Re: Pain in MS

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Excellent. Thank you Jackie for sending this! hugs SharonThis email is a natural hand made product. The slight variations in spelling and grammar enhance its individual character and beauty and in no way are to be considered flaws or defects. To: MSersLife Sent: Tuesday, August 9, 2011 11:06 PMSubject: Pain in MS

This might help explain the pains associated with MS. I know it cleared up my confusion of where my leg pains were/are coming from. Sharon it even talks about back pain. Akiba it talks about that burning/hot feelings you have been having. Hugs, Jackie Pain in MS Multiple Sclerosis was considered for many years to be a painless disease. The current view is that approximately 50% of people with MS experience pain or discomfort at some time during the course of their disease. When severe, pain in MS can be among the most difficult of symptoms to treat. Common aches and pains that affect the general population are probably more frequent in people with MS than in non-affected individuals. Headaches are not generally regarded as caused by MS. Some authors describe pain in MS as either chronic or acute. Steady and achy type pain often results because muscles become fatigued and stretched when they are used to

compensate for muscles that have been weakened by MS. People with MS may also experience more stabbing type pain which results from faulty nerve signals emanating from the nerves in MS lesions in the brain and spinal cord.Alternatively one can describe three types of pain which occur as secondary to MS:Musculoskeletal painParoxysmal painChronic neurogenic pain1.

Musculoskeletal pain can be due to muscular weakness, spasticity and imbalance. It is most often seen in the hips, legs and arms and particularly when muscles, tendons and ligaments remain immobile for some time. Back pain may occur due to improper seating or incorrect posture while walking. Contractures associated with weakness and spasticity can be painful. Muscular spasms or cramps (called flexor spasms) can be severe and discomfiting. Leg spasms, for example, often occur during sleep.Treatment of musculoskeletal pain should aim to correct the cause before consideration of analgesics2. Paroxysmal pains are seen in 5-10% of people with MS. The most characteristic is the facial pain of tic doloreux (trigeminal neuralgia), which usually responds to carbamazepine.Lhermittes sign is a stabbing, electric-shock-like sensation running

from the back of the head down the spine brought on by bending the neck forward. Medication is of little use because this pain is instantaneous and brief. A soft collar to limit neck flexion may be prescribed.3. Chronic neurogenic pain is the most common, distressing and intractable of the pain syndromes in MS. This pain is described as constant, boring, burning or tingling intensely. It usually occurs in the legs.Paraesthesias include pins and needles; tingling; shivering; burning pains; feelings of pressure; and areas of skin with heightened sensitivity to touch. The pains associated with these can be aching, throbbing, stabbing, shooting, gnawing, tingling, tightness and numbness.Dysesthesias include burning, aching or girdling around the body. These are neurologic in origin and are sometimes treated with antidepressants.Optic Neuritis (ON) is a common first symptom of MS. Pain commonly

occurs or is made worse with eye movement. The pain with ON usually resolves in 7-10 days.