open access

Vol 48, No 4 (2014)
Review article
Submitted: 2014-01-14
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Symptomatology and pathogenesis of different types of pain in multiple sclerosis

Waldemar Brola, Krystyna Mitosek-Szewczyk, Józef Opara
DOI: 10.1016/j.pjnns.2014.07.009
·
Neurol Neurochir Pol 2014;48(4):272-279.

open access

Vol 48, No 4 (2014)
Review article
Submitted: 2014-01-14

Abstract

Multiple sclerosis (MS) is a progressive disease of the central nervous system. It is characterized by disseminated foci of demyelination, which are responsible for the diverse clinical picture of MS. Pain is a frequent but underestimated symptom of multiple sclerosis. It is estimated to affect 29–86% of MS patients in various stages of the disease and severely influences rehabilitation and quality of life. The pain experienced by MS patients is generally caused by nervous system damage during the course of the disease process and can usually be characterized as central neuropathic pain (less frequently as peripheral or nociceptive pain). The most frequent symptoms include dysesthetic extremity pain, painful tonic spasms, Lhermitte's sign, trigeminal neuralgia, headaches and low back pain. This paper discusses the probable mechanisms behind the development of pain in MS, the prevalence, classification, types of pain, as well as the most effective treatment methods.

Abstract

Multiple sclerosis (MS) is a progressive disease of the central nervous system. It is characterized by disseminated foci of demyelination, which are responsible for the diverse clinical picture of MS. Pain is a frequent but underestimated symptom of multiple sclerosis. It is estimated to affect 29–86% of MS patients in various stages of the disease and severely influences rehabilitation and quality of life. The pain experienced by MS patients is generally caused by nervous system damage during the course of the disease process and can usually be characterized as central neuropathic pain (less frequently as peripheral or nociceptive pain). The most frequent symptoms include dysesthetic extremity pain, painful tonic spasms, Lhermitte's sign, trigeminal neuralgia, headaches and low back pain. This paper discusses the probable mechanisms behind the development of pain in MS, the prevalence, classification, types of pain, as well as the most effective treatment methods.

Get Citation

Keywords

Multiple sclerosis, Chronic pain, Neuropathic pain, Health-related quality of life

About this article
Title

Symptomatology and pathogenesis of different types of pain in multiple sclerosis

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 48, No 4 (2014)

Pages

272-279

DOI

10.1016/j.pjnns.2014.07.009

Bibliographic record

Neurol Neurochir Pol 2014;48(4):272-279.

Keywords

Multiple sclerosis
Chronic pain
Neuropathic pain
Health-related quality of life

Authors

Waldemar Brola
Krystyna Mitosek-Szewczyk
Józef Opara

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