Neuropathic pain happens from “short circuiting” of the nerves that carry signals from the brain to the body because of damage from MS. These pain sensations feel like burning, stabbing, sharp and squeezing sensations. In MS you can experience acute neuropathic pain and chronic neuropathic pain.
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. Kalb says, or that you are spinning.
Headaches were prevalent in 78% of patients in our population with newly diagnosed CIS and MS. It is among the highest prevalence rates reported so far in patients with CIS or MS. Thus, headache, especially of a migraneous subtype, is a frequent symptom within the scope of the first manifestation of multiple sclerosis.
Cluster headaches have been linked to MS lesions in the brainstem, especially in the part where the trigeminal nerve originates. 7 This is the nerve involved with trigeminal neuralgia—one of the most painful MS symptoms.
Lhermitte's sign is another common symptom of MS. It is a short, intense pain that runs from the back of the head down the spine and sometimes into the arms or legs. The pain tends to occur when a person bends their neck forward. A 2015 study notes that around 1 in 3 people with MS experience Lhermitte's sign.
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.
Neuropathic pain happens from “short circuiting” of the nerves that carry signals from the brain to the body because of damage from MS. These pain sensations feel like burning, stabbing, sharp and squeezing sensations. In MS you can experience acute neuropathic pain and chronic neuropathic pain.
Numbness of the face, body, or extremities (arms and legs) is often the first symptom experienced by those eventually diagnosed as having MS.
A small 2017 study found that 78 percent of people in the study with MS reported headache pain within the last 4 weeks.
Lesions may be observed anywhere in the CNS white matter, including the supratentorium, infratentorium, and spinal cord; however, more typical locations for MS lesions include the periventricular white matter, brainstem, cerebellum, and spinal cord.
Headaches and migraine
Cluster, eyestrain, and tension headaches may all trigger a tingling sensation in the head due to changing pressure and blood flow. A migraine aura may occur before a migraine episode. A tingling sensation is a common part of migraine auras.
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.
When nerve pathways are damaged, the brain may not receive sensory information normally. When this happens, a variety of sensory symptoms can occur. It's estimated that about 80 percent of people with MS experience sensory symptoms, which include numbness and tingling.
You might get a shocking, burning, squeezing, stabbing, cold, or prickly feeling out of nowhere. Some people call them zingers or stingers. These zaps usually last only seconds or minutes. They often affect your legs, feet, arms, and hands.
Neck and back pain: Some people with MS can experience neck and back pain. This may be due to immobility, or to the same type of wear and tear that many people without MS experience. This type of pain is often an aching, stiff sensation that can be moderately severe.
Numbness of the face, body or extremities (arms and legs) is one of the most common symptoms of MS. It may be the first MS symptom you experienced. The numbness may be mild or so severe that it interferes with your ability to use the affected body part.
Pain is a common symptom in MS, with up to two-thirds of people with MS reporting pain in worldwide studies. Those who experience pain may find it affects their daily life activities, such as work and recreation, and their mood and enjoyment of life.
Occipital neuralgia can be the result of pinched nerves or muscle tightness in the neck. It can also be caused by a head or neck injury. Occipital neuralgia can either be primary or secondary. A secondary condition is associated with an underlying disease.
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.
Here's where MS (typically) starts
Optic neuritis, or inflammation of the optic nerve, is usually the most common, Shoemaker says. You may experience eye pain, blurred vision and headache. It often occurs on one side and can eventually lead to partial or total vision loss.
Multiple sclerosis is caused by your immune system mistakenly attacking the brain and nerves. It's not clear why this happens but it may be a combination of genetic and environmental factors.
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.