muscle and joint pain can be linked to nutrition also. as can vein stenosis, see links provided below.
i wrote this in a private message to another user but it applies here:
have you ever looked into your magnesium or zinc levels? how's your vitamin e intake?
ms patients are recommended to obtain [up to 900] mg of elemental magnesium delivered to their system daily, from food (eg dark leafy green veg [as in chard and spinach, also halibut and chinook salmon and black beans]) and/or supplements (magnesium glycinate is best). target serum value is at least 0.91 mmol/L
ms patients also tend to be lower in zinc. food sources include red meat, oysters and pumpkin seeds (not sure about the relative bioavailability of zinc in vegetable foods). there is some earlier discussion of zinc forms in the forums, which should be searchable. try searching for terms like gluconate to tap into that discussion. target serum zinc level is abut 18 umol/L (i've seen other studies that range from 17-19 but you wouldn't want to get much higher [according to research, 30 umol/L is the top end of the recommended range]).
also make sure you get enough vitamin E. the blood tests out there aren't fantastic in my experience, but a good vitamin E rich diet (eg raw sunflower seeds) plus supplements (ONLY choose an E8 complex - nothing else is good enough, eg 'mixed tocopherols' are only half of the complex).
no target serum values for vit E yet. you could probably only easily get 1 test done, out of the 8 components of the complex.
the klenner protocol for ms uses 800IU vitamin E with three meals a day and again at bedtime (you don't do that forever though, it's a short term therapeutic megadose approach).
i would NOT follow the klenner recommendation to use d-alpha tocopherol acetate of d-alpha tocopherol acid succinate. the klenner protocol is old and he made his vit E recommendation based on the best info available at the time. nowadays, E8 complex is better.
i think i would consider trying one thing at a time, for a week at a time, to see if any specific one of these makes a difference over 2 or 3 days. i'm thinking zinc first, then mag, then e...
and as promised, for the vein stenosis. we already knew ms patients had low zinc, and apparently the same goes for those with venous insufficiency:http://www.thisisms.com/ftopicp-140188.html#140188
Chronic venous insufficiency... Depressed levels of zinc have been noted in patients with CVI and venous ulcer...
click through for a bunch more abstracts
also:http://www.liebertonline.com/doi/abs/10 ... .2008.0671
Zinc deficiency represents a risk factor for carotid stenosis (CS) development.