Had 9 PT's at spine center now but

  have not seen a real drastic change in my right side pain.  The Therapist said she feels like it is muscular skeletal related rather than MS pain.  I don't know but I have had this same senerio for 8-10 years, and when I worked and walked nearly 5-6 times a week at least 1 mile, etc.  I  have pain on my entire right side neck, shoulder,arm,fingers, hip/back area, leg, foot and toes.  It seems to get worse at by evening and the only real relief I have ever gotten was to Flexeril which stopped working on me about a year ago so now taking Norflex with is not as affective.
  My Neuro was sure my pain would be related to two thinning disc's but MRI's have shown no change to justify this so has sent me to PT at a Spine Center which has made it worse and me very sore! The only thing that really did not make it worse was mild electrical treatment (sorry at a loss for the word!)  What do you think of the young ladies opinion that it is muscular skeletal related rather than MS related? What would she mean by this? Your last response to me was that you did not feel it was FM, or disc and that you have seen  MS pt's with the pain all on one side.

Dear MS'er,
I apologize for this late answer. It is sometimes difficult to characterize pain, and to pinpoint its cause (or causes). What your physical therapist meant was probably that your pain came from your muscles and joints, rather than from your nervous system. She might have observed muscle tightness and pain during joint mobilization while you were doing your therapy. However, if the pain involves your entire right side, I don't think we should exclude a neurological pain at this point. Musculo-skeletal pain gets worse with exercise, but is usually localized, elicited by specific movements or by applying pressure on specific areas, and is, in many cases, at least partially or temporarily relieved by usual pain medications or muscle relaxants, or by local treatments such as massages or local injections of steroids or other drugs. "MS pain" (although there is no specific MS pain, since the same kind of pain can be seen in other neurological diseases) is more diffuse, sometimes difficult to localize and to describe. It can increase with exercise and fatigue. Usual pain killers do not work well (or do not work at all) on this kind of pain. We use different types of medications to treat pain in MS, including Elavil, Neurontin, Tegretol, and several others. Treating pain is a trial-and-error process, and it is difficult or impossible to predict who is going to respond to which medication. If your pain is not responding to Flexeril or Tylenol, your doctor might consider trying one of these medications. I can't give you more precise answers without having the opportunity to examine you and review all the elements of your case. I wish you good luck.