|
Is Pain a Sympton in Multiple Sclerosis? |
Is Pain a Sympton in Multiple Sclerosis?
Pain can be a symptom people with MS might experience. It has been reported to occur in as many as 60% of people living with MS. The problem that exists is that all pain is not directly related to myelin damage in pain fibers in the central nervous system. Pain can come from other sources as well so we have to be careful to not wear blinders when evaluating pain.
Pain sources can include:
- Mechanical problems or how you walk, stand, sit or lie down
- Spasticity
- Equipment problems from ill fitting canes, walkers, beds and wheelchairs
- Skin problems from unrelenting pressure or chafing
- Medical problems such as osteoarthritis, back problems, contractures, fractures, cancers, and many other medical diseases
If all other sources of pain have been ruled out, “neuropathic pain” may be diagnosed. This type of pain comes from demyelinated nerve fibers that carry pain messages to the brain. The pain people describe is burning, tingling, shooting, stabbing, electric-shock like, searing and is worse at night. Neuropathic pain typically responds poorly to standard pain relief measures. It is a pain that can come and go, vary in intensity or can be constant. It may move from one area to another. It is unpredictable.
Types of pain are:
- Trigeminal neuralgia (severe facial pain)
- Tonic spasms (a more constant contraction of muscle groups)
- Zingers (shooting pains or electrical sensations)
- Pain in extremities
- Back pain
- Headaches
Pain treatment is complex. Sometimes it involves trying many different medications to find the one that will work for you. Sometimes we have to combine medications to achieve relief.
Medications may come from the following classes of medications:
- Anti-seizure drugs like Neurontin, Zonegran, Lamictal, Topamax, Gabitril, Tegretol
- Tricyclic antidepressants like nortriptyline, amitriptyline, imiprimine, desiprimine
- Topical agents such as capsaicin, lidocaine, heat and cold
- Non-narcotic and narcotic opioids such as Ultram, oxycodone, oxycontin and methadone.
If pain persists, you may need to see a pain specialist who will utilize more invasive techniques to manage pain. Pain can also be lessened by biofeedback, exercise, activity and psychotherapy. Don’t suffer silently! Some practitioners still say that pain is not a part of MS. It is and you deserve to look for relief.
|
Contact
