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Progressively worse twitching and cramping in left hand


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#1 Hulsepound

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Posted 12 April 2012 - 08:50 AM

Hello all,

I am a 32 year old English man living in New York. I play and coach Soccer for a living and keep myself healthy. In the last 6 months I've noticed a numbness in my pinky and third finger on my left hand which has got progressively worse and become an almost constant cramping and twitch of the left hand.

When I hold my hands out in front of me, it shakes violently. When I try to do any fine work with my left hand ( even something as simple as holding a nail in place to hammer ) it will cramp badly.

It's become a concern and since I can't afford health insurance, I was hoping someone could give me some advice. If it's just "one of those things" then I have abunch of those to live with already so I'm god but if it sounds like anything serious, I'd appreciate any advice !

Thank you very much for taking the time out of your day to help a complete stranger !

#2 Dr. Okun

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Posted 15 April 2012 - 10:16 AM

There are several neurological issues which can cause this, and although you do not have insurance it would be worth seeing a specialist in Movement Disorders at least one time for diagnosis of the tremor and cramping (which could be dystonia). There are many possibilities, and PD is only one.

We also have a free helpline at NPF listed on the main website and it is staffed by trained nurses.
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips

#3 tiaBBJ

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Posted 21 April 2012 - 11:17 PM

Is pain a symptom of my PD?
It has been since Dec 2010 I saw my Neuologist was ref'd to pysiatrist (?) & had total of 24 PT sessions. Pain is in the shoulder s jointis worst on arising in the muscle, bisceps. Pain increases with movement & weight bearing? Prv. MD ordered Tylenol with some relief but problem continues. Read everything in print on PD no articles talk about pain.

#4 Dr. Okun

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Posted 22 April 2012 - 08:04 AM

Pain has been reported in a very high number of PD patients. The issue however is that the pain is not always PD related pain. Sometimes trying an escalating dose of sinemet (up to 2-3 tablets per dose) will reveal that the pain improves with a higher dose of medication thus linking it to PD. Other times it is not so clear.

What we do is optimize PD meds, look for dystonia (muscles co-contracting and leading to pain), consider botox, and then we will refer to PM&R and ortho specialists, or alternatively neurosurgeons (if the spine is involved).
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips




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