Severe “Locking up” muscle pain / dystonia

Hi. I’m 5 years post diag, and generally doing well … I think. As far as muscle pain is concerned, I get cramp in my toes quite a lot, & bouts of what I now think of as “Normal dystonia” in my right shoulder and inner thighs. Nothing, as the old saying goes, to write home about.

“The Event”: About 10 days ago, I was about to go to sleep, relaxed, nothing unusual going on, no missed dopa tabs or anything, when the back of my right hip started to tighten up. Within minutes, it was rock solid and had spread all around my hip - to the hip flexor and inner thigh. 9 out of 10 on the pain scale, my whole leg locked up. There was some minute-by-minute waves in the pain, but no dystonia tendency for movement; I couldn’t move it at all! Couldn’t stand … couldn’t do anything.

Got an ambulance in, and the very experienced paramedic was seriously surprised by how tight all the muscles were. She asked me to try an extra co-careldopa tab; no change. 4 and a half hours in, it took 3 measures of morphine before the leg was movable enough to get me on a stretcher.

10 days and some muscle relaxing drugs (diazepam) later, the hip is still very swollen and covered in a black & blue bruise, but the pain is back to “Normal dystonia” sort of levels.

Complicating factor(s): The hip was semi-replaced - metal on metal “Resurfaced”, like the op Andy Murray had - about 15 years ago. Also I dislocated it a year ago. (The pain from the recent muscle tension was far worse than the dislocation!)

The Question: Parkinson’s or Something Else? Neither the paramedics, hospital doctor nor GP were sure what happened. Obviously it could have something to do with the hip resurfacing: the op I had can lead to complications, but I can’t find any reference to anything like this being one of them. I have found some references to Parkinson’s dystonia causing the “Everything locking up” effect I had. But nothing suggesting it might get as widespread (all around the hip) or as painful (morphine is pretty serious stuff!) as this.

So. Does the assembled experience in this forum think this was a Parkinson’s thing? Perhaps Parkinson’s made something which was happening anyway worse by adding some of its own dystonia on top? Or should I blame the - obviously troublesome - hip joint completely?

And doesn’t have to be hips! Has anyone experienced “Locking up” dystonia to this sort of extreme level anywhere else?

Sorry for the long post - it’s a bit of a complicated question. And thanks is advance for any thoughts.

Hi MartinB,

Thank you for sharing this, we’re so sorry to hear you had this experience. That sounds incredibly painful, we’re glad to hear you are doing a little better now.

We’re sure our lovely group members will be able to share their experiences soon, in the meantime our helpline team are always on hand to helo if you would like someone to talk to. Please do give us a call on 0808 800 0303

All the best,

The Parkinson’s UK Moderation Team. :blue_heart:

That sounds like an incredibly painful and frightening experience. Given the previous hip resurfacing and dislocation, it seems difficult to know whether this was dystonia, a hip-related complication, or a combination of both. Hopefully you can get a clear assessment from both your neurologist and an orthopaedic specialist.

Hello MartinB

I sympathise with you on your Muscle pain problem. I have a similar unexplained muscle pain and any advice from the forum would be extremely welcome.

I was diagnosed with Parkinson’s in 2019 and my symptoms have been mainly tremor, stiffness and slow movement during off periods and progressing gradually since then. I am currently taking Sinemet every 2 ½ hours in the daytime and two slow release pills at night. However, 9 months ago I started to experience glute and leg muscles pain and spasms in the late evenings at first but over time the pain level has increased and can now occur throughout the day, particularly when my medication is wearing off. Like you, I feel that this dystonia type pain is far worse than the Parkinson’s symptoms I have previously had.

My GP, Parkinson’s nurse, physio and consultant can’t suggest what this is except that it might be the Parkinson’s dystonia attacking an existing problem such as a disk or nerve. They referred me for a scan to see if anything shows up but I’m still waiting.

Has anyone any ideas what is happening and how to prevent it?

1 Like

Hi @DaveL. Welcome to the community. We hope you get some great advice and enjoy being a member here.

We are sorry to hear about what you are experiencing. We know how tough dealing with the pain that sometimes comes with Parkinson’s can be and we want you to know we are here to help.

We have information on our website about pain and ways to manage it: Pain | Parkinson's UK

You are also more than welcome to call our free helpline on 0808 800 0303 and speak with one of our advisers who can offer you the support you need.

Please take care and let us know if there is anything we can do.

Parkinson’s UK Moderation Team :blue_heart: