There is pain in multiple sclerosis, with several categories that can be acute or chronic. My last article discussed neuropathic pain . Today, I am going to talk about details specific to musculoskeletal pain. Our musculoskeletal system -- bones, muscles, connective tissues -- provides our bodies with stability and movement. Musculoskeletal pain, also known as nociceptive pain, can seriously affect our well-being. Nociceptors are free nerve endings that detect stimuli and interpret them as pain. Nociceptors, protected by myelin, are in all types of body tissue except the brain itself. Neuropathic pain is caused by nervous system lesions while musculoskeletal pain is caused by actual tissue damage detected by the nociceptors. Musculoskeletal pain is not caused by MS, but by MS symptoms. Therefore, musculoskeletal pains are defined as secondary pain. It is often made worse by our inactivity, immobility, spasticity, and posture problems. That is, simply having multiple sclerosi...
The fastest diagnosis of bipolar disorder can happen when a person has a sudden break into severe mania - bad enough to be hospitalized. Even then, other conditions will have to be ruled out first. Is the patient having a bad reaction to a prescription medications? Does he use illegal drugs? Is there a brain injury or tumor?
Other questions include whether the patient has a history of behavior that would indicate schizophrenia or a similar illness, or of clinical depression. They must be checked for Lyme disease and epilepsy, as well as other illnesses.
If the primary symptoms are hallucinations and delusions, the initial diagnosis might be Brief Psychotic Disorder. This illness appears suddenly with severe symptoms, but goes away in less than a month and can last as little as a single day. Time may have to pass to see if there's resolution or if other, non-psychotic bipolar symptoms appear, but treatment can begin right away.
Of course, this is a very simplified ...
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