#089 Pain in Multiple Sclerosis: diagnosis and treatment #MS

Doctor Andrea Furlan explains the causes of pain in people with multiple sclerosis, and what are treatments for each type of pain.
Mainly, there are 3 types of pain: nociceptive, neuropathic and nociplastic. For each kind of pain, the strategies are slightly different.

00:00 Introduction
01:09 Types of pain that affect people with MS
01:47 Pain in the acute phase of MS
04:17 3 types of pain
06:32 Treatment of nociceptive pain
07:36 Treatment of neuropathic pain
09:09 Treatment of nociplastic pain

Dr. Furlan is a pain specialist in Toronto Canada. She is a physiatrist (specialist in Physical Medicine & Rehabilitation). She holds a medical degree from the University of Sao Paulo and a Ph.D. degree from the University of Toronto. She has 30 years of experience helping people with chronic pain to get better quality of life.

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#drAndreaFurlan #DrFurlan #DoctorFurlan

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ALERT: This video is not intended to replace medical advice. If you think you have a condition that is causing you pain, please consult with your doctor to get a diagnosis and a treatment plan for you. The intent of this video is only for educational purposes. If there is any emergency, go to the nearest emergency department or call an ambulance. CLOSED CAPTIONS in this video have not been professionally verified.
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[hells_shells]

Thank you for this wonderful video. When I was diagnosed with MS in 2016 the neurologist I was seeing told me "pain is not a symptom of MS." I dumped that doctor and moved clinics, and am now seeing a much more understanding MS specialist. I'm currently taking LDN for my autoimmune disease.

[vibhatiwari]

Am also taking the yog class of many patients of multiple decease, and believe me after watching all your videos I can help them more better ways..thank you soo much for sharing videos.

[bernardolamanilao]

Thank you very much for your very clear, very informative, very specific explanations about
M. S.

I really feel that this help me very much.
GOD BLESS YOU ALWAYS.

[nephetsmil]

Wow, realy loves this lady doctor's simplicity in explaining the various types of pain..highly informative..thanks doctor.

[benedeksilvia]

Mulțumesc cu iubire și recunoștință! 🙏🥰🌹💐🧚‍♂️

[vibhatiwari]

Namashkar Ma'am, am from Bharat and following all your videos. It's ultimate and highly helpful for me during my yog class.

[miklosh]

Hello. I've been diagnosed with MS in my early 20's. Turned out it was caused by untreated neuroborreliosis (Lyme disease) from childhood. It got resolved, including lesions, with prolonged antibiotic and herbal therapy. Significant consequences remain though. Wanted to put it out there, since it's a somewhat controversial topic in the mainstream.

Thanks for the videos.

[KHREE]

Hello Dr. Furlan. I'm new to your channel and find all the info very helpful. I have RRMS and recently suffered an MS flare from a C2 lesion. My doc said its a flare of an old lesion that started about 10 years ago. He calls it an occipital headache. Although I've always had pain in that area, it's been very tolerable and I had acclimated myself to the level of pain I've experienced over the years. However, with this recent flare, it has gotten very bad resulting in pain at the base of my skull every day for several months. No matter what I take, it only lessens the pain a little, but it always exacerbates by morning. I started taking a combination supplement of alpha lipoic acid with acetyl l carnitin. This has helped to make the pain a little more tolerable through the day, but I still wake up with pain daily. My doctor suggested I try Magnesium, since I prefer not to take prescription drugs.
Dr. Furlan, I know you did a very informative video on the wonders of magnesium. What do you think about the combination of the alpha lipoic acid and acetyl l carnitin, along with Magnesium to manage occipital nerve pain? Also, which magnesium do you think would be best... oxide or glycinate?

[priteshanandbarsikar]

Thank You Soo Much for Very Useful and Very Very Helpful information Mam.

[lorasolomon]

Great video content, very valuable and useful info. Great share Dr. Andrea...

[thesocialcommenter]

Thanks Dr. For the great information. In the month of January this year my beloved wife went to be with the Lord suffering from Sytamatic Sclerosis for nineteen years. This desease is slow killer. The sad thing is none of the Dr. gave any medicine to her for this problem.

[charlynnmullin]

Thank you❤️
I have a friend who has Multiple Sclerosis. She has totally removed dairy from her diet, and it has helped lessen her symptoms.
If she accidentally ingests a bit with cooking for the family, her next day is awful. I wonder if anybody else’s symptoms are worse
with dairy?

[srivishwa]

It Very Usefull to me...
Doctor...
Thank u so much...🌟💌

[dr.vigneshkumarphdphysioth]

Good evidence based detailed information about MS with types of pain and its management ...i recollect my old patients young female 30 years suffered with MS with neuropathic pain optic neuritis with partial blindness severe spasticity myofascial pain and immobility .i used to go daily to rehab her to make her stand and walk with support ..at that time no medicines available for MS her brother is a dr in uk he send some medicines and we have tried our best one day she left ...so very rare case but crippling one so i think this video useful to check initially and prevent without worsening... good stuff on 3 types of pain & management ...nowadays i have often seeing nociplatic more ..this may leads to chronic disability ...need good biopsychoscial model management ..with team of hcps ...good one dr .andrea .

[fulviomoraes]

How are you Andrea, great video explanation

[MynameisVi]

Nutrition is extremely important. Eating foods that reduce inflammation are truly life enhancing.

[kashyaprazdan]

Ma'am how to differentiate multiple sclerosis from vit b12 deficiency neuropathy and cervical spondylosis??

[anuagasthya]

You are helping us alot. Tq so much.
Can you please make a video on coccyx pain? I fell down and had crack in my coccyx and suffering alot since a week. Consulted the orthopaedic surgeon but it will be helpful if u can make a video on this

[SharrynToms]

Lyrica doesn’t work for me either.
1. Hypersensitivity, can’t touch my clothing,
2. Feels like I have dementia.
3. Fatiqued constantly.
4. Burning prickly feel - taking Targin for this.
5. Can’t walk far along the beach without feeling short of breath, and I loved life last year,
6. Most important symptom/ head pressure and tingling

[srividyasowmyaraman]

Thanks for explaining the types of pain mam.I am diagnosed with RA recently. Now I experience pain in the left side of face beneath ear.and also pain in spinal cord. I am doing some physiotherapy & hot water fomenting. Please advise what should I do further to reduce pain.