A systematic review and meta-analysis of neuropathic pain in multiple sclerosis: Prevalence, clinical types, sex dimorphism, and increased depression and anxiety symptoms
Abstract
Chronic pain is the most disability symptom related to multiple sclerosis (MS) brain lesions and can also generate anxiety and depression. There are no updated reports of the general prevalence of neuropathic pain, MS clinical types, sex dimorphism, and its association with depression and anxiety. The protocol was listed in PROSPERO (CRD42022303571). The article selection resulted in 24 studies with a low risk of bias. The prevalence of neuropathic pain in MS patients was 26.8% with higher levels of depression and anxiety. We also observed that female patients (74.2%) have a higher prevalence of neuropathic pain than males (28.9%). We showed the enhanced prevalence of neuropathic pain using the female and male data (58.9%) compared to the total prevalence (26.8%). In addition, the SPMS (40.3%) presented an increased prevalence of neuropathic pain compared to PPMS (15.6%). Thus, we demonstrated the association between neuropathic pain, depression and anxiety symptoms and the influence of diagnosis, age, disease score, and disease duration in the increased prevalence of neuropathic pain in MS patients.
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The prevalence of neuropathic pain in people with MS has been estimated at around 27%.
“The prevalence of neuropathic pain in pwMS has been estimated at around 27% (Rodrigues et al. 2023)”
From The Prevalence of Neuropathic Pain in Multiple Sclerosis—A Systematic Review and Meta‐Analysis Using the <scp>NeuPSIG</scp> Algorithm (2026) · cites this paper as Rodrigues et al. 2023
A previous review reported an overall prevalence of neuropathic pain in people with multiple sclerosis of 26.8%, which differs from the current review's 22.3%.
“A previous review aimed to estimate the overall prevalence of neuropathic pain in pwMS (Rodrigues et al. 2023). However, its result (26.8%) differs from that of the current review (22.3%).”
From The Prevalence of Neuropathic Pain in Multiple Sclerosis—A Systematic Review and Meta‐Analysis Using the <scp>NeuPSIG</scp> Algorithm (2026) · cites this paper as Rodrigues et al. 2023
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Self-citation
- Authors
- Rodrigues, P., da Silva, B., & Trevisan, G.
- Affiliations
- Universidade Federal de Santa Maria (BR)
- Corresponding author
- Trevisan, Gabriela
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2023-11
- Volume
- 154
- Pages
- 105401
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W4387142758
- Cited by
- 31
- References
- 54
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 8
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (200483/2022-6, 88887.501568/2020-00, N\u00BA 26/2021)
- Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (21/2551-0001935-2, 401653/2022-6)
- Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (303531/2020-7)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- neuropathic pain, multiple sclerosis, prevalence, sex differences, depression, anxiety, primary progressive multiple sclerosis, secondary progressive multiple sclerosis, disease duration, disability
- MeSH terms
- Anxiety, Depression, Female, Humans, Male, Multiple Sclerosis, Neuralgia, Sex Characteristics, Prevalence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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