BACK PAIN IN PARKINSONISM: EXPLORING PAIN GENERATORS AND INTERVENTIONAL MANAGEMENT: A CASE SERIES

Ismi Hamdani (Department of Neurology, Rumah Sakit Umum Daerah KH Idham Chalid, Ciawi, Bogor, Indonesia)
Lie Anto (Department of Neurology, Rumah Sakit Umum Daerah Kabupaten Bintan, Riau, Indonesia)
Irma Savitri (Fellowship MIN KNI, Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo, Jakarta, Indonesia)
Tiara Aninditha (Fellowship MIN KNI, Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo, Jakarta, Indonesia)
Nurul Fadli (Fellowship MIN KNI, Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo, Jakarta, Indonesia)
Yusak Mangara Tua Siahaan (Department of Neurology, Siloam Hospitals Lippo Village, Karawaci, Tangerang, Indonesia)
Dyah Tunjungsari (Department of Neurology, Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo, Jakarta, Indonesia)
Henry Riyanto Sofyan (Fellowship MIN KNI, Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo, Jakarta, Indonesia)

Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya
Vol. 13 No. 1 (2026): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers

Pain is a common non-motor symptom in parkinsonism, often overlooked despite its significant clinical impact. The most common form is Parkinson's disease (PD), followed by secondary and atypical parkinsonisms such as PSP. Two cases presented with musculoskeletal-spinal pain as the chief complaint: a PD patient with upper back pain that improved after an erector spinae nerve block, and a PSP patient with lumbar facet pain that improved after an intra-articular steroid injection. Pain in parkinsonism can originate from muscles, bones, joints, discs, ligaments, fascia, or nerves, requiring careful evaluation. Both cases demonstrate the effectiveness of pain injection interventions in patients unresponsive to conservative therapy. Appropriate pain assessment and management are crucial to improving the quality of life of parkinsonism patients.