Encephalos, Vol 39, Issue 3, July-Sept 2002
While MS is mostly a palnless disease nevertheless 50% of all MS individuals
consider pain a significant problem. It appears to derive from what might
be termed "?short circuits" in the tracts that transmit sensory impulses
between the brain and spinal cord. The predominant type of pain seen in
MS, called "dysesthesia", is a burning, tooth-achy type of pain that occurs
most commonly in the extremities, although it may also occur on the trunk.
Trigeminal neuralgia and migrain are also frequent in MS. Drugs to control
these types of pain are mainly antiepileptics and antidepressants. Standard
pain medications such as aspirin, codeine and narcotic analgesics are not
effective and should be avoided. It is critical that a proper diagnosis
of the cause of any type of pain be made to ensure that is properly treated.