<s>[INST] yes please, Ive had severe tremors in my left hand,arm & shoulder due to Parkinsons (I ve been diaganosed 7 yrs ago). It s caused the muscles in left arm all the way up to my shoulder to be extremely painful for about 3 wks. Is that normal? I had a massage today - today & it s still very sore. I ve gotten along quite well until past 3 wks. My walking is ok, etc. But, whatever I do w/ my right hand - arm affects the left one, I m on 50/110 Synament 3 x daily [/INST] You need to get a cervical spine Xray to rule out cervical spondylosis. Symptoms of nerve compression will require MRI as well. </s>