Neck and back pain: Some people with MS can experience neck and back pain. This may be due to immobility, or to the same type of wear and tear that many people without MS experience. This type of pain is often an aching, stiff sensation that can be moderately severe.
Neuropathic pain happens from “short circuiting” of the nerves that carry signals from the brain to the body because of damage from MS. These pain sensations feel like burning, stabbing, sharp and squeezing sensations.
Lhermitte's sign is another common symptom of MS. It is a short, intense pain that runs from the back of the head down the spine and sometimes into the arms or legs.
Spasticity is a type of extreme muscle stiffness and tightness that's very common in people with MS. While it often affects the legs, spasticity can sometimes lead to pain or tightness in the lower back.
Spinal MS occurs more commonly with lesions in the cervical spine (the neck area) in approximately 67 percent of cases. Lesions in this area often affect the corticospinal tract. Neurological signs which indicate lesions in the corticospinal tract include the Babinski Sign and the Hoffmann Sign.
In MS patients commonly have neuropathic pain. It often affects a limb or limbs, and sometimes involved the trunk. It is described in a various ways but often the following descriptions are used: “burning, tingling, jabbing, electrical, itching”.
Spinal Disorders
This irritation of nearby nerves can lead to numbness or weakness in the area of the body that correlates with the affected nerves. These symptoms can mimic those of MS.
The magnetic resonance imaging (MRI) may show areas of abnormality that suggest MS, though the MRI in and of itself does not make the diagnosis. Spinal fluid testing may show that the immune system is active in and around the brain and spinal cord, supporting the diagnosis.
MS lesions are present throughout the spinal cord, and spinal cord MRI may play an important role in the diagnosis and follow-up of MS patients.
Neurogenic pain is the most common and distressing of the pain syndromes in MS. This pain is described as constant, boring, burning or tingling intensely. It often occurs in the legs.
People should consider the diagnosis of MS if they have one or more of these symptoms: vision loss in one or both eyes. acute paralysis in the legs or along one side of the body. acute numbness and tingling in a limb.
Lesions may be observed anywhere in the CNS white matter, including the supratentorium, infratentorium, and spinal cord; however, more typical locations for MS lesions include the periventricular white matter, brainstem, cerebellum, and spinal cord.
Sometimes MRI reports describe lesions as hyperintense, hypointense, or isointense. Hyperintense lesions are bright or white. In general, MS lesions are hyperintense or bright on T2 or FLAIR sequences. Hypointense lesions are dark or black.
Although MRI is a very useful diagnostic tool, a normal MRI of the brain does not rule out the possibility of MS. About 5 percent of people who are confirmed to have MS do not initially have brain lesions evidenced by MRI.
MS patients are all at higher risk for dental issues because of the complications of MS. The disease itself affects the teeth and gums on a biochemical level. The medicine that is used to treat MS can also lead to problems.
Here's where MS (typically) starts
Although a number of MS symptoms can appear early on, two stand out as occurring more often than others: Optic neuritis, or inflammation of the optic nerve, is usually the most common, Shoemaker says. You may experience eye pain, blurred vision and headache.
A wide range of conditions can be mistaken for MS, including: migraine, cerebral small vessel disease, fibromyalgia, functional neurological disorders, and neuromyelitis optica spectrum disorders, along with uncommon inflammatory, infectious and metabolic conditions (1, 3).
The takeaway. It's easy to mistake sciatica as a symptom or related condition of MS, which often causes neuropathic pain. But while the two do coexist, sciatica isn't caused by MS. It's caused by strain on the sciatic nerve.
The prevalence of back pain in MS patients ranged from 8.6 to 50%, but that of low back pain in particular ranged from 41.6 to 52.4%. Concerning the survey, 237 patients participated in the online questionnaire. The prevalence of low back pain in the French MS patients was 76.4%.
The two types of pain people with MS experience are nerve pain and musculoskeletal pain. Both types indirectly contribute to aching joints and body pains. While MS doesn't directly affect the joints, it does affect other areas that can lead to joint and body pain.
Magnetic resonance imaging (MRI) is the test of choice for diagnosing MS in combination with initial blood tests. MRIs use radio waves and magnetic fields to evaluate the relative water content in tissues of the body. They can detect normal and abnormal tissues and can spot irregularities.
While there is no definitive blood test for MS, blood tests can rule out other conditions that cause symptoms similar to those of MS, including lupus erythematosis, Sjogren's, vitamin and mineral deficiencies, some infections, and rare hereditary diseases.