Hello everybody. After a few weeks making little comments here and there, I am ready to post a question that is very important to me. First, however, the clinical snapshot; skip if you are sick of reading these accounts.
History and treatment:
My first unequivical symptom (micrografia) showed up in the fall of 2006. I was also profoundly depressed and wracked by anxiety. In November of 2010 I got my dx of PD, which was quickly confirmed by a PD specialist. I was 57, an elementary school teacher. I could not continue to work and was able to retire on disabilty My neurologist, whom I trust, prescribed generic Sinemet (25 mg carbidopa and levadopa 100 mg) 3x daily, plus Pramipexole, which was soon replaced by Azilect 1 mg once daily. I also take clonazepam .5 mg to sleep better, as well as a testosterone cream and a vitamin D supplement. I get acupuncture and body work treatments, practice yoga and Qi Gong, walk daily, and ride a bike when I have a need to.
My main motor symptoms are:
• a pronounced resting tremor in my right hand, that gets worse in public, especially when I am performing music
• a tendency to adopt a stooped-over parkie posture
• difficulty moving in confined, crowded spaces, especially in the dark or when the floor is littered with obstacles (going on stage is particularly challenging)
• moving in slow motion in certain circumstances, especially getting out of a car
My non-motor symtoms include:
• difficulty multitasking (cooking, for example)
• poor abilty to plan (executive function)
• low volume of voice when speaking, although I can sing as loud as ever
the good news is
• the depression and anxiety disappeared once i began treatment for PD; in fact I am happy and upbeat, tho not unbearably so
• I can perform (sing and improvise intricate rhyming lyrics) better than ever
• I can walk steep, rocky trails with ease; I have stumbled due to foot frop but I have never fallen
Here is my question:
In early October 2011 I developed a severe pain in the joints of the fingers of my right hand while I was playing the claves ( a percussion instrument) and my hand has been very sensitive ever since. I can barely close my fist, and operations like tearing up a cardboad box for recycling are at best painful, at worst impossible. There has been no improvement; if anything, it;s getting worse, especially after I play any percussion instruments, even the most low-impact. I have refrained from playing for weeks at a time but my hand remains the same. My joints appear sightly swollen but otherwise normal. They do not hurt when pressed or squeezed by another person, only when used. My GP examined my hands and ruled out arthritis but had no dx for me. My neurologist, contacted by phone, had nothing to add, other than this does not sound like a PK symptom. I’ll see him in February. Meanwhile I am scared becuase for the first time PK is actually hurting me and making it hard to do simple things with my hand.
So the question is WTF? Anybody out there have any experience with this symptom?
Thanks in advance. Best wishes for 2012.