Hi Teresa. Thx for your continued interest. I had an EMG when I was down at the Mayo last Wed and I have no nerve damage. Hallelujah!!! I then saw a neurologist on Friday. He was WONDERFUL!!! I can’t say enough about how wonderful the Mayo Clinic is and everyone there is so helpful and concerned about helping you. I could tell you numerous very positive stories of family and friends experiences there too. Anyway, the doctor said that I am at the very beginning stage of PD and that I was getting a very low dosage of Sinemet. He increased the dosage which I am doing gradually every day. He feels confident that it should help with the pain in my arm. He said to call him if it doesn’t respond. Otherwise I am to see him again in 2 1/2 months. He strongly encouraged me to continue to be active by walking 3 miles daily, gardening and generally staying active. No problem on that with me. He also said that with the medication, excercise and working the Big and Loud Program I should have 10-20 years where my symptoms don’t change much. THAT made both my husband and me very hopeful. If one can, I STRONGLY encourage anyone who has some disease or major health issue to go to the Mayo. It’s good for your body and your mental health.