DID YOU KNOW? PAIN & PARKINSON’S

While Parkinson’s is often recognized for its motor symptoms, pain is a lesser-known, but very real, part of the condition for many. In fact, up to 85% of people with Parkinson’s report some form of pain, which can significantly impact daily life. Understanding the different types of pain associated with Parkinson’s is the first step toward effective relief.

Musculoskeletal pain results from stiffness, rigidity, or poor posture and often affects the neck, back, shoulders, and hips. This type of pain can feel like general aching or soreness and may worsen with immobility.

Dystonic pain arises from involuntary muscle contractions, known as dystonia. These painful cramps or twisting movements typically occur in the feet, hands, or neck and may intensify during “off” periods when medication isn’t working effectively.

Neuropathic or Radicular pain involves the nerves and may feel like burning, tingling, or shooting sensations. It can stem from nerve compression, peripheral neuropathy, or the disease itself disrupting normal nerve function.

Central pain is the most elusive Parkinson’s pain. It originates in the brain, not from any external injury, and can be difficult to describe — often presenting as a constant, widespread discomfort. It is thought to arise from changes in brain processing. 

Treatment options vary depending on the type of pain. Adjusting Parkinson’s medications can help reduce off-period pain. Over-the-counter pain relievers, neuropathic medications like gabapentin, physical therapy, and complementary approaches such as massage, exercise, or mindfulness may also provide relief. In some cases, botulinum toxin injections can be helpful, particularly for dystonia.

Pain should never be dismissed as “just part of Parkinson’s.” If it’s interfering with your sleep, mood, or movement, talk with your care team about ways to manage it. With the right approach, meaningful relief is possible.