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A MyMSTeam Member asked a question 💭
Warminster, UK
November 25, 2018
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A MyMSTeam Member

I hope this helps.
Symptom: Sensory symptoms (parasthesias)

Tingling

Treatment
Gabapentin, pregabalin, tricyclic antidepressants
Other: acupuncture, reflexology, meditation

Symptom: Primary pain

Central neuropathic pain - continuous (dysesthesias)

Treatment
tricyclic antidepressant medications (amitriptyline, nortriptyline, desipramine); antiepileptic medications (pregabalin, gabapentin)
Other: topical appliation of capsaic acid cream; behavioral self-management (mindfulness,meditation); hypnosis,cognitive behavior therapy

Central neuropathic pain - intermittent (trigeminal neuralgia)

Treatment
First-line: carbamazepine
Alternate options: oxcarbazepine, lamotrigine, baclofen
Additional options with lower levels of evidence: phenytoin, clonazepam, valproic acid, intranasal lidocaine
Other: behavioral self-management (mindful meditation); hypnosis; cognitive behavior therapy
Surgery: radiofrequency rhizotomy; radiofrequency electrocoagulation; glycerol rhizotomy

Psychosocial Implications for each pain symptom

mood changes; social isolation

Symptom: Secondary pain (musculoskeletal)

Resulting from poor posture/balance in ambulatory individuals or improper use/fitting of wheelchair

Treatment
Referral to PT: gait and balance training; assessment of all seating (home, automobile, work, and wheelchair/scooter)
analgesics including acetaminophen, ibuprofen, naproxen sodium

November 25, 2018
A MyMSTeam Member

My wife and I both use kratom, it's a natural opiate. However, it's not FDA approved but it works well for pain and sleep (if you get the right strain, I recommend Ganesh MD). You can order it online at https://mitragaia.com. Also, cannabis works good if it's legal where you live.

January 19, 2020

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