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[Pain in multiple sclerosis. Clinical aspects and therapy]
1Neurologische Rehabilitations- und MS-Station, Bernische Höhenklinik Bellevue, Montana.
Schweizerische Medizinische Wochenschrift
|December 29, 1990
Summary
Pain is common in multiple sclerosis (MS), affecting over 50% of patients. While anticonvulsants treat paroxysmal pain, individualized physiotherapy may be necessary for chronic MS pain syndromes.
Area of Science:
- Neurology
- Pain Medicine
- Rehabilitation
Context:
- Multiple sclerosis (MS) is a chronic, incurable neurological disease.
- Pain syndromes affect over 50% of individuals with MS, significantly impacting quality of life.
- Effective pain management is crucial for improving patient well-being in MS.
Purpose:
- To review current treatment strategies for pain syndromes in multiple sclerosis.
- To highlight the efficacy of different therapeutic approaches for various types of MS-related pain.
- To emphasize the importance of individualized treatment plans for managing chronic pain in MS.
Summary:
- Paroxysmal pain syndromes in MS, like trigeminal neuralgia, are primarily managed with anticonvulsive drugs such as carbamazepine.
- Chronic pain syndromes, including dysesthetic extremity pain and leg spasms, are often less responsive to pharmacological interventions.
- Individualized regular physiotherapy is presented as a potentially effective treatment for chronic pain in multiple sclerosis patients.
Impact:
- This review underscores the need for a multimodal approach to pain management in MS.
- It suggests that physiotherapy should be considered for patients experiencing chronic pain unresponsive to medication.
- Improved pain control can lead to enhanced quality of life for individuals living with multiple sclerosis.