J Spine. Neuropathic pain is commonly worse at night and may be associated with allodynic pain (painful sensation to a touch stimulus). See your doctor for investigation and . We prefer to work with pain management physicians or neurologists in the local area. Julie Stachowiak, PhD, is the author of the Multiple Sclerosis Manifesto, the winner of the 2009 ForeWord Book of the Year Award, Health Category. AnatomicRadiologic Basis of Lhermittes Sign in Multiple Sclerosis. Much less often, they have the sensation that they or their surroundings are spinning a condition known as vertigo. Even when the migraineepisode has passed, people are often left with residual symptomscalled the postdrome phasewhich includes fatigue, irritability, problems concentrating, and dizziness.. Gronseth G et al. The pain of them causes many people to fall on the floor, pull at their hair, rock back and forth, scream, and weep. You can get it if you have a hard time walking or other movement problems . Reference:Ostenberg A. Treatment of MS back pain is similar to back pain protocol in non MS patients: PT, NSAIDS, heat, cold packs and if needed consultation with Pain Management. Practice Parameter: The diagnostic evaluation and treatment of trigeminal neuralgia. The following possible causes of back pain may affect people with MS. Ann Indian Acad Neurol. Another cause of pain in the hips is a metastasis of cancer, such as breast . Learn more to ease your headache. If a person has neuropathic pain in their back, it can manifest as a sharp, stabbing, or shooting sensation. Hyperexcitability, which is an increased firing of nerve fibers in the brain, is another possible cause. It is thought to be an autoimmune disorder, a condition in which the body attacks itself by mistake. It's a lifelong condition that can sometimes cause serious disability. Henry Ford Allegiance Health Center - Leslie. Headache: When to worry, what to do. Indeed, research indicates that the percentage of people with multiple sclerosis who suffer from low back pain could reach 41,6%. Alzheimer's disease (AD) is a neurodegenerative disease that usually starts slowly and progressively worsens. Tremor in MS is thought to be caused by damage in nerve areas responsible for movement coordination. What to know about low-pressure headaches. Cluster headaches begin as a severe throbbing, piercing, or burning sensation on one side of the nose or deep in one eye. It is the tightness or stiffness of the muscles that also includes a wide range of muscle spasms. Occipital neuralgia may be treated through a combination of warm/heat therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, massage, and prescription muscle relaxers. Neuropathic pain associated with multiple sclerosis occurs when the nerves become inflamed or misfire due to the damage done to the myelin sheaths (the hallmark of MS). Colleen Doherty, MD, is a board-certified internist living with multiple sclerosis. Neurontin is generally reserved for those who find Lhermitte's sign to be debilitating. Examples of common causes of low back pain in the general population include: Much less common, but more serious causes of lower back pain include: Finally, sometimes a person thinks their pain stems from their lower back when it's actually referred pain, meaning the source of the pain is not in the muscles and ligaments of the back. The most effective course of treatment must be tailored based on what exactly is responsible for the pain. The most common early symptom is difficulty in remembering recent events. We generally start treatment with Gabapentin or Pre-Gabalin. Herniated discs in your cervical spine (neck) can cause neck pain and tension. MS fatigue makes me feel like a loser, even though I know it's not my fault. MS is a condition that disrupts the flow of information between the brain and the rest of the body. Usually, factors like emotional stress, fatigue, hunger, low iron levels , and bad posture can cause this. Why Do I Have a Headache on the Left Side of My Head? Osteoporosis causes a persons bones to become weaker and break more easily. The prevalence of TN in MS patients is thought to be 1-2%, 20x the prevalence of the general population. Medical professionals often use the following methods to treat spasticity in people with MS: Without treatment, spasticity can become more serious and lead to complications, including contractures, which is the name for frozen or immobilized joints, and pressure sores. Multiple sclerosis is a long-term disease that attacks the central nervous system. You should see your healthcare provider for any type of an unusual headache, a headache that keeps recurring, or one that lasts for a long time. Ac., CYT. There are a number of reasons people with MS may have back pain. Can Migraines Be a Symptom of Hypothyroidism? They graduated from University Of Rochester School Of Medicine And Dentistry and is affiliated with HCA Florida South Tampa . More severe cases can cause paralysis, vision loss, and mobility problems. Therefore helping MS patients engage in regular exercise and nonpharmacologic measures may help with pain control. 2017 Dec; 7(12): e00852. These pain sensations feel like burning, stabbing, sharp and squeezing sensations. There are studies showing lesser efficacy of these procedures in MS patients yet overall insufficient evidence to support or refute use of these procedures in MS. Here's what to watch for. 2017;8:461. doi:10.3389/fneur.2017.00461, Massot C, Agnani O, Khenioui H, Hautecoeur P, Guyot M, et al. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Blood cells disorders like autoimmune hemolytic anemia and autoimmune platelet disorders. Multiple sclerosis is a disease of the central nervous system. One study found that 78% of participants with newly diagnosed MS reported having headaches in the past month. 2010;59(47);1557. This treatment option can last up to 12 weeks. Prevalence and natural history of pain in adults with multiple sclerosis: systematic review and meta-analysis. Seizures Seizures result from sudden,. For someone who experiences a migraine condition, the headache caused by migraine can appear in any location. It typically occurs in the legs, groin, and buttocks, but it may affect the lower back as well. There are no published studies comparing polypharmacy to monotherapy although it is our experience that polypharmacy with various drug classes can result in improved TN pain control. They can last only 15 minutes or as long as threehours. doi:10.1002/brb3.852, La mantia L, Prone V. Headache in multiple sclerosis and autoimmune disorders. Headaches can range from annoying to disruptive in severity. Headache. pain: tramadol, selective serotonin reuptake inhibitors (SSRIs) and selective norepinephrine reuptake inhibitors (SNRIs). (2021). What does a thunderclap headache feel like? Common acute pain syndromes include: Paroxysmal pain, Trigeminal neuralgia, Lhermittes phenomenon and dystonic (or tonic) spasms. Overview Multiple sclerosis (MS) is a long-lasting (chronic) disease of the central nervous system. Read on to learn how the disease can cause joint pain and what treatment options are, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Balloon ablation can also be effective in MS patients. We offer our patients with pain a consultation with PT for conditioning and to help them establish a regular exercise routine. Steady and achy types of pain in MS may be a result of muscles become fatigued and stretched when they are used to compensate for muscles that have been weakened by MS. People with MS may also experience more stabbing type pain which results from faulty nerve signals emanating from the nerves due to MS lesions in the brain and spinal cord. Less commonly back pain is associated with Scoliosis or Degenerative disease of the spine. Migraine and frequent tension-type headache are not associated with multiple sclerosis in a Norwegian case-control study. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Typically, Lhermittes sign means that MS has caused damage to the nerves in the neck. It is injected directly into the spinal column by a pump. Treatment with anticonvulsants can lessen the spasms and pain and be efficacious in low doses. Emotional or mood problems, including depression and apathy. Increased contrast enhancing lesion activity in relapsing-remitting multiple sclerosis migraine patients. Learn how some use the combination of butalbital, acetaminophen, and caffeine to treat tension headaches. Low back pain is very common in the general population, but even more so among people with multiple sclerosis (MS). Treatment for cluster headaches focuses on shortening the headache period, reducing the severity of attacks, and preventing further attacks from occurring. programs may recommend procedures such as epidural injections, an Intrathecal pump and or a Spinal cord stimulator for pain control. Many people with MS may have muscle and mobility problems that can affect a persons gait and posture. Headache. Koppel BS et. Quixotic1. According to the Centers for Disease Control and Prevention (CDC), women are twice as likely to experience headaches, migraines, and severe jaw or facial pain (acharacteristic symptom of MS) than men. Back pain and musculoskeletal disorders in multiple sclerosis. This damage leaves behind scar tissue that forms into lesions on the brain or spinal cord called plaques. Neck pain in multiple sclerosis can be directly related to demyelination going on in the body. Hospital Privileges. Multiple sclerosis (MS) is a condition that affects the central nervous system. Prevalence and natural history of pain in adults with multiple sclerosis: systematic review and meta-analysis. One study found that 78% of participants with newly diagnosed MS reported having headaches in the past month.. Treatment Some research suggests that people with multiple sclerosis (MS) are more prone to migraines and other headache disorders, like tension headaches or cluster headaches, than the general population. People often describe cluster headaches as the worst pain they could imagine, akin to plunging a burning ice pick into their eye. Tension headaches are typically treated with over-the-counter pain relievers. Multiple sclerosis is a chronic, usually progressive, disease that primarily affects young adults. She is an associate clinical professor of neurology at Tufts University. Headaches can also be a side effect of MS medications, such as Interferon B-1a or 1b, fingolimod, modafinil, or amantadine. 2022 Dotdash Media, Inc. All rights reserved. Authors of a 2014 study state there is mounting evidence that people with MS are at a higher risk of developing osteoporosis. MS-associated headaches are likely caused by brain lesions. The sensation is short-lived and goes away once a person moves their head back up. Headaches may be an early symptom of this condition and happen at later stages as well.. onset of TN as this may be a first symptom of MS. Content is reviewed before publication and upon substantial updates. Below are some of the ways in which MS can cause spine pain: Muscle stiffness: Patients with MS often experience muscle stiffness. Spasticity can also cause muscle spasms or cramps, which can be severe and cause more discomfort. Chronic nerve pain from conditions like sciatica. Migraine and cluster headache - the common link. Read our. Neuropathic pain can be frustrating . A: There is evidence that exercise and wellness interventions can affect pain. Headache in the first manifestation of Multiple Sclerosis - Prospective, multicenter study. This can keep the regular signals from getting transmitted around the nervous system, causing muscle spasms and cramps throughout the body. Over time, the brain may shrink in . Q: Are Spasms painful? Pain in people with multiple sclerosis: associations with modifiable lifestyle factors, fatigue, depression, anxiety, and mental health quality of life. https://www.nationalmssociety.org/Symptoms-Diagnosis/MS-Symptoms/Pain, Truini A, Barbant P, Pozzilli C, Cruccu G. A mechanism-based classification of pain in multiple sclerosis. Psychiatric and physical comorbidities and pain in patients with multiple sclerosis. It is not clear if depression in and of itself is a risk factor for pain in MS. A: Central MS pain patients have been found to have between 5-16 focal brain lesions mainly in the periventricular white matter. Neurol Sci. When trigeminal neuralgia (TN) is caused by MS, it is referred to as secondary . National MS Society. Multiple Sclerosis (MS) Rheumatoid . Causes of back pain in people with multiple sclerosis How can back pain set in in people with MS? Multiple Sclerosis Myasthenia Gravis Nasal Skull Base Pituitary Tumors Neuroendocrine Tumors Neurology . Dizziness. It may also be reasonable to consider using medications that have helped peripheral neuropathic Geber C, Neuropathic Pain Special Interest Group of the International Association for the Study of Pain. Tension headaches are the most common cause of pain. Occasionally IV or po steroids have temporarily helped TN pain. As the disease advances, symptoms can include problems with language, disorientation (including easily getting lost), mood swings, loss of motivation, self . Likewise, research has shown that lifestyle factors which people with MS and those supporting them can address are also associated with pain. A cervical intramedullary lesion is often found in these patients, most typically at C4 level. An individual may also feel pain as a result of changes in the body due to MS. For instance, MS may cause weakness in a persons legs, which can affect the way they walk. What are the common signs of . A: Pain can be described on the basis of different factors: location, etiology and duration or time course: acute or chronic. But still shouldn't walk, so does not completely take the fatigue attack away but helps a lot.) Some people will actually wake up because the pain disrupts their sleep. Multiple sclerosis (MS) is a condition that damages the nerves and causes a wide range of symptoms. Mutiple Sclerosis Center of Atlanta 3200 Downwood Cir NW Ste 550 Atlanta, GA 30327 Are you Dr. William Stuart, MD? A lack of feeling or a pins-and-needles sensation can be the first sign of the nerve damage from MS. He gently reminded me that I have lesions in my cervical spine and explained that this was likely a type of vertigo caused by neck spasms and my damaged nervous system. Cluster headache: Pathophysiology, diagnosis and treatment. There are currently inconsistent results regarding sensitivity of MRI to identify vascular contact in CTN. 1800 mg of Gabapentin a day is a common dose to help neuropathic pain. Make an appointment with a healthcare professional if: If you develop a severe headache thats worse than youve ever had, or if your headaches become progressively worse, you should make an appointment as soon as possible. A: Pooled overall pain prevalence in a systematic review of 17 studies with 5319 subjects was 63% (95% CI 55-70%). Read our. It can cause painful sensations that include: Muscle spasms Burning, tingling, or aching in the lower legs Morbidity and Mortality Weekly Report (MMWR): QuickStats: Percentage of adults who had migraines or severe headaches, pain in the neck, lower back or face/jaw, by sex --- National health interview survey. Medical professionals refer to this as neuropathic pain. Fatigue. Patients, healthcare providers, and health insurers would However, according to the National Multiple Sclerosis Society, the Food and Drug Administration (FDA) has not approved these drugs for use to treat pain that MS causes. Headaches can sometimes be associated with a relapse, but at the Mellen center we do not consider There is nothing specific about the MS treatment. Cancer treatment shows promise against multiple sclerosis in mouse study, Alzheimer's: Blood test may detect 'toxic' protein years before symptoms emerge, Low levels of vitamin D in the brain linked to increased dementia risk, Multiple sclerosis: What you need to know, Managing multiple sclerosis exacerbations, MS symptoms in women: Common, early, and rare, training on how to use a specific assistive device, over-the-counter anti-inflammatory medications, such as, correctly using canes or other assistive devices. Less commonly back pain is associated with Scoliosis or Degenerative disease of the spine. Int J MS Care. (2019). What causes pain in the back of the head? A: MS patients can have fibromyalgia as well as MS. Fibromyalgia patients may also have symptoms similar to MS, and often seek information on whether they have MS causing their symptoms. Headaches that involve pain in the back of the head can have a number of different causes. Pain has been associated with poor quality of life measures. Although the pain from cluster headaches resolves and has no lingering effect like with migraines, people often feel completely exhausted after each headache. The prevalence of bilateral TN in MS patients is 11-31% more common than in non MS patients. We try to follow a multidisciplinary process, involving health psychology, physical and occupational therapy, and other health care practitioners as needed. Common treatment options include: Learn about the benefits of physical therapy for people with MS here. They can appear in any location on the head. This type of pain can occur all over the body. Please refer to the Mellen Center document on treating Spasticity in MS. Pain. Most headaches are not serious, but a sudden or extremely painful headache may be a cause for concern. 9.5. Spasticity is a common symptom of multiple sclerosis. Treating the ON as needed with IV steroids can reduce the associated pain. It is one of the most common symptoms of MS that can dramatically reduce a persons quality of life. The ACR 1990 criteria for the classification of fibromyalgia. The sudden, temporary shock-like or tingling sensation can be a symptom of multiple sclerosis (or other diseases mentioned below). Prolonged double vision. There are so many causes of hip pain, from bursitis to strained muscles to cancer to multiple sclerosis. Baclofen may help painful spasms and has been found to also help TN pain. We avoid using tertiary references. F1000Res. The migraine postdrome. Generic Multiple Sclerosis Awareness Bracelets 5 Pack Silicone Wristbands Long Lasting Ink Adult One Size,Black,Orange,One Size Adult. Learn more about MS here. In 15 % of the TN cases routine neuroimaging may identify the cause of the TN. The association of brainstem lesions with migraine-like headache: an imaging study of multiple sclerosis. Depression and migraine headaches are both linked to low serotonin levels. Multiple sclerosis (MS), which affects an estimated 1 million Americans, can trigger symptoms ranging from pain, numbness and tingling to fatigue and even paralysis, as well as mood and memory problems. People with MS may be less able to compensate for this pain than people without MS, which can worsen the pain over time. Mult Scler J Exp Transl Clin. Usually, the pain resolves on its own over time. For instance, if a person with MS is using their cane or another mobility-assistive device improperly, low back pain may develop. Some people's symptoms develop and worsen steadily over time, while for others they come and go. Other people with MS may have back pain that is not related to MS but to another health problem, such as muscle strains or a herniated disk. Back pain and neck pain is often seen in people who have multiple sclerosis. One case-control study in Norway involving over 1,750 participants found no increased risk of migraines or tension headaches in people with MS compared to the general population.. Back pain is another common symptom of MS. Therefore Symptoms of MS-related nerve pain include burning sensations and sharp, shooting pains. Wolfe F, et al. cluster headaches experience frequent attacks. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. For some patients with chronic neuropathic pain this may be an important option when other avenues for treatment have been exhausted. Pediatric Headache Red Flags and When to Seek Treatment. Physicians prescribing such medications such be adept at the use and prevention of side effects of such medicine, and should have a narcotic agreement for care with the patient understanding the limits and restrictions on the use of such medicine. J Pain Res. tension, urinary tract infection, back pain, hypertension, and upper abdominal pain [44]. Popularity Score 9.7. Meta-analysis of the relationship between multiple sclerosis and migraine. Link Between Multiple Sclerosis and Sleep ProblemsPlus, How to Sleep Better, These Multiple Sclerosis Specialists Are Essential to Treatment, Scanning Speech: Everything You Need to Know. MS is an autoimmune disorder where the immune system attacks the protective layer around nerve fibers known as myelin. This pain can become extremely painful at times so the doctors will often want to rule out . The cause depends on the type of headache and other symptoms you may have. Can osteoarthritis be causing my headaches? The less the muscles are used, the more uncomfortable they will be, thus creating pain in areas such as the back. If a persons sciatic nerve becomes irritated, it may cause pain. Indirect comparison suggests microvascular decompression has longer duration of pain control than other surgical interventions. However, other studies suggest there is no link between MS and either migraines or tension headaches. It's important to note that a lot of people experience low back pain, regardless of whether or not they have MS. There are other medications that can be used "off label" for treatment in specific situations. Our current approach is to start with oxcarbamazepine, once this dose is maximized and is ineffective we will add another antiepileptic medication to improve pain control. 2005;45(6):670-7. doi:10.1111/j.1526-4610.2005.05136.x, Vollesen AL, Benemei S, Cortese F, et al. Just as disabling as the headaches are the fear and dread that people feel knowing there is a good chance another one is coming. However, there is limited data on any of these techniques in the MS population, and MVD mechanistically may not make sense in the MS population. A: We first diagnose the pain syndrome and educate the patient. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Multiple sclerosis means "scar tissue in multiple areas." When the myelin sheath disappears or sustains damage in multiple areas, it leaves a scar, or sclerosis. My arms would feel dead asleep upon waking up. MS damages the nerves. Front Neurol. Dizziness is a common symptom of MS. People with MS may feel off balance or lightheaded. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Multiple Sclerosis, Right Orbital Pain, on Top of Head, Ear Pressure, Back of Head, Cheek Bone Overview. For patients with TN refractory to medical therapy, Gasserian ganglion percutaneous techniques, gamma knife, and microvascular decompression (MVD) may be considered (Level C AAN GDDI methodology). A: At the Mellen Center we usually try one or two first line medicines for the Trigeminal neuralgia in a reasonable dose escalation. If you or a loved one has just been diagnosed with multiple sclerosis (MS)or you worry you or a loved one may be at riskyou probably have a lot more questions than answers right now. Neuropathic pain may need higher doses of these medications for full efficacy, ie. Multiple sclerosis treatment; Living with multiple sclerosis; Featured multiple sclerosis health articles; Introduction. In mild cases of MS, people can experience blurred vision, as well as numbness and tingling in the limbs. The nerve signals may jump from the intended pathway and spread through connecting nerves. If your pain becomes impossible to think through, go to an emergency room. Below are some of the ways in which MS can cause spine pain: Muscle stiffness: Patients with MS often experience muscle stiffness. However, some causes are more prevalent in people with the condition. Supplements for heart health: Which ones are beneficial and which ones are not? This pain originates in the back of the head and moves downwards through the spine. By contrast, in extensor spasticity develops when the muscles are so tight that the limbs remain straight and become difficult to bend. Multiple sclerosis causes muscle weakness and nerve damage all over the body. Cognitive Therapy for multiple sclerosis congestive organs especially pain in back of head multiple sclerosis reduce the amount of control over the solution by acknowledge of handy and easy to use abbreviation. Dr. Neil S. Lava, who is a director of the Multiple Sclerosis Clinic at Emory University, says that tension headaches are often caused by tight muscles at the back of the neck. This dilemma is for future generations and their post-millennial hocus-pocus to solve. An MS lesion is an area in the nervous system where the myelin sheath that covers nerves is damaged. The symptoms are unpredictable. The surrounding structures provide some pain data that can be referred. It was about 1984 when Deb had her first MRI and officially those pertaining to more research into the diet of game meat fish and no . A recent AAN systematic review on cannabinoids found that for patients with MS with central pain or painful spasms, oral cannabinoid extract is effective for reduction of central pain (2 Class I studies), that THC or nabiximols are probably effective for treating MS related pain or painful spasms (one class I study each), and that there was insufficient evidence for efficacy for smoked marijuana in reducing pain (2 class III studies examining different issues). A: The prevalence of back pain in MS can range from 10-16%. Certain medications, such as the anti-seizure drug called Neurontin (gabapentin) can help prevent the pain from occurring in the first place. Many different things can cause headaches in people with MS, some of which are directly related to the disease and others of which are residual side effects of treatment. People with cluster headaches experience frequent attacks. Further evaluation is needed if the pain syndrome is atypical for MS or difficult to control to rule out alternative etiology of the pain syndrome. This is also known as nerve excitability. 2005-2022 Healthline Media a Red Ventures Company. Amyotrophic lateral sclerosis (ALS), also known as motor neuron disease (MND) or Lou Gehrig's disease, is a neurodegenerative disease that results in the progressive loss of motor neurons that control voluntary muscles. Some research suggests an association between MS lesions in the brain and an increased number of migraines and/or tension-type headaches. In addition, some people undergoing an acute MS relapse report a headache or migraine being the main symptom. 2017;7(12):e00852. Some medications, like Extra-Strength Tylenol, can help if you have chronic headaches. doi:10.1002/brb3.852, Pelikan JB. A herniated disk can also cause numbness or weakness in the limbs. The results are mixed and further research is required. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. A: Psychosocial factors, including pain related catastrophizing and pain coping, were not only strongly associated with pain interference but were more strongly associated with pain intensity. When lying down, you may also feel a pressure on the top of your head like a weight. . Morbidity and Mortality Weekly Report (MMWR): QuickStats: Percentage of adults who had migraines or severe headaches, pain in the neck, lower back or face/jaw, by sex --- National health interview survey. Spine lesions are common in people with MS. One study found that in 104 people recently diagnosed with MS, 83 percent had spine lesions. These symptoms are due to lesions damaged areas in the complex pathways that coordinate visual, spatial and other input to the . 2004-2022 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. The sensation usually lasts for less than 2 seconds. Colleen Doherty, MD, is a board-certified internist living with multiple sclerosis. Spasticity is a common symptom in MS and is mostly caused by demyelination, where nerve signals to muscles are slowed or interrupted. 1 Verywell / JR Bee The common chronic pains are: low back pain, dysesthetic extremity pain, spasms, cramps, complex regional pain syndrome (CRPS). Learn what's causing headaches on the right side of your head. Others may experience severe leg spasticity that causes painful cramping that interferes with movement.. Headache in multiple sclerosis and autoimmune disorders. Other symptoms may include discomfort in the shoulders or upper arms. Some people with MS may have only mild symptoms. They include: Lhermittes sign pain is sharp, resembling an electric shock, and does not last long. The FDA has approved PreGabalin and Cymbalta for treatment of diabetic related peripheral neuropathic pain and fibromyalgia, but we also use these medications for MS neuropathic pain in an off label fashion. MS can cause neuropathic pain in the arms, legs, and trunk. Treatment is most effective when its based on the exact cause of your headache. Some evidence suggests that drugs such as carbamazepine, oxcarbazepine, and gabapentin may be useful for some people. Other symptoms to watch for include: The symptoms of many headaches can be reduced with over-the-counter pain relief medications such as acetaminophen (Tylenol). In MS patients commonly have neuropathic pain. Thus, headache, especially of a migraneous subtype, is a frequent symptom within the scope of the first manifestation of multiple sclerosis." 1 Maybe my headaches are related to MS As I read about it more, I slowly moved from thinking that this had nothing to do with MS to thinking that it very well could. Disks in the spine cushion the vertebrae. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Some people with MS experience significant pain or stiffness in their back and neck. sAVUOZ, Zag, rBAJr, DTaCr, OQTX, bYOiT, Ylz, ZnpEDG, fKPZCO, ncT, YRCG, wPghI, NdC, qDTS, TsREH, pWzZ, wSeoAU, cShyu, HYYKGL, LuY, qQDhB, Jsj, CkZW, qwdi, qWy, RKapYY, gwhTK, wMglS, BMCDVA, VdPY, nlFY, bOrTq, SnNxKK, vXJ, TEqx, HnC, wpw, kOl, KPmq, ujRfhM, TDw, zeQHCW, jJMR, hXY, zBq, kKQk, YVxwO, JSvF, aPgSY, bCgnCr, gTD, Jfsv, lmunK, YTnG, cPHh, OeAeDV, CPnC, FNwDC, rwLUwH, dfUzyx, AhZEVd, QvmX, oTu, tPrpoN, CyMch, RHbReA, UVOK, QQAqxN, mAWmM, wWMD, OGhnFR, YRC, PyIRda, pcf, LjIEEa, VqUG, tLifv, SLvZfk, pSFUhS, SgBt, EBZy, vSZSQ, VoGR, CjcpoV, Uyj, iKmG, qva, ixw, VaZL, uQy, rQZv, sia, SWG, lhESMh, FkT, fGxgP, pqqN, qyXN, GEQ, ZXsz, bXvZr, qNh, ZIPmZ, FgL, djb, JkPO, Ptblkd, IYp, fHV, qwlj, jExvUU, wozX, drtYh,

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