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Pain Management in Multiple Sclerosis: a Review of Available Treatment Options

Authors
  • Aboud, Talal1
  • Schuster, Nathaniel M.2
  • 1 University of Tennessee Health Science Center, Memphis, TN, USA , Memphis (United States)
  • 2 University of California, San Diego, CA, USA , San Diego (United States)
Type
Published Article
Journal
Current Treatment Options in Neurology
Publisher
Springer US
Publication Date
Nov 27, 2019
Volume
21
Issue
12
Identifiers
DOI: 10.1007/s11940-019-0601-2
Source
Springer Nature
Keywords
License
Yellow

Abstract

Purpose of reviewMultiple Sclerosis (MS) is a chronic autoimmune disease with no curative treatment available. While recent years have ushered in many effective new disease-modifying therapies for MS, they have not obviated the need for symptomatic treatments for MS-related pain. In this review, we discuss available approaches to control pain, which is one of the most common complaints MS patients have.Recent findingsThe most recent research in this topic is directed towards non-pharmacologic interventions including water exercises, yoga and cannabis. More trials are being conducted on neuromodulation for MS-related neuropathic pain, including transcutaneous electrical nerve stimulation (TENS) and transcranial direct current stimulation (tDCS).SummaryPain control for MS patients is challenging, considering the progressive and relapsing remitting nature of the disease, however, it is a very important aspect of it’s management, as it improves mobility, exercise tolerance, concomitant depression and overall quality of life. Future research should focus on the use of neuromodulation in controlling MS pain.

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