Hi, My name is Rhonda and I also have Parkinsons. I was diagnosed about 7 years ago. Right now you and I have similar situations. I am probably going to have to have knee surgery. I can't exercise now either. I have also taken the LSVT BIG program. Have you heard of Parkinson Voice Project? I want to give you some information about this program that you can do online or in person. This program will help you regain and retain your ability to speak and swallow. And it is never too early to start SPEAK OUT! therapy. This is a program offered to people with PD for no charge. Please go to ParkinsonVoiceProject.org and find a Speech Language Pathologist trained in SPEAK OUT! Most of them offer virtual or in person treatment. 90% of people with Parkinson Disease will have speech or swallowing issues. Even if you are not having any problems you still need to go through this program. Remember, there is no charge and no bills to your insurance. PVP is a non profit organization and the only company in the world to offer this program. I went through the program in 2020 and my voice remains strong. The program is proven to be effective I continue to practice nearly daily. I can mail you a brochure if you would like to share your mailing address. Please visit their website at ParkinsonVoiceProject.org. There are links to click on about half way down the page. A really good one is "What is Parkinson's" video. Another would help you to find a Speak Out Provider in your area. And as long as you are treated at a Therapy and Research Center there will be no charge. And at the top of the page under "Our Program" go to Testimonials and listen to what others have to say about the program.