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A MyMSTeam Member asked a question πŸ’­
London, UK

If I had a relapse of facial pain and then it appeared to die down over 3 weeks and now is back with tingling, tightness and pinpricking sharp sensations, does this mean I am recovering or that I am still in the active relapse?

October 11
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A MyMSTeam Member

I believe the MSTeam response nailed it @A MyMSTeam Member Take Care

October 11
MyMSTeam

That sounds really uncomfortable, and it's completely understandable to feel confused about what's happening. The return of those sensations β€” tingling, tightness, and sharp pin-prick feelings β€” after a brief improvement can be tricky to interpret.

A relapse is generally defined as new or worsening symptoms lasting more than Show Full Answer

That sounds really uncomfortable, and it's completely understandable to feel confused about what's happening. The return of those sensations β€” tingling, tightness, and sharp pin-prick feelings β€” after a brief improvement can be tricky to interpret.

A relapse is generally defined as new or worsening symptoms lasting more than 24 hours. The fact that symptoms seemed to ease and then returned could mean a few things:

- The relapse may still be active and fluctuating
- A new relapse could be starting (though typically a new relapse occurs at least 30 days after a previous one)
- It could be a pseudoexacerbation, where symptoms temporarily worsen due to a trigger like heat, stress, or infection, without new nerve damage occurring The most important step right now is to contact a neurologist and describe exactly what's been happening β€” the timeline, the brief improvement, and the return of symptoms. They can help determine whether this is still the same relapse, a new one, or a pseudoexacerbation.

Seek urgent medical attention if any of these apply:

- Unable to walk or care for yourself
- Severe vision problems
- Disabling pain
- Bladder issues or dizziness that's getting worse

Don't wait it out alone β€” this deserves a proper medical assessment.

October 11

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