coach wrote:
.. Am having bilateral pain in calf muscles, chronic constipation, nausea with occasional vomiting, stiff neck, swaying when upright, cold hands and feet when upright, cluminess in my hands (more like exagerated movements)more than tremors and the hoarseness I've mentioned...
The bilateral pain in calf muscles could be due to muscle hypertonicity or spasms. Hypertonicity, spasms, clumsiness/exaggerated movements (chorea, ballism etc.), and tremors are all potential upper motor neuron, extra pyramidal signs of nigrostriatal (substantia nigra and basal ganglia) involvement such as seen in Parkinson's and other neurodegenerative conditions. The nigrostriatal system smooths out muscle tone and movement. Swaying can be caused by the problems in NS system, cerebellum, inner ear or cord tracts. Nausea vomitting, stiff neck and hoarseness are potential signs of increased intracranial pressure or a Chiari malformation which causes pressure problems. Chronic constipation is a fairly common complaint in Parkinson's. The cause is unknown. It can be due to decreased signals to the mucles of the colon or spasticity. In either case, it is an autonomic sign.
Dr. JoAnne Lazarus is a professor emeritus of kinesiology (study of movement) from the University of Wisconsin, Madison who is currently disabled due to Parkinson's. She has become and advocate for further research. Dr. Lazarus was a former college champion basketball player, as well as other sports. There is a higher incidence of neurodegenerative conditions in athletes.