Head pressure is both an invisible and subjective MS symptom. The sensation of pressure can feel different to different people. This can make pressure hard to define and measure: The feeling can range from barely noticeable to unbearably painful, and everything in between.
Many people with MS experience dizziness, in which you feel light-headed or off-balance, notes the NMSS. A less-common MS symptom is vertigo. When you have vertigo, you feel as though your surroundings are spinning around you, Dr.
The types of headaches in the study varied, but about half of the participants with MS in the study stated they had throbbing or pulsating headaches. About 30 percent of the study participants reported sharp headache pain, and 28 percent said they had dull or tension headaches.
Pain Description
Throbbing, sharp, and stabbing headaches were described by close to 50% of all MS patients in this study. Dull pain was reported by 28% of patients, and a tight band or burning feeling occurred in fewer than 20% of patients.
Most conditions that result in head pressure aren't cause for alarm. Common ones include tension headaches, migraines, conditions that affect the sinuses, and ear infections. Abnormal or severe head pressure is sometimes a sign of a serious medical condition, such as a brain tumor or aneurysm.
Pressure in the head is discomfort, pain, tightness, or fullness in the head. It is a description some people may use when referring to a headache. Causes of pressure include allergies, sinusitis, upper respiratory infections, and headache disorders. More serious causes include ICP, brain aneurysm, and brain injury.
If the pressure or pain in the head is sudden and severe, seek emergency care. If you have recurring head pressure or pain, especially with symptoms like loss of balance or coordination, mood changes, fever, or nausea, you should call your healthcare provider or seek emergency medical care.
Although sinus issues and congestion are not typically symptoms of MS, people who have multiple sclerosis may get runny noses and sinus infections more often than those in the general population. Fortunately, this is rarely a serious problem, but it can worsen quality of life if the infections become serious.
MRI is safe and relatively non-invasive yet can provide very detailed images of the brain and spinal cord that can reveal MS lesions (also known as demyelination, spots, or plaques) and changes in MS activity over time.
The most common type of headache is a tension headache, which feels like someone is pressing on or squeezing your head -- sometimes spreading to or from the neck. The cause is attributed to tightness in the muscles of the neck, jaw, scalp, and shoulders. The next most common headache type is a migraine.
Damage to your brain from MS, like lesions and loss of nerve tissue, can lead to cognition problems. Research shows that damage to grey matter plays a role. About half of people with MS have some kind of cognitive change. It can happen with any type of MS, but it's slightly more common with progressive MS.
What do MS lesions feel like? Even though the central nervous system is packed with nerve cells, the brain tissue itself does not have so-called noniceptors — the sensory nerve fibers that detect pain and potentially damaging stimuli. Thus, MS lesions themselves cannot be felt.
Diagnosing MS
More than 90% of people with MS have scar tissue that shows up on an MRI scan. A spinal tap can check for abnormalities in the fluid that bathes the brain and spinal cord. Tests to look at electrical activity of nerves can also help with diagnosis.
Cog fog, or MS-related brain fog, affects many people living with MS. In fact, it's estimated that more than half of people living with MS will develop cognitive issues like difficulty understanding conversations, thinking critically, or recalling memories. MS-ers call this symptom “cog fog” — short for cognitive fog.
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.
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.
There are also multiple infectious entities that mimic MS including; progressive multi-focal leukoencephalopathy (PML), Toxoplasmosis, Tuberculosis, Herpes Simplex Virus, Cytomegalovirus, Varicella zoster virus, Epstein Barr virus, Cryptococcus and Human immunodeficiency virus.
Although MRI is a very useful diagnostic tool, a normal MRI of the brain does not rule out the possibility of MS. About 5 percent of people who are confirmed to have MS do not initially have brain lesions evidenced by MRI.
Trigeminal neuralgia (TN) - a stabbing pain in the face or jaw area that can occur as an initial symptom of MS or as a relapse. While it can be confused with dental pain, this pain is neuropathic in origin (caused by damage to the trigeminal nerve).
Hearing problems aren't a common MS symptom. But people with MS can sometimes experience problems including tinnitus, increased sensitivity to sound and loss of hearing. There are other possible causes of hearing problems which are more common than MS.
People with MS may also get sicker than others when they become ill. This can mean that they produce more mucus, struggle more with postnasal drip, and cough more than other people with the same infection.
They are often described as dull, "pressure-type" headaches, though some patients also experience sharp or "stabbing" pain. They can be localized to a specific area or generalized. They can be made worse with coughing, sneezing or straining.
Use a heating pad set on low, a hot water bottle, a hot shower or bath, a warm compress, or a hot towel. Or apply ice or a cool washcloth to the forehead. Massage also can relieve muscle tension — and sometimes headache pain.
Brain tumors, which can cause many symptoms similar to MS, including headaches; vision, hearing or speech problems; difficulty with balance; and seizures.
For the diagnosis of multiple sclerosis, there should be at least one typical multiple sclerosis lesion in at least two characteristic regions [periventricular (abutting the lateral ventricles), juxtacortical/cortical, infratentorial, spinal cord] to support dissemination in space (Thompson et al., 2018).