b'several times per day. Patients report triggeringnight. Symptoms typically last less than two factors include sneezing, coughing, talking, andminutes and may be accompanied by other throat clearing. Common treatments includesymptoms such as burning, tingling, and/or carbamazepine, microvascular decompression,numbness. Medications such as baclofen, stereotactic radiosurgery, and glossopharyngealbenzodiazepines, gabapentin, carbamazepine nerve block.and a new oral drug for spasticity recently Musculoskeletal pain occurs in approximatelyapproved by FDA, FLEQUVY tmare useful for 11 percent of MS patients. The origin oftreating these tonic spasms. musculoskeletal pain is because of tonic spasmsDr. Thrower encourages patients to reach out triggered by sensory stimuli. The symptomsto their healthcare providers regarding more are described as cramping and pulling paininformation. Below are patient resource links, as in lower extremities, most often occurring atwell as, a table summarizing this information.Summary Table:Type Symptoms: Treatment: Central NeuropathicHyperalgesiaTCA:Amitriptyline (Elavil)Painand allodyniaNortriptyline (Pamelor) Antiepileptics:Carbamazepine (Tegretol)Lamotrigine (Lamictal)Gabapentin (Neurontin)Levetiracetam (Keppra)Pregabalin (Lyrica) Other:BaclofenOpioidsCannabinoids Intermittent centralSevere pain in ears, eyes, lips,Antiepileptics: neuropathic painnose, forehead, teeth, and jawCarbamazepine (Tegretol) Trigeminal NeuralgiaPain provoked by light touchLamotrigine (Lamict Gabapentin (Neurontin) Levetiracetam (Keppra) Pregabalin (Lyrica) Surgical interventionsIntermittent centralUnilateral, paroxysmal, sharp, and Carbamazepine neuropathic painstabbing painsthat rediate to backSurgical interventions Glossopharyngealof throat, tonsils, and middle ear NeuralgiaTriggered by sneezing or coughing Intermittent centralShort and sudden sensation that Carbamazepine neuropathic painoriginates in the back of neck andLhermittes Sign radiates to the lower back and sometimes lower extemities Musculoskeletal PainTonic spasms presenting Baclofenwith muscle cramping and Benzodiazepines pulling pain in lower Gabapentin extremities Carbamazepine Most oftern occurs at night61 msfocusmagazine.org'