ABSTRACT

Neuropathic pain can be constant or intermittent with the onset of pain episodes happening spontaneously or in response to a stimulus. People suffering from neuropathic pain often use words such as "stabbing", "shooting", "electric shock", "burning", "tingling", "pins and needles", to describe the pain. The exact cause and mechanisms of neuropathic pain are often difficult to discern, making its management by health professionals problematic. Chronic pain in multiple sclerosis (MS) is relatively common with an estimated 48–65% experiencing some form of long-standing pain. Acceptance and commitment therapy (ACT) has been shown across a growing number of trials to improve outcomes in heterogeneous chronic pain samples. A paper by Oliver J. Tooze and colleagues explores the potential benefits of using ACT for chronic pain in MS. The treatment followed the same protocol developed by Tooze and colleague with minor adaptations for an individual rather than a group.