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. In MS you can experience acute neuropathic pain and chronic neuropathic pain.
Nerve pain
MS can damage the nerves that affect your muscles. This can cause acute or paroxysmal pain in the form of spasms. Your arms and legs might shoot out uncontrollably and might have pain like cramping or pulling. Nerve pain can also be chronic in the form of painful or unusual sensations on your skin.
Surveys for patient pain indicate that the most common pain syndromes experienced in MS are: continuous burning in extremities; headache; back pain; and painful tonic spasms.
The tingling and other sensory problems of MS tend to affect one side of the body, while both sides generally are affected in peripheral neuropathy in what is described as a "stocking-glove" pattern. MS is more likely than PN to cause muscle weakness, but some types of peripheral neuropathy can make you weak as well.
You might get a shocking, burning, squeezing, stabbing, cold, or prickly feeling out of nowhere. Some people call them zingers or stingers. These zaps usually last only seconds or minutes. They often affect your legs, feet, arms, and hands.
Early MS symptoms may include blurred vision, numbness, dizziness, muscle weakness, and coordination issues. MS is progressive and can worsen over time. Eventually, the disease can do damage directly to the nerves, causing permanent disability.
Altered sensations are fairly common in multiple sclerosis. You might feel pins and needles, burning or crawling sensations, numbness or tightness. These unusual sensations are a type of nerve (neuropathic) pain.
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.
Sjogren's syndrome is an autoimmune disease that can mimic some of the symptoms of MS such as fatigue and joint pain.
Chronic neuropathic pain is typically the persistence of an acute pain like those described above. In MS these pains can be experienced on a daily or nearly daily basis and often it is unpredictable when they will occur.
It may include: stabbing pains in the face. a variety of sensations in the trunk and limbs, including feelings of burning, pins and needles, hugging or squeezing.
Experts usually describe pain caused by MS as musculoskeletal, paroxysmal or chronic neurogenic. 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.
An MRI scanner uses a strong magnetic field to create a detailed image of inside your brain and spinal cord. It's very accurate and can pinpoint the exact location and size of any inflammation, damage or scarring (lesions). MRI scans confirm a diagnosis in over 90 per cent of people with MS.
MS can be present even with a normal MRI and spinal fluid test although it's uncommon to have a completely normal MRI. Sometimes the MRI of the brain may be normal, but the MRI of the spinal cord may be abnormal and consistent with MS, so this also needs to be considered.
Neuromyelitis optica (NMO) — A separate disease from MS that shares several clinical features. NMO most often causes visual changes in both eyes and symptoms caused by long lesions in the spinal cord.
Can I have multiple sclerosis for years and not know it? Yes. MS can go undetected for years. Research has suggested that many patients experience MS-related symptoms and signs several years before receiving a definite diagnosis of the disease.
Numbness of the face, extremities or body is often the first symptom of MS. Pain is common in MS, with around 55% of people with MS citing chronic pain. Walking, balance and coordination problems can be helped by physical therapy and medications.
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.
Common symptoms include fatigue, bladder and bowel problems, sexual problems, pain, cognitive and mood changes such as depression, muscular changes and visual changes. See your doctor for investigation and diagnosis of symptoms, since some symptoms can be caused by other illnesses.
Compared to controls, MS patients were more likely to have moderate to severe pain, use analgesics and describe interference with daily activities. Pain has been associated with poor quality of life measures.
Fatigue in MS is not just an ordinary tiredness, like you might get at the end of a hard day's work. People describe it as an overwhelming sense of tiredness with no obvious cause. You may wake up feeling as tired as you did when you went to sleep.
“MS pain that commonly interferes with sleep is neuropathic pain — often described as burning, shooting, searing, or deeply aching. This pain can be relentless and is often worse at night.”
Foot drop, or dropped foot, is a symptom of multiple sclerosis caused by weakness in the ankle or disruption in the nerve pathway between the legs and the brain. This disruption means it is difficult to lift the front of the foot to the correct angle during walking.