How to Treat Back Pain With MS

What Is the Cause of MS Back Pain?

MS Back Pain

According to experts at the United States Department of Veteran’s Affairs, over 50 percent of people who have a diagnosis of MS experience severe, constant pain. Some pain experts believe that 80 percent of people who have MS experience troubling pain at some point during their disease process.

Back pain may be directly caused by MS lesions; this is nerve pain. Back pain may also be due to spasms and debility that result from MS. A wide array of treatment modalities may be used to relieve MS back pain symptoms.

Nerve Pain

Nerve pain may be constant or intermittent. It is often described as burning, sharp, or shooting. It may radiate from your back down to your groin or legs. Some people experience nerve pain as “shock-like” or stabbing.

L’hermitte’s sign is an intense pain sometimes experienced by people who have MS. It feels like an electric shock traveling down the length of the spine. The pain may travel down the legs to the toes and radiate throughout the arms to the fingertips. Fortunately, the pain usually lasts for just a few seconds and resolves without intervention.

Skeletal and Soft Tissue Pain

Pain may occur suddenly due to spasms and cramping of muscles. Sensations of throbbing, tightness and aching may occur. It may be accompanied by numbness, tingling, or head pain. You may feel as if you have a tight band around your back and chest.

You have an increased likelihood of experiencing low back and hip pain due to your disease. Spasticity and muscle weakness strain your spine and connective tissues. Pain may occur due to weakness from impaired posture. This is likely to occur if you require a cane or walker in order to get around.


Spasticity, or muscle stiffness and spasms, is due to damage MS causes in your brain and spinal cord. Messages are not transmitted properly between your nerves and the tissues in your body. Your muscles tighten and painful spasms develop.

Other Causes of Pain

Pain may be caused by complications of MS. It is important to have back pain evaluated by your health care provider so that the cause of your pain can be identified. Some causes of back pain include:

  • Physical stress due to weakness or impaired mobility may result in achiness and spasms.
  • Contractures, which occur when muscle fibers remain tight over a joint. The joint may become”frozen” and immobile.
  • Sitting or lying in one position for extended periods of time can lead to developing painful bed sores. Your skin can break down, and an infection may develop, causing further pain. The tailbone area is especially prone to bedsore formation; however bedsores may form over the middle of your back, hips, and shoulders.
  • If you are constipated, you may feel discomfort in your lower back.
  • Back pain is common among adults regardless of whether they have MS, so causes unrelated to the condition must be considered. For example, structural problems, such as a slipped disc or a kidney infection, cause back pain to arise.

Factors That May Make Back Pain Worse

As a person who has a chronic disabling condition, you have an increased risk of suffering from anxiety and depression. These conditions cause your muscles to become tense which worsens pain.

Many people who have MS feel isolated. You may feel like you are a burden to others at times. This can worsen feelings of depression and pain.

You may be very sensitive to changes in temperature. This is due to changes within your body which are a direct result of MS. Your back pain may be worse when the weather is hot or humid.

MS can make your skin may experience pain differently than other people. For example, fabric from a shirt or tight clothing may cause a sensation of pain.

If you are ill with an infection or are not sleeping well, your ability to tolerate pain may diminish temporarily.

Next page: Treatment for MS back pain options.

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Patricia BratianuPatricia Bratianu

Patricia is a registered nurse with 40 years of experience. She has a PhD in natural health and is a registered herbalist with the American Herbalists Guild.

Nov 28, 2018
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