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Author: Admin | 2025-04-28
In specific situations. These include:DiazepamNeurontin (gabapentin)Botox injections Lhermitte's Sign One classic cause of back pain in multiple sclerosis is a phenomenon called Lhermitte's sign, which refers to a shock-like sensation or a "wave of electricity" that moves rapidly from the back of a person's head down through their spine. This sensation occurs when a person bends their neck forward (for example, when removing a necklace or tying their shoes). The sensation is short-lived and goes away once a person moves their head back up. Lhermitte's sign is due to MS lesions in the cervical spine, the neck region of the spinal column or backbone. Prevention Certain medications, such as the anti-seizure drug called Neurontin (gabapentin) can help prevent the pain from occurring in the first place. Neurontin is generally reserved for those who find Lhermitte's sign to be debilitating. Muscle and Mobility Problems Another culprit for low back pain in MS is related to issues stemming from immobility. For instance, if a person with MS is using their cane or another mobility-assistive device improperly, low back pain may develop. In order to compensate for an MS-related issue like a numb or tingling leg or foot, a person's gait may be impaired, or they may distribute their weight unnaturally, which can put a strain on the lower back. Sitting in a wheelchair all day can also put excess pressure on one's back. Prevention and Treatment Strategies to prevent or combat these musculoskeletal causes of low back pain include: Proper training on
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