Abdominal Muscles Clenching When Standing/walking | MyParkinsonsTeam

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Abdominal Muscles Clenching When Standing/walking
A MyParkinsonsTeam Member asked a question 💭

I want to know if anyone has experienced severe stomach/abdominal muscle tightening/clenching when standing and walking. I've had this issue for at least 10 years. It has been slowly getting worse over the years. Is this something that could be connected to Parkinson's disease ? No MD that I have ever mentioned this to has had an explanation for this problem. It is so severe it is close to preventing me from standing up and walking.
Any advice would be welcome.

posted June 22, 2022
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A MyParkinsonsTeam Member

Hi Kelly,
Thank you for your reply. I'm battling two major problems. I have a really bad lower back and a muscle rigidity in my abdominal muscles at the same time. So between the two things I can't stand for more than a few minutes. I have an appointment with a gym that does that Rock Steady Program. I'll see what they say about me (tomorrow).

posted July 6, 2022
A MyParkinsonsTeam Member

Thank you for all this Jud. I am in the process of finding an exercise trainer. I will also try massage in the near future. I did read the supporting articles. Very helpful.

posted June 23, 2022
A MyParkinsonsTeam Member

Is it causing you to freeze ? I've had that problem many years. Have abdominal pain but not severe.

posted June 23, 2022
A MyParkinsonsTeam Member

Hoping that exercise will work for you. I insist every day that my husband exercise. It has given him a more positive attitude. Prayers.

posted June 25, 2022
A MyParkinsonsTeam Member

Sorry you are experiencing this. I hope you find the courage and resources to find ways to feel better.

Could it be from constipation?
The majority of people with Parkinson's experience constipation at some point. Constipation can range from a minor nuisance to a condition that causes severe bloating and discomfort.

Physical and emotional stress, as well as lack of sleep, fatigue and depression can exacerbate pain. Pain in Parkinson's, no matter where it's coming from, also is generally worse during "off" times (periods when PD symptoms return because medications aren't working ideally).

A few basic tenets for treating pain in Parkinson's are to:
Identify the source of the pain, if possible,
Optimize control of motor symptoms,
Incorporate exercise,
Use nonpharmacologic methods, if helpful,
Add pain medication as necessary.

Discuss it with your movement disorder specialist, who can assess your Parkinson's, evaluate for causes other than PD (even minor infections can worsen Parkinson's symptoms and pain), and direct appropriate treatment.

If motor symptoms are not controlled, pain may not be adequately controlled either. If "off" time, dyskinesia or dystonia are contributing to or causing pain, dopamine medication adjustments are likely to be the initial strategy for pain management.

Exercise can be beneficial for most pain (and constipation), even though this may be the last thing you feel like doing. A physical or occupational therapist can help you craft a personalized regimen, and family members and friends can keep you accountable.

Massage therapy, mindfulness and meditation techniques, acupuncture, and heat or cold application may help. These may be used on their own or in combination with medication.

A multidisciplinary team approach for pain management may be necessary. In addition to your movement disorder specialist, providers may include physical or occupational therapists, psychiatrists and even pain management experts. Each of these practitioners targets a different aspect of the pain.

Excerpted from and read more at ->
https://www.michaeljfox.org/news/ask-md-pain-an...

posted June 23, 2022

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