Multiple Sclerosis Pain Explained: Lhermitte Phenomenon

Описание: Multiple Sclerosis Pain Explained: Lhermitte Phenomenon

Learn about MS with Aaron Boster MD! I started this channel to help my own MS patients learn between clinic visits. I use easy-to-understand language to provide accurate and approachable Multiple Sclerosis education. So, if you’re impacted by MS and want to up your game, make sure to subscribe to my channel right now!

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ABOUT This Video: In this video I’m going to teach you about Lhermittes phenomenon, an unusual pain syndrome oftentimes associated with Multiple Sclerosis.

I’ll explain the underlying cause of Lhermitte phenomenon, why it’s so common amongst folks with MS, how it presents clinically, and if you stick around to the end, how we can treat it.

Clinically Lhermitte is describes as follows: You flex your neck and feel electrical shocking sensation from your neck, down your back, into your feet! Now this is the most classic presentation, although in clinical practice I see many variations.

Lhermitte is caused by something bothering the spinal cord, most commonly in the posterior (back part) cervical cord. Your cord is tethered at the skull base and also within the spinal canal because of all the nerves that exit, holding it in place. Now, when you flex neck you put tension on the cord and stretch it a bit. This is enough to cause an MS lesion in the posterior cervical spinal cord to kinda “short circuit” and send false messages. In this case- electrical shocking sensations!

Other things that bother the spinal cord can also cause this, such as tumor, infection, or spinal cord damage. MRI C spine is very helpful in clarifying this.

New onset Lhermitte may represent a new MS attack, and we can quell the inflammation in the cord with high dose steroids.

When Lhermitte has stuck around and is now considered a “chronic symptom” we can use “neuropathic pain medications” to decrease the discomfort.

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WHAT ABOUT YOU? What has been your experience with Lhermitte phenomenon? How do you best describe it to others? Please leave your comments below!

Also, if you've been successfully treated for Lhermitte phenomenon, please share with us what worked for you!

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These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos.