Can a pinched nerve be mistaken for MS?

It is also common for people and doctors to misattribute the initial symptoms of MS to something more benign, such as a pinched nerve or muscle strain. Sometimes a person may have the symptoms of MS for many years before he or she seeks medical attention and receives a correct diagnosis.

What can be mistaken for multiple sclerosis?

These include fibromyalgia and vitamin B12 deficiency, muscular dystrophy (MD), amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), migraine, hypo-thyroidism, hypertension, Beçhets, Arnold-Chiari deformity, and mitochondrial disorders, although your neurologist can usually rule them out quite easily.

What nerve pain feels like MS?

Neuropathic pain happens from “short circuiting” of the nerves that carry signals from the brain to the body because of damage from MS. These pain sensations feel like burning, stabbing, sharp and squeezing sensations.

Can neck problems mimic MS?

Another common condition of the spine that can cause neurologic symptoms similar to MS is cervical spondylosis, which is arthritis of the neck that occurs with normal aging. Rarely, another structural problem within the spine like a tumor can mimic symptoms of MS.

What can a pinched nerve be mistaken for?

McArdle Sign: A Specific Sign of Multiple Sclerosis

Will an MRI show a pinched nerve?

MRI scans which show soft tissues, such as nerves and discs, are generally preferred over CT scans which show bony elements. Advanced imaging can show exactly which nerve or nerves are being pinched and what is causing the nerve to be pinched.

Can MRI miss a pinched nerve?

MRIs are able to provide in-depth information on not only the spinal cord but individual nerves as well. There is a good chance that an MRI should be able to detect a pinched nerve.

How often is MS misdiagnosed?

The misdiagnosis of multiple sclerosis (MS) is a problem with significant consequences for patients as well as the healthcare system. There are nearly 1 million people in the United States living with the disease. And researchers now say nearly 20 percent of them are misdiagnosed.

How do you know if it's MS or something else?

To figure out what's causing possible MS symptoms, doctors look at your medical history, the results of a neurological exam, and a magnetic resonance imaging (MRI) scan — and sometimes do a spinal tap (also called a lumbar puncture). To accurately diagnose MS, many other possible causes must be considered and excluded.

When should you suspect multiple sclerosis?

People should consider the diagnosis of MS if they have one or more of these symptoms: vision loss in one or both eyes. acute paralysis in the legs or along one side of the body. acute numbness and tingling in a limb.

Can MS be misdiagnosed as sciatica?

The takeaway. It's easy to mistake sciatica as a symptom or related condition of MS, which often causes neuropathic pain.

Which is worse MS or neuropathy?

MS is more likely than PN to cause muscle weakness, but some types of peripheral neuropathy can make you weak as well. 1 MS is also much more likely than peripheral neuropathy to cause: Bowel and bladder control problems.

Where do people with MS feel pain?

MS can damage the nerves that affect your muscles. This can cause acute or paroxysmal pain in the form of spasms. Your arms and legs might shoot out uncontrollably and might have pain like cramping or pulling. Nerve pain can also be chronic in the form of painful or unusual sensations on your skin.

Can MS be misdiagnosed on MRI?

Misinterpretation of abnormal MRI findings is a frequent contributor to misdiagnosis of MS. One study found that only 11% of patients who were referred to a MS subspecialty center based primarily on an abnormal MRI were subsequently diagnosed with MS.

Can you still have MS with a clear MRI?

Although MRI is a very useful diagnostic tool, a normal MRI of the brain does not rule out the possibility of MS. About 5 percent of people who are confirmed to have MS do not initially have brain lesions evidenced by MRI.

Can you miss MS on MRI?

MRI is considered the best test to help diagnose MS. However, 5% of people with MS do not have abnormalities detected on MRI; thus, a "negative" scan does not completely rule out MS. In addition, some common changes of aging may look like MS on a MRI. To track the progress of disease.

Why do I keep thinking I have MS?

Multiple sclerosis can trigger anxiety within the brain itself. But the actual reason that MS tends to do this is simply because the disease is scary, which may lead to problematic thinking patterns and negative emotions. Many of those with MS have frightening symptoms and recurrent, relapsing, progressively worse MS.

What was your first MS symptom?

Here's where MS (typically) starts

You may experience eye pain, blurred vision and headache. It often occurs on one side and can eventually lead to partial or total vision loss. Spinal cord inflammation, or what's called partial transverse myelitis, is the second most common symptom Shoemaker typically sees.

What does MS feel like at first?

Numbness or Tingling

A lack of feeling or a pins-and-needles sensation can be the first sign of the nerve damage from MS. It usually happens in the face, arms, or legs, and on one side of the body. It also tends to go away on its own.

Can you mistakenly be diagnosed with MS?

One study conducted in four academic MS centers revealed over 50% of patients carried a misdiagnosis for at least 3 years, 70% had received disease-modifying therapy (DMTs), and 31% experienced unnecessary morbidity as a direct result (2).

Does white matter mean MS?

White Matter Consists Mainly of Nerve Fibers

In MS, the immune system attacks the myelin in the brain, spinal cord, and optic nerves. The attack causes inflammation that eventually leads to sclerosis, which is the medical term for scarring. (That's how MS got its name.)

Is a Spinal Tap The only way to diagnose MS?

MS is often difficult for doctors to diagnose because a spinal tap alone can't prove whether you have MS. In fact, there's no single test that can confirm or deny a diagnosis. Other tests include an MRI to detect lesions on your brain or spinal cord and an evoked potential test to help detect nerve damage.

How does a neurologist check for nerve damage?

By measuring the electrical activity they are able to determine if there is nerve damage, the extent of the damage and potentially the cause of the damage. Frequently the neurologist will recommend common, noninvasive neurological evaluations such as electromyography (EMG) and nerve conduction velocity (NCV) testing.

When does a pinched nerve need surgery?

Surgery for pinched nerve may be indicated when conservative measures fail to relieve symptoms. Severe pain, sustained numbness or significant weakness may be indications for surgical intervention. Sudden onset of weakness such as a foot drop should alert the patient to seek immediate neurosurgical consultation.

How do neurologists treat nerve pain?

Multimodal therapy (including medicines, physical therapy, psychological counseling and sometimes surgery) is usually required to treat neuropathic pain. Medicines commonly prescribed for neuropathic pain include anti-seizure drugs such as: Gabapentin (Neurontin®).