What pain management options are available for older adults with primary progressive MS?
Pain management for PPMS typically involves several medication options and non-drug therapies. The approach depends on the type and severity of pain you're experiencing.
For sensory pain (burning, tingling, or shooting sensations) Show Full Answer
What pain management options are available for older adults with primary progressive MS?
Pain management for PPMS typically involves several medication options and non-drug therapies. The approach depends on the type and severity of pain you're experiencing.
For sensory pain (burning, tingling, or shooting sensations), common medications include:
* Gabapentin (Neurontin) - also helps with sleep
* Pregabalin (Lyrica)
* Duloxetine (Cymbalta) - works for nerve pain, anxiety, and depression
For facial pain or shooting pain, anticonvulsants like oxcarbazepine (Oxtellar) or carbamazepine (Tegretol) may be prescribed.
For muscle spasms and musculoskeletal pain, doctors often start with ibuprofen or naproxen sodium before considering stronger options. Some people find relief with over-the-counter anti-inflammatories, though results vary.
Non-medication approaches can also help:
* Physical therapy
* Hot and cold therapy (ice packs or warm compresses)
* Acupuncture
* Meditation
It's important to work closely with your healthcare team to find the right combination for you, as what works varies from person to person. Some medications like gabapentin can cause side effects such as weight gain, so monitoring and adjustments may be needed.
April 6