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www.parkinson.org Open in urlscan Pro
2620:12a:8000::3  Public Scan

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Submitted URL: https://secure3.convio.net/prkorg/site/R?i=li2e3RVRn2Q1CxCY_pRhV4yZLsHUPoQ5lWV-txYds1MP3o1CEFzKrQ
Effective URL: https://www.parkinson.org/understanding-parkinsons/non-movement-symptoms/pain
Submission: On October 01 via api from US — Scanned from CA

Form analysis 4 forms found in the DOM

GET /search

<form role="search" method="GET" action="/search" data-once="form-updated cvJqueryValidate" data-drupal-form-fields="" novalidate="novalidate">
  <input class="js-mobile-search-field" type="search" name="keywords" aria-label="Search" placeholder="Search">
  <button class="js-mobile-search-submit" type="submit" aria-label="Submit" disabled=""></button>
</form>

GET /search

<form role="search" method="GET" action="/search" data-once="form-updated cvJqueryValidate" data-drupal-form-fields="" novalidate="novalidate">
  <input class="js-global-search-field autocomplete form-autocomplete ui-autocomplete-input" type="search" name="keywords" aria-label="Search" placeholder="Search" data-id="global_search" data-once="autocomplete" autocomplete="off">
  <button class="js-global-search-submit" type="submit" aria-label="Submit" disabled=""></button>
</form>

POST /understanding-parkinsons/non-movement-symptoms/pain

<form
  class="webform-submission-form webform-submission-add-form webform-submission-newsletter-sign-up-form webform-submission-newsletter-sign-up-add-form webform-submission-newsletter-sign-up-node-362-form webform-submission-newsletter-sign-up-node-362-add-form js-webform-details-toggle webform-details-toggle"
  data-drupal-selector="webform-submission-newsletter-sign-up-node-362-add-form" action="/understanding-parkinsons/non-movement-symptoms/pain" method="post" id="webform-submission-newsletter-sign-up-node-362-add-form" accept-charset="UTF-8"
  data-once="form-updated webform-details-toggle webform-cards cvJqueryValidate" data-drupal-form-fields="edit-email-address,edit-email-opt-in,edit-actions-submit" novalidate="novalidate">
  <div class="js-form-item form-item js-form-type-email form-type-email js-form-item-email-address form-item-email-address form-no-label">
    <label for="edit-email-address" class="visually-hidden js-form-required form-required">Email Address</label>
    <input class="email-sign-up-input form-email required" data-drupal-selector="edit-email-address" data-msg-maxlength="Email Address field has a maximum length of 254." data-msg-email="Email Address does not contain a valid email."
      data-msg-required="Email Address field is required." type="email" id="edit-email-address" name="email_address" value="" size="60" maxlength="254" placeholder="Email Address" required="required" aria-required="true">
  </div>
  <div class="hidden js-form-item form-item js-form-type-select form-type-select js-form-item-email-opt-in form-item-email-opt-in">
    <label for="edit-email-opt-in">Email Opt In</label>
    <select data-drupal-selector="edit-email-opt-in" multiple="multiple" name="email_opt_in[]" id="edit-email-opt-in" class="form-select">
      <option value="1021" selected="selected">1021</option>
      <option value="1022" selected="selected">1022</option>
      <option value="1023" selected="selected">1023</option>
      <option value="1461" selected="selected">1461</option>
      <option value="1861" selected="selected">1861</option>
    </select>
  </div>
  <div data-drupal-selector="edit-actions" class="form-actions webform-actions js-form-wrapper form-wrapper" id="edit-actions"><input
      class="webform-button--submit email-sign-up-submit btn button button--primary js-form-submit form-submit cv-validate-before-ajax" data-drupal-selector="edit-actions-submit" data-disable-refocus="true" type="submit" id="edit-actions-submit"
      name="op" value="Sign Up" data-once="webform-clientside-validation-ajax drupal-ajax">
  </div>
  <input autocomplete="off" data-drupal-selector="form-w6eucsowrmot6rzxznmy-yntpm7hstxtmhiatjoa6ka" type="hidden" name="form_build_id" value="form-W6EuCsOwRmoT6RzXZNMy_ynTpm7hStXtmhIATJOa6KA">
  <input data-drupal-selector="edit-webform-submission-newsletter-sign-up-node-362-add-form" type="hidden" name="form_id" value="webform_submission_newsletter_sign_up_node_362_add_form">
</form>

POST /understanding-parkinsons/non-movement-symptoms/pain

<form
  class="webform-submission-form webform-submission-add-form webform-submission-luminate-sign-up-form webform-submission-luminate-sign-up-add-form webform-submission-luminate-sign-up-node-362-form webform-submission-luminate-sign-up-node-362-add-form js-webform-autofocus js-webform-details-toggle webform-details-toggle webform-cards"
  data-current-page="" data-progress-link="" data-toggle-show-label="Show all" data-toggle-hide-label="Hide all" data-ajax-effect="none" data-ajax-speed="500" data-drupal-selector="webform-submission-luminate-sign-up-node-362-add-form"
  action="/understanding-parkinsons/non-movement-symptoms/pain" method="post" id="webform-submission-luminate-sign-up-node-362-add-form" accept-charset="UTF-8" data-once="form-updated webform-details-toggle webform-cards cvJqueryValidate"
  data-drupal-form-fields="edit-first-name,edit-last-name,edit-send-me-communications-from-my-local-chapter,edit-state-state-province,edit-what-is-your-parkinsons-connection,edit-are-you-involved-with-the-person-with-parkinsons-care,edit-year-of-parkinsons-diagnosis,edit-address-info-address,edit-address-info-address-2,edit-address-info-city,edit-address-info-postal-code,edit-address-info-country,edit-phone-number,edit-are-you-a-veteran,edit-which-language-would-you-prefer-to-hear-from-us-in,edit-how-did-you-hear-about-the-parkinson-s-foundation,edit-cards-prev,edit-cards-next,edit-actions-submit"
  data-webform-current-card="basic_info" novalidate="novalidate">
  <div class="webform-progress">
    <div class="webform-progress__status">
      <span class="webform-progress__summary" data-webform-progress-summary="">1 of 4</span>
    </div>
  </div>
  <div class="webform-required">
    <span class="form-required"></span>Indicates required field
  </div>
  <section data-drupal-selector="edit-basic-info" data-title="Basic Info" data-webform-key="basic_info" id="edit-basic-info" class="js-form-wrapper form-wrapper webform-card webform-card--active">
    <h2 class="webform-card-title">Basic Info</h2>
    <div class="webform-card-wrapper">
      <input class="multistep-newsletter-email-address" data-drupal-selector="edit-email-address" type="hidden" name="email_address" value="">
      <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-first-name form-item-first-name">
        <label for="edit-first-name" class="js-form-required form-required">First Name</label>
        <input data-drupal-selector="edit-first-name" data-msg-maxlength="First Name field has a maximum length of 255." data-msg-required="First Name field is required." type="text" id="edit-first-name" name="first_name" value="" size="60"
          maxlength="255" class="form-text required" required="required" aria-required="true">
      </div>
      <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-last-name form-item-last-name">
        <label for="edit-last-name" class="js-form-required form-required">Last Name</label>
        <input data-drupal-selector="edit-last-name" data-msg-maxlength="Last Name field has a maximum length of 255." data-msg-required="Last Name field is required." type="text" id="edit-last-name" name="last_name" value="" size="60"
          maxlength="255" class="form-text required" required="required" aria-required="true">
      </div>
      <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-send-me-communications-from-my-local-chapter form-item-send-me-communications-from-my-local-chapter">
        <input data-drupal-selector="edit-send-me-communications-from-my-local-chapter" type="checkbox" id="edit-send-me-communications-from-my-local-chapter" name="send_me_communications_from_my_local_chapter" value="1" class="form-checkbox">
        <label for="edit-send-me-communications-from-my-local-chapter" class="option">Send me communications from my local chapter</label>
      </div>
      <fieldset data-drupal-selector="edit-state" id="edit-state--wrapper"
        class="webform-address--wrapper fieldgroup form-composite webform-composite-hidden-title js-webform-type-webform-address webform-type-webform-address js-form-item form-item js-form-wrapper form-wrapper">
        <legend>
          <span class="visually-hidden fieldset-legend">State</span>
        </legend>
        <div class="fieldset-wrapper">
          <div class="js-form-item form-item js-form-type-select form-type-select js-form-item-state-state-province form-item-state-state-province">
            <label for="edit-state-state-province" class="js-form-required form-required">State/Province</label>
            <select data-drupal-selector="edit-state-state-province" data-msg-required="State/Province field is required." id="edit-state-state-province" name="state[state_province]" class="form-select required" required="required"
              aria-required="true">
              <option value="" selected="selected">- Select -</option>
              <option value="AL">Alabama</option>
              <option value="AK">Alaska</option>
              <option value="AS">American Samoa</option>
              <option value="AZ">Arizona</option>
              <option value="AR">Arkansas</option>
              <option value="AE">Armed Forces (Canada, Europe, Africa, or Middle East)</option>
              <option value="AA">Armed Forces Americas</option>
              <option value="AP">Armed Forces Pacific</option>
              <option value="CA">California</option>
              <option value="CO">Colorado</option>
              <option value="CT">Connecticut</option>
              <option value="DE">Delaware</option>
              <option value="DC">District of Columbia</option>
              <option value="FM">Federated States of Micronesia</option>
              <option value="FL">Florida</option>
              <option value="GA">Georgia</option>
              <option value="GU">Guam</option>
              <option value="HI">Hawaii</option>
              <option value="ID">Idaho</option>
              <option value="IL">Illinois</option>
              <option value="IN">Indiana</option>
              <option value="IA">Iowa</option>
              <option value="KS">Kansas</option>
              <option value="KY">Kentucky</option>
              <option value="LA">Louisiana</option>
              <option value="ME">Maine</option>
              <option value="MH">Marshall Islands</option>
              <option value="MD">Maryland</option>
              <option value="MA">Massachusetts</option>
              <option value="MI">Michigan</option>
              <option value="MN">Minnesota</option>
              <option value="MS">Mississippi</option>
              <option value="MO">Missouri</option>
              <option value="MT">Montana</option>
              <option value="NE">Nebraska</option>
              <option value="NV">Nevada</option>
              <option value="NH">New Hampshire</option>
              <option value="NJ">New Jersey</option>
              <option value="NM">New Mexico</option>
              <option value="NY">New York</option>
              <option value="NC">North Carolina</option>
              <option value="ND">North Dakota</option>
              <option value="MP">Northern Mariana Islands</option>
              <option value="OH">Ohio</option>
              <option value="OK">Oklahoma</option>
              <option value="OR">Oregon</option>
              <option value="PW">Palau</option>
              <option value="PA">Pennsylvania</option>
              <option value="PR">Puerto Rico</option>
              <option value="RI">Rhode Island</option>
              <option value="SC">South Carolina</option>
              <option value="SD">South Dakota</option>
              <option value="TN">Tennessee</option>
              <option value="TX">Texas</option>
              <option value="UT">Utah</option>
              <option value="VT">Vermont</option>
              <option value="VI">Virgin Islands</option>
              <option value="VA">Virginia</option>
              <option value="WA">Washington</option>
              <option value="WV">West Virginia</option>
              <option value="WI">Wisconsin</option>
              <option value="WY">Wyoming</option>
              <option value="AB">Alberta</option>
              <option value="BC">British Columbia</option>
              <option value="MB">Manitoba</option>
              <option value="NB">New Brunswick</option>
              <option value="NL">Newfoundland and Labrador</option>
              <option value="NS">Nova Scotia</option>
              <option value="NT">Northwest Territories</option>
              <option value="NU">Nunavut</option>
              <option value="ON">Ontario</option>
              <option value="PE">Prince Edward Island</option>
              <option value="QC">Quebec</option>
              <option value="SK">Saskatchewan</option>
              <option value="YT">Yukon</option>
            </select>
          </div>
        </div>
      </fieldset>
      <fieldset data-drupal-selector="edit-zip-code" id="edit-zip-code--wrapper"
        class="webform-address--wrapper fieldgroup form-composite webform-composite-hidden-title js-webform-type-webform-address webform-type-webform-address js-form-item form-item js-form-wrapper form-wrapper">
        <legend>
          <span class="visually-hidden fieldset-legend">Zip Code</span>
        </legend>
        <div class="fieldset-wrapper">
        </div>
      </fieldset>
    </div>
  </section>
  <section data-drupal-selector="edit-parkinsons-connection" data-title="Parkinson's Connection" data-webform-key="parkinsons_connection" id="edit-parkinsons-connection" class="js-form-wrapper form-wrapper webform-card">
    <h2 class="webform-card-title">Parkinson's Connection</h2>
    <div class="webform-card-wrapper">
      <div class="js-form-item form-item js-form-type-select form-type-select js-form-item-what-is-your-parkinsons-connection form-item-what-is-your-parkinsons-connection">
        <label for="edit-what-is-your-parkinsons-connection">What is your Parkinson's connection?</label>
        <select data-drupal-selector="edit-what-is-your-parkinsons-connection" id="edit-what-is-your-parkinsons-connection" name="what_is_your_parkinsons_connection" class="form-select">
          <option value="" selected="selected">Please select response</option>
          <option value="Person with PD">Person with PD</option>
          <option value="Spouse/Partner">Spouse/Partner</option>
          <option value="Parent has / had PD">Parent has / had PD</option>
          <option value="Other family of person with PD">Other family of person with PD</option>
          <option value="Friend of person with PD">Friend of person with PD</option>
          <option value="Healthcare Professional">Healthcare Professional</option>
          <option value="Other">Other</option>
        </select>
      </div>
      <div class="js-form-item form-item js-form-type-select form-type-select js-form-item-are-you-involved-with-the-person-with-parkinsons-care form-item-are-you-involved-with-the-person-with-parkinsons-care">
        <label for="edit-are-you-involved-with-the-person-with-parkinsons-care">Are you involved with the person with Parkinson's care?</label>
        <select data-drupal-selector="edit-are-you-involved-with-the-person-with-parkinsons-care" id="edit-are-you-involved-with-the-person-with-parkinsons-care" name="are_you_involved_with_the_person_with_parkinsons_care" class="form-select">
          <option value="" selected="selected">Please select response</option>
          <option value="Yes">Yes</option>
          <option value="No">No</option>
        </select>
      </div>
      <div class="js-form-item form-item js-form-type-number form-type-number js-form-item-year-of-parkinsons-diagnosis form-item-year-of-parkinsons-diagnosis">
        <label for="edit-year-of-parkinsons-diagnosis">Please share the year of Parkinson's diagnosis:</label>
        <input autocomplete="off" data-drupal-selector="edit-year-of-parkinsons-diagnosis" type="number" id="edit-year-of-parkinsons-diagnosis" name="year_of_parkinsons_diagnosis" value="" step="any" class="form-number">
      </div>
    </div>
  </section>
  <section data-drupal-selector="edit-address" data-title="Address" data-webform-key="address" id="edit-address" class="js-form-wrapper form-wrapper webform-card">
    <h2 class="webform-card-title">Address</h2>
    <div class="webform-card-wrapper">
      <fieldset data-drupal-selector="edit-address-info" id="edit-address-info--wrapper"
        class="webform-address--wrapper fieldgroup form-composite webform-composite-hidden-title js-webform-type-webform-address webform-type-webform-address js-form-item form-item js-form-wrapper form-wrapper">
        <legend>
          <span class="visually-hidden fieldset-legend">Address</span>
        </legend>
        <div class="fieldset-wrapper">
          <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-address-info-address form-item-address-info-address">
            <label for="edit-address-info-address">Address 1</label>
            <input data-drupal-selector="edit-address-info-address" data-msg-maxlength="Address 1 field has a maximum length of 255." type="text" id="edit-address-info-address" name="address_info[address]" value="" size="60" maxlength="255"
              placeholder="Street 1" class="form-text">
          </div>
          <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-address-info-address-2 form-item-address-info-address-2">
            <label for="edit-address-info-address-2">Address 2</label>
            <input data-drupal-selector="edit-address-info-address-2" data-msg-maxlength="Address 2 field has a maximum length of 255." type="text" id="edit-address-info-address-2" name="address_info[address_2]" value="" size="60" maxlength="255"
              placeholder="Street 2" class="form-text">
          </div>
          <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-address-info-city form-item-address-info-city">
            <label for="edit-address-info-city">City</label>
            <input data-drupal-selector="edit-address-info-city" data-msg-maxlength="City field has a maximum length of 255." type="text" id="edit-address-info-city" name="address_info[city]" value="" size="60" maxlength="255" placeholder="City"
              class="form-text">
          </div>
          <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-address-info-postal-code form-item-address-info-postal-code">
            <label for="edit-address-info-postal-code">ZIP</label>
            <input data-drupal-selector="edit-address-info-postal-code" data-msg-maxlength="ZIP field has a maximum length of 255." type="text" id="edit-address-info-postal-code" name="address_info[postal_code]" value="" size="60" maxlength="255"
              placeholder="Zip Code" class="form-text">
          </div>
          <div class="js-form-item form-item js-form-type-select form-type-select js-form-item-address-info-country form-item-address-info-country">
            <label for="edit-address-info-country">Country</label>
            <select data-placeholder="Country" data-drupal-selector="edit-address-info-country" id="edit-address-info-country" name="address_info[country]" class="form-select">
              <option value="" selected="selected">Country</option>
              <option value="Afghanistan">Afghanistan</option>
              <option value="Albania">Albania</option>
              <option value="Algeria">Algeria</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Andorra">Andorra</option>
              <option value="Angola">Angola</option>
              <option value="Anguilla">Anguilla</option>
              <option value="Antarctica">Antarctica</option>
              <option value="Antigua &amp; Barbuda">Antigua &amp; Barbuda</option>
              <option value="Argentina">Argentina</option>
              <option value="Armenia">Armenia</option>
              <option value="Aruba">Aruba</option>
              <option value="Ascension Island">Ascension Island</option>
              <option value="Australia">Australia</option>
              <option value="Austria">Austria</option>
              <option value="Azerbaijan">Azerbaijan</option>
              <option value="Bahamas">Bahamas</option>
              <option value="Bahrain">Bahrain</option>
              <option value="Bangladesh">Bangladesh</option>
              <option value="Barbados">Barbados</option>
              <option value="Belarus">Belarus</option>
              <option value="Belgium">Belgium</option>
              <option value="Belize">Belize</option>
              <option value="Benin">Benin</option>
              <option value="Bermuda">Bermuda</option>
              <option value="Bhutan">Bhutan</option>
              <option value="Bolivia">Bolivia</option>
              <option value="Bosnia &amp; Herzegovina">Bosnia &amp; Herzegovina</option>
              <option value="Botswana">Botswana</option>
              <option value="Bouvet Island">Bouvet Island</option>
              <option value="Brazil">Brazil</option>
              <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
              <option value="British Virgin Islands">British Virgin Islands</option>
              <option value="Brunei">Brunei</option>
              <option value="Bulgaria">Bulgaria</option>
              <option value="Burkina Faso">Burkina Faso</option>
              <option value="Burundi">Burundi</option>
              <option value="Cambodia">Cambodia</option>
              <option value="Cameroon">Cameroon</option>
              <option value="Canada">Canada</option>
              <option value="Canary Islands">Canary Islands</option>
              <option value="Cape Verde">Cape Verde</option>
              <option value="Caribbean Netherlands">Caribbean Netherlands</option>
              <option value="Cayman Islands">Cayman Islands</option>
              <option value="Central African Republic">Central African Republic</option>
              <option value="Ceuta &amp; Melilla">Ceuta &amp; Melilla</option>
              <option value="Chad">Chad</option>
              <option value="Chile">Chile</option>
              <option value="China">China</option>
              <option value="Christmas Island">Christmas Island</option>
              <option value="Clipperton Island">Clipperton Island</option>
              <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
              <option value="Colombia">Colombia</option>
              <option value="Comoros">Comoros</option>
              <option value="Congo - Brazzaville">Congo - Brazzaville</option>
              <option value="Congo - Kinshasa">Congo - Kinshasa</option>
              <option value="Cook Islands">Cook Islands</option>
              <option value="Costa Rica">Costa Rica</option>
              <option value="Croatia">Croatia</option>
              <option value="Cuba">Cuba</option>
              <option value="Curaçao">Curaçao</option>
              <option value="Cyprus">Cyprus</option>
              <option value="Czechia">Czechia</option>
              <option value="Côte d’Ivoire">Côte d’Ivoire</option>
              <option value="Denmark">Denmark</option>
              <option value="Diego Garcia">Diego Garcia</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dominica">Dominica</option>
              <option value="Dominican Republic">Dominican Republic</option>
              <option value="Ecuador">Ecuador</option>
              <option value="Egypt">Egypt</option>
              <option value="El Salvador">El Salvador</option>
              <option value="Equatorial Guinea">Equatorial Guinea</option>
              <option value="Eritrea">Eritrea</option>
              <option value="Estonia">Estonia</option>
              <option value="Eswatini">Eswatini</option>
              <option value="Ethiopia">Ethiopia</option>
              <option value="Falkland Islands">Falkland Islands</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Fiji">Fiji</option>
              <option value="Finland">Finland</option>
              <option value="France">France</option>
              <option value="French Guiana">French Guiana</option>
              <option value="French Polynesia">French Polynesia</option>
              <option value="French Southern Territories">French Southern Territories</option>
              <option value="Gabon">Gabon</option>
              <option value="Gambia">Gambia</option>
              <option value="Georgia">Georgia</option>
              <option value="Germany">Germany</option>
              <option value="Ghana">Ghana</option>
              <option value="Gibraltar">Gibraltar</option>
              <option value="Greece">Greece</option>
              <option value="Greenland">Greenland</option>
              <option value="Grenada">Grenada</option>
              <option value="Guadeloupe">Guadeloupe</option>
              <option value="Guam">Guam</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Guernsey">Guernsey</option>
              <option value="Guinea">Guinea</option>
              <option value="Guinea-Bissau">Guinea-Bissau</option>
              <option value="Guyana">Guyana</option>
              <option value="Haiti">Haiti</option>
              <option value="Heard &amp; McDonald Islands">Heard &amp; McDonald Islands</option>
              <option value="Honduras">Honduras</option>
              <option value="Hong Kong SAR China">Hong Kong SAR China</option>
              <option value="Hungary">Hungary</option>
              <option value="Iceland">Iceland</option>
              <option value="India">India</option>
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 * Understanding Parkinson’s
    * Understanding Parkinson’s
    * What is Parkinson's?
    * 10 Early Signs
    * Causes
    * Movement Symptoms
    * Non-Movement Symptoms
    * Getting Diagnosed
    * Statistics

 * Living with Parkinson’s
    * Living With Parkinson’s
    * New to Parkinson's
    * Our Care Programs
    * Finding Care
    * Treatment
    * Management & Lifestyle
    * Emotional & Mental Health
    * Legal, Financial & Insurance
    * My PD Story

 * Resources & Support
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    * For Care Partners
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    * Find Your Chapter
    * Blog

 * Advancing Research
    * Advancing Research
    * Finding A Cure
    * Our Research
    * Join A Study
    * Advocate for Research
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    * Parkinson’s Virtual Biotech

 * How You Can Help
    * How You Can Help
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 * Understanding Parkinson’s
   Understanding Parkinson’s
   
   There is a lot to know about Parkinson's disease. Learn about symptoms, how
   it is diagnosed and what treatment options are available.
   
    * Understanding Parkinson’s
    * What is Parkinson's?
    * 10 Early Signs
    * Causes
    * Movement Symptoms
    * Non-Movement Symptoms
    * Getting Diagnosed
    * Statistics

 * Living with Parkinson’s
   Living with Parkinson’s
   
   While living with PD can be challenging, there are many things you can do to
   maintain and improve your quality of life and live well with Parkinson's
   disease.
   
    * Living With Parkinson’s
    * New to Parkinson's
    * Our Care Programs
    * Finding Care
    * Treatment
    * Management & Lifestyle
    * Emotional & Mental Health
    * Legal, Financial & Insurance
    * My PD Story

 * Resources & Support
   Resources & Support
   
   Living well with Parkinson’s disease (PD) means getting the support you need
   — from tools that help you work alongside your care team to resources that
   empower you.
   
    * Resources & Support
    * Helpline
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    * PD Library
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    * Find Your Chapter
    * Blog

 * Advancing Research
   Advancing Research
   
   Our research has led to breakthroughs in treatment and improved care that
   bring hope to the entire Parkinson's community.
   
    * Advancing Research
    * Finding A Cure
    * Our Research
    * Join A Study
    * Advocate for Research
    * For Researchers
    * Parkinson’s Virtual Biotech

 * How You Can Help
   How You Can Help
   
   There are many ways you can support the fight against Parkinson’s. Whatever
   form your gift takes, you can be confident that it goes toward providing
   crucial resources for those affected by this disease.
   
    * How You Can Help
    * Donate Now
    * Why Support Us
    * Make a Tribute Gift
    * Fundraise
    * Volunteer
    * Corporate Sponsors
    * Planned Giving
    * More Ways to Give




BREADCRUMB

 * Home
 * Understanding Parkinson's
 * Non-Movement Symptoms


BREADCRUMB

 * Home
 * Understanding Parkinson's
 * Non-Movement Symptoms


PAIN

IN THIS SECTION
IN THIS SECTION
 * Anxiety
 * Apathy
 * Breathing & Respiratory Difficulties
 * Cognitive Changes
 * Constipation & Nausea
 * Dementia View Menu
   * Dementia with Lewy Bodies
 * Depression
 * Fatigue
 * Hallucinations/Delusions
 * Loss of Smell
 * Pain
 * Skeletal & Bone Health
 * Skin Changes
 * Sleep Disorders
 * Speech & Swallowing Issues
 * Urinary Incontinence
 * Vertigo, Dizziness & Low Blood Pressure
 * Vision Changes
 * Weight Management

Pain can occur in people with Parkinson's disease (PD). As Parkinson’s
progresses, it is common to experience changes in the spine, hands and feet that
can be uncomfortable.  


UNDERSTANDING PAIN

Parkinson’s disease pain is divided into five categories:

 1. Musculoskeletal: Musculoskeletal pain is due to the disease affecting the
    bones, muscles, ligaments, tendons and nerves. It can occur suddenly or be
    long-lasting and can occur in one area or several.
 2. Neuropathic/radicular: Neuropathic/radicular pain is due to damage to nerves
    occurring anywhere from where the fibers leave the spinal cord to where they
    end in the skin.
 3. Dystonic: Dystonic pain is from sustained or repetitive muscle twisting,
    spasm or cramp that can occur at different times of day and in different
    stages of Parkinson’s.
 4. Akathisia: Akathisia is the feeling of restlessness or inability to be
    still.
 5. Central Pain: Central pain is pain due to the pathways which control
    sensation and pain in the brain, brainstem, and spinal cord not working
    properly.

Nearly every person who lives with PD will experience some degree of muscle
rigidity. Common experiences include bending of the neck, curling of the trunk
with slumping of the shoulders and bending at the wrists, fingers, elbows, hips
and knees. These changes may progress over time.

A third or more people with Parkinson’s eventually experience changes in
posture, although this occurs most often in those with advanced PD. Some people
experience severe postural changes with extreme leaning forward or to one side.

Other common changes include dystonia, muscle spasms, and cramps that are
particularly common in the feet. Osteoporosis can also occur and lead to
weakened bones which can increase risk of falls and fractures. It is important
to look at the impact of orthopedic surgeries for non-PD related spine
deformities, hip and knee replacement, and other bone problems. Although people
with Parkinson's can benefit from such surgeries, they may have a longer and
more complicated recovery than people without PD.

Rigidity, weakened muscles, and involuntary muscle contractions (dystonia) can
cause painful deformities for people with PD. A tilted or twisted spine can also
throw a person off balance and increase the risk of falling.


COMMON SKELETAL & BONE CHANGES WITH PD 

 * Frozen shoulder: stiffness, pain and loss of range of movement in the
   shoulder, many people experience this symptom before a PD diagnosis.
 * Flexed fingers, toes or feet (striatal hand and foot): one finger may extend,
   the thumb may fold inwards, fingers may clamp down onto the palm. In the leg,
   the foot may flex down or turn in, the big toe may flex upward while the
   other toes curl under.
 * Stooped posture (camptocormia): the spine bends forward when walking, in the
   most severe cases by as much as 90 degrees. This posture arises because the
   hips and knees are flexed and will go away when lying down.
 * Leaning sideways (Pisa syndrome): involuntarily tilting of the trunk to one
   side when sitting, standing or walking; always to the same side.
 * Scoliosis: sideways twisting, or curvature, of the spine.
 * Dropped head (anterocollis): the head and neck flex forward; the chin may
   drop all the way down to the sternum or breastbone (more common in multiple
   system atrophy than PD).
 * Bone fractures: people with PD are at risk of broken bones from falling,
   especially from landing on the hip. Kneecap fractures also are common,
   painful and sometimes overlooked.
 * Low bone density/osteoporosis: bones may become weak and at risk for
   osteoporosis from lack of weight-bearing exercise, like walking, and from too
   little calcium and vitamin D. Other risk factors for osteoporosis include
   older age, female sex, low body weight, and smoking. A person with PD who has
   osteoporosis is more likely to break a bone if they fall.


OTHER SYMPTOMS: AGING OR PD?

Because the biggest risk factor for developing PD is age (the average age of
diagnosis is 60), skeletal problems associated with aging are often experienced
by people with PD. While it is not clear that PD increases the risk or even the
severity of these other skeletal conditions, the problems of PD can make the
symptoms of these conditions more prominent.

 * Osteoarthritis, the joint damage associated with general wear and tear on the
   joints, is nearly universal in aging. Osteoarthritis tends to affect larger
   joints such as the hip and knee.
 * Arthritis of the spine is also very common. This may contribute to the
   development of spinal stenosis, narrowing of the canal in the spine that
   houses the spinal cord. In severe cases, spinal stenosis causes damage to the
   nerves as they exit the spine or even to the spinal cord itself.
 * Disorders of the fibrous discs between the bones of the spine can also cause
   pain, or limb numbness or weakness.


THERAPIES

Medical therapies can help relieve the rigidity and muscle contractions that
contribute to changes in posture. The approach to therapy very much depends on a
person’s unique symptoms and overall health. Your doctor may advise:


 * DOPAMINE
   
   The gold-standard medication for PD movement symptoms is carbidopa-levodopa
   (most often prescribed as Sinemet®). If you do not already take dopamine,
   starting on this drug may improve symptoms like stooped posture and help
   prevent them from becoming permanent. If you already take dopamine, review
   your dose and medication schedule with your doctor to be sure it is working
   well.


 * BOTULINUM INJECTIONS (BOTOX®)
   
   These injections relax muscles that are flexed (contractured) or are affected
   by dystonia. They are typically injected in the muscles of the affected areas
   such as the hands, feet, and neck.


 * DEEP BRAIN STIMULATION (DBS)
   
   This is a surgical procedure which may offer benefit for certain types of
   muscle contractions.


 * SURGERY
   
   Surgical therapies (joint replacements, spinal surgery) may be required to
   treat significant osteoarthritis, disc disease or spinal stenosis. As with
   any surgical treatment, the risks and benefits should be weighed carefully.


TIPS FOR MAINTAINING HEALTHY BONES

Keeping your bones strong can ease pain.

 * Talk to your doctor about your PD medication changes that may ease skeletal
   or spine issues and strategies for optimizing medications to ensure they are
   most effective for PD.
 * Ask your primary care doctor about having your bone-mineral density tested.
   If it is low, medications are available to help maintain or increase it.
 * Discuss testing your blood level of vitamin D with your physician. If it is
   low, follow your doctor’s advice on taking supplements.
 * Reduce the risk of falls by making the home safer with the advice of an
   occupational therapist and using the correct assistive devices (including
   different types of walkers or canes) when needed as instructed by a physical
   therapist
 * Get active and keep moving. Exercise helps maintain strong bones and can ease
   dystonia among other symptoms. There is no one-size-fits-all exercise —
   whatever you enjoy and can do is the right exercise. Try to be active at
   least 30-45 minutes daily. Walking, swimming, yoga, Tai chi, and dancing are
   all good choices.
 * See a physical therapist for advice on how to stretch, strengthen, and relax
   your muscles and for a program of exercises tailored to your own PD symptoms.
 * Ask your doctor about detecting changes in posture early, when they can be
   treated and before they become permanent.
 * Visit your doctor for regular physicals to rule out causes of pain unrelated
   to PD or changes in the spine unrelated to PD.
 * Alternative or complementary therapies may be helpful in some cases. For
   example, acupuncture or massage can help some people with pain and may be
   considered.

Page reviewed by Dr. Chauncey Spears, Clinical Assistant Professor and Dr.
Amelia Heston, Movement Disorders Fellow at the University of Michigan.


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