A recently published clinical study indicates that, if you’re suffering with persistent pain, the best method to determine whether you’ll respond favorably to treatment within 6 months is to perform a normal work-up and combine the work-up with three questions.  According to study, the questions proved to have predictive value.

The questions are as follows:

-When was the last time you were free of pain for a month or more?

-In the last month, has this pain interfered with your daily activities?

-Have you had pain anywhere else in the last month?

The use of these simple questions on pain represents a way to determine how long it may take to begin reducing the amount of pain that you’re experiencing.


Mallen C, et al “Point-of-care prognosis for common musculoskeletal pain in older adults” JAMA Intern Med 2013; DOI: 10.1001/jamainternmed.2013.962

Dr. Rudy Cartwright

PS: Post your thoughts.


  1. I have not been pain free in 4 1/2 years. The pain interferes with daily activities daily. Ive had a headache and knee spasms for all this time. No pain anywhere else ( knock on wood) Trying desperately to figure out ways to help myself!

  2. sometimes l get a burning pain down my left thigh at night my dr has gave me 25mg of anitripyline to take at bedtime

  3. I have lived in pain in many places of my body for decades now. I had a MS doctor years ago (35) tell me MS is NOT painful. I hope he never got it. I don’t take pain meds unless I can’t tolerate it any longer. I don’t want to be addicted, to even aspirin or aleve to live on. People try to get me to use marijuana…but I used that as a teen and it takes away more control of the person…. why do I want to give it any more of the control I am already loosing.

  4. I have not had a month or even a day free of pain for 7 years.
    I do not let it interfere with my life. But since I went off of gluten it has not been too bad.
    The pain stays on my left side hand and sometimes foot, it goes up my arm and leg if it is getting bad but that has not happened in a while now.
    I would like to get rid of it totally but the problem that bothers me most is balance difficulties.

    • My husband been suggesting for years that I should stop eating gluten for years because of digestive issues. Recently I read an article that said there is a definite correlation. What have you found the benefits of eliminating gluten have been. Thankd

    • Try telling a man how it feels to deliver a baby !!! He will never have a clue . So, how someone who doesn’t have MS can tell you that the pain you are experiencing with MS is in your head !? This is called “conversational hypnosis disempowerment 101 unplugged” in my own book. I made a short video on Youtube called ” Neurologists and MS ( somedaygolf channel) where I took the liberty to record Karen Gordon from the Webinar which Dr.Cartwright made available on the net. Minding your mitochondria is the first think to keep in mind when you want to lessen the neuropathic pain one can experience. Dr.Terry L.Wahls is a good mentor and her protocol works too. I am a living proof of it. Juicing vegetables in the morning will deliver the nutrients you need to start the day. I have my own protocol and I have been following the best holistic health coach I could find. Paul Chek from the Chek Institute is one of the best. Expertise comes from all fields of knowledge. Educating oneself is a full time job !!!!!! ” LEARN TO BE HEALTHY FROM HEALTHY PEOPLE “. God Bless !!!!

  5. Hi Dr. Rudy Cartwright, I have secondrey progresive MS and had it for 9 years and am 70years old. I have been reading about Sativex and am wondering what your thoughts are . Thanks George Cope.

  6. In the last six months I have pain in my right arm whenever I get cold. Now this is a double whammie cause I love being cold and do not do good in the heat.

  7. i was diagnosed 09/09/09/ and haven’t been pain free since ,i am 50 years old trapped in an old mans body. i suffer from balance issue’s/bladder and bowel problems/stinging skin /muscle spasm’s/ tremor’s and numb and tingling skin from the neck down,dose anybody have any tips to make things easie’r/ for me.

    • Marijuana. Just a couple of hits takes pain away almost immediately, and it helps immensely with balance.

  8. I used to get pain in my back and various other places, but found that it went after starting exercises, which now include 30 sit-ups daily. A bit of a bind, but they have the added advantage of keeping my weight down and keeping fitter, as my balance problems prevent me walking far. By the way, I have secondary progressive MS – I was originally diagnosed in 2001

  9. I have pain in my knees when I’m cleaning up also in my back when I bend bathing my 15 yrs old son who was born at 25 wks. and have Cerebral Palysis and Development Delay problems, unable to walk he is in a Wheelchair. I was diagnose with MS in 2010 call Relapse MS.

  10. I was first diagnosed in 1997 at 47yrs old. I am now 62 and have gone from RRMS to SPMS. I have pain, but not very severe. I do think my lack of exercise and activity have made the tightness and pain much worse. I can barely lift my right leg, so PT is difficult. I live on the second floor of a co-op, and the stairs are very hard. I follow Dr.Cartwright’s protocol and I know it is helping.

  11. I have read the postings from the MS people and am so impressed with their persuaverence especially with their other difficulties in life besides their MS. I can sympathize with all their ailments, I too have all these difficulties and although it is difficult to do EXCERCISE is the answer. “A body in motion, stays in motion” Many days the ability to do the routine excercising is so difficult but I try and do. I have been following Dr Cartwrights webinars and they have been so helpful. Please keep us MS people informed. thank you Janet Carroll

  12. I don’t always have MS pain, but when I do, it can be excruciating! Marijuana takes the pain away in less than 2 minutes. Not just better, but totally gone!

  13. I really appreciate all the comments and advice from everyone. Only having MS yourself, can one understand what they are talking about. I’ve had MS since 1986 and I’m now 62, still ambulatory but with a lot of difficulty. Lots of pain, balance, stability issues.

  14. I have secondary progressive MS. Am in pain all the time. It does not stop my daily activities but that is because I am in a wheelchair. Am very interested in some of the comments about marihuana – am assuming that is the medicinal grade. I have pan mostly in my lower legs, just altered sensation elsewhere. I live in long term care because I require a lift for mobility.

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