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Neurológia pre prax 5/2020
Pain in multiple sclerosis patients
Pain belongs among the most disabling clinical symptoms of multiple sclerosis. Most frequent is chronic central neuropathic type of that. The best treatment option is anticonvulsants therapy by gabanoids or tricyclic antidepressants, but often the second or third line therapy have to been used. One of these next line therapies are the cannabinoids now. Managing of pain treatment needs the multidisciplinary team, including physio and psychotherapeutics. Other type of pain is neuromuscular due to changed movement stereotypes. The primary headaches, like migraine or tension type, occurred frequently.
Keywords: neuropathic pain, multiple sclerosis, anticonvulsants, tricyclic antidepressants, cannabinoids, multidisplinary team, neuromuscular pain
