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Pregabaline helped at first when the pain was much milder but it doesn't work anymore 😖🥺. The pain always comes either with a stromg buzzing feeling in my right calf and thigh and/or with a feeling of nonexistent bumps or lumps under my left sole and left toes. The pain is by far the worst of my MS symptoms 😐.

April 16
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A MyMSTeam Member

Hot packs are the only thing that ease the pain a little.

April 16
MyMSTeam

Are painful genital cramps common with MS?

Yes, you're not alone in experiencing this. Many people with MS experience neuropathic pain (nerve pain) in the genital area, including sharp, painful sensations. This can occur in the vulva, penis, clitoris, or groin area. The buzzing sensations in your leg and the phantom bumps Show Full Answer

Are painful genital cramps common with MS?

Yes, you're not alone in experiencing this. Many people with MS experience neuropathic pain (nerve pain) in the genital area, including sharp, painful sensations. This can occur in the vulva, penis, clitoris, or groin area. The buzzing sensations in your leg and the phantom bumps you're feeling are also types of nerve pain called paresthesia and dysesthesia—abnormal sensations that affect about half of people living with MS.

These symptoms happen when MS-related nerve damage disrupts the signals between your brain and body. The pain can occur anywhere nerves are affected, which is why you're experiencing it in multiple areas. What can help when pregabalin stops working?

Since pregabalin isn't providing relief anymore, here are options to discuss with your healthcare provider:

Medication adjustments:
- Different neuropathic pain medications (there are several types beyond pregabalin)
- Numbing creams for localized relief
- Combination approaches

Pelvic floor physical therapy:
This is often called a "best kept secret" for MS-related pelvic symptoms. A pelvic floor physical therapist specializes in treating pain and dysfunction in the bowel, bladder, and sexual areas. They can teach you techniques to control and relax the muscles involved, which may significantly reduce your pain.

Other approaches:
- Hot or cold packs for temporary relief
- Relaxation techniques like meditation and deep breathing to help muscles relax
- Managing other MS symptoms that might be triggering relapses Next steps:

Talk to your neurologist about these symptoms, especially since the pain pattern with the buzzing and phantom sensations could indicate your MS is more active. They can adjust your treatment plan and refer you to specialists like a pelvic floor physical therapist who can make a real difference.

You deserve relief from this pain—don't hesitate to advocate for more aggressive treatment options.

April 16

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