Paroxysmal pain 3. Chronic neurogenic pain 1. Musculoskeletal pain can be due to muscular weakness, spasticity and imbalance. It is most often seen in the hips, legs and arms and particularly when muscles, tendons and ligaments remain immobile for some time. Back pain may occur due to improper seating or incorrect posture while walking.
Contractures associated with weakness and spasticity can be painful.
Leg spasms, for example, often occur during sleep. Treatment of musculoskeletal pain should aim to correct the cause before consideration of analgesics 2. Medication is of little use because this pain is instantaneous and brief. A soft collar to limit neck flexion may be prescribed. This pain is described as constant, boring, burning or tingling intensely.