Are headaches a sign of an exacerbation?

by Bob McCarley
(Bolivia, NC, USA)

Can headaches/bodyaches be a sign of an exacerbation?
My wife's neurologist is pretty dismissive of pain as a sign of an exacerbation even when accompanied by vision problems, speech dysfunction, fatigue and increased cognitive problems.

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Hi Bob

Basically, to be considered an exacerbation the “symptom” (problem) must last for more than 24 hours. I know, for example, that an exacerbation with Optic neuritis usually comes with pain in the eyes and or the head.

I haven’t heard of an exacerbation just with pain as the symptom but keeping in mind that every MS is different for every person, this could be the case here.

I would keep an eye on the problem to see if it last more than 24 hours and if it gets worse during that time. If it does, I would definitely go see my neurologist.

If it doesn’t then you could rest at ease that it was not the beginning of an exacerbation.