CNS Drugs

, Volume 26, Issue 11, pp 937–948 | Cite as

Management of Pain in Parkinson’s Disease

  • Munazza Sophie
  • Blair FordEmail author
Therapy in Practice


Pain is a common symptom in Parkinson’s disease (PD) and accounts for substantial morbidity in up to 80 % of patients. Despite contributing to disease-related discomfort and disability, pain in PD frequently goes underacknowledged and undertreated in clinical practice. Although the exact underlying neurophysiology is unclear, there is increasing understanding of the role of the basal ganglia in somatosensory processing, as well as involvement of additional brainstem structures and non-dopaminergic pathways; appreciation of these mechanisms has implications for treatment strategies. Categorizing painful symptoms based on their clinical description into musculoskeletal, dystonic, radicular-peripheral neuropathic and central pain categories provides a useful framework for management. Importantly, these symptoms should be evaluated in relation to motor symptoms and dopaminergic therapy. A multi-disciplinary approach is recommended as follows: physical therapy, liaison with pain management and consultations to rheumatological, orthopaedic and neurosurgical services should be considered.


Amyotrophic Lateral Sclerosis Levodopa Dystonia Deep Brain Stimulation Baclofen 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



No sources of funding were received to prepare this article. The authors have no conflicts of interest that are directly relevant to the content of this article.


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Copyright information

© Springer International Publishing Switzerland 2012

Authors and Affiliations

  1. 1.Department of NeurologyColumbia UniversityNew YorkUSA
  2. 2.The Neurological Institute of New YorkNew YorkUSA

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