptoms without overlaying the PD diagnosis first.