5 doctors weighed in:
Is ALS painful?
5 doctors weighed in

1 doctor agrees
In brief: Usually not
Pain is not usually a prominent presenting symptom in ALS, but can occur due to spasticity, muscle spasms, and even co-morbities.
About 50% of cases experience some pain. One caveat, pelvic pain may herald infection, especially urinary, and chest pain, possibly pneumonia.

In brief: Usually not
Pain is not usually a prominent presenting symptom in ALS, but can occur due to spasticity, muscle spasms, and even co-morbities.
About 50% of cases experience some pain. One caveat, pelvic pain may herald infection, especially urinary, and chest pain, possibly pneumonia.
Dr. Bennett Machanic
Dr. Bennett Machanic
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Dr. Steven Bowers
Internal Medicine
1 doctor agrees
In brief: No
Als is a progressive neuromuscular disorder. Only the motor neurons and muscles are affected.
The sensory nerves remain intact, so the patient can feel pain, but the disease itself does not cause pain.

In brief: No
Als is a progressive neuromuscular disorder. Only the motor neurons and muscles are affected.
The sensory nerves remain intact, so the patient can feel pain, but the disease itself does not cause pain.
Dr. Steven Bowers
Dr. Steven Bowers
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Dr. Jimmy Bowen
Physical & Rehabilitation Medicine
In brief: ALS
Not usually as it is a disease of the Alpha motor neurons that controls muscles.
Does not involve sensory nerves that transmit pain and temperature messages.

In brief: ALS
Not usually as it is a disease of the Alpha motor neurons that controls muscles.
Does not involve sensory nerves that transmit pain and temperature messages.
Dr. Jimmy Bowen
Dr. Jimmy Bowen
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1 comment
Dr. Christopher Duma
Secondary pain from contractures and muscle spasm, yes.
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