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Multiple Sclerosis Explained

MS scaled

Did you know that 2 million young adults mostly women worldwide live with the most common neurological disorder- Multiple Sclerosis?

Everyone’s experience with MS is different and their symptoms can be temporary or long-lasting. MS patients should have knowledge of the seamless and correct management of the disease in order to improve their quality of life.

What is Multiple Sclerosis?

Multiple Sclerosis – also referred to as MS or encephalomyelitis disseminata – is an autoimmune disease that attacks the central nervous system, i.e., the brain and spinal cord. Inflammation and scarring around the nerve fibers gradually cause the nerves to become less able to carry messages from the brain to the body.

Causes of MS

In the case of Multiple Sclerosis, when something goes wrong with the immune system, it attacks the layer that surrounds and protects the nerves called the myelin sheath.This damages and scars the sheath, and potentially the underlying nerves, causing messages traveling along the nerves to become slowed or disrupted.

Risk Factors

The exact cause of MS is still unknown. But several risk factors for developing MS include:

  • Obesity
  • Certain infections
  • Smoking & use of tobacco products
  • Having a close relative with MS
  • Some autoimmune disorders, like rheumatoid arthritis

 

MS Symptoms

The symptoms usually occur at the age of 20-40, slightly more often in women than men. The symptoms initially occur quite randomly and spread in the nervous system, and therefore it can be difficult to get the diagnosis in the first period, as the same symptoms also occur in many other diseases. But the most common symptoms are:

  • Double vision or blurred vision
  • Uncontrolled eye movements
  • Pronounced fatigue and impaired memory
  • Changing mood and depression
  • Uncertain balance and gait
  • Speech problems
  • Decreased movement of or control of legs or arms
  • Difficulty holding or getting rid of water
  • Trailing feet
  • Sensory disturbances like tingling, pins & needles, or numbness in arms or legs

Types of MS

Clinically Isolated Syndrome (CIS)

Inflammation and demyelination in the central nervous system cause the first episode of neurologic symptoms of CIS. The episode lasts for at least 24 hours and has characteristics of multiple sclerosis. But it does not yet meet the criteria for a diagnosis of MS because people who experience a CIS may or may not go on to develop MS.

Relapsing-Remitting MS (RRMS)

Relapsing-remitting MS is characterized by clear relapses of disease activity followed by remissions. Symptoms are mild or absent during remission periods and there is mild to moderate disease progression. During remissions, either all symptoms disappear, or some symptoms may continue and become permanent. 

Primary progressive MS (PPMS)

15% of people with MS are diagnosed with PPMS. With Primary Progressive MS (PPMS), the neurological function becomes progressively worse from the onset of your symptoms.

Secondary progressive MS (SPMS)

When RRMS transitions into the progressive form, Secondary progressive MS (SPMS) will occur. You may still face noticeable relapses in addition to a disability or gradual worsening of function.

MS Diagnosis

In addition to a neurological examination by the Neurologist, it is advised to carry out the following examinations for MS diagnosis:

  • MRI scan of the brain and spinal cord to detect active and inactive lesions
  • Lumbar puncture to figure out abnormalities in the spinal fluid
  • Measurements of nerve function: Electro-myography (EMG), nerve conduction examinations (ENG), and electroencephalography (EEG)
  • Blood tests to eliminate the possibility of other conditions that posses similar symptoms
  • Visual evoked potentials (VEP) test to analyze electrical activity in your brain
  • Optical Coherence Tomography (OCT) to check thinning around the optic nerve

 

Treatment

The disease cannot yet be cured, but the individual relapses can be prevented by certain medication and if there happen to relapse on treatment, they can be shortened with medication, primarily corticosteroids.

The Multiple Sclerosis treatment may include:

  • Specific treatments for individual MS symptoms
  • Short courses of steroid medicine to treat relapses
  • Use of disease-modifying treatment to reduce the number of relapses

 

Living with Multiple Sclerosis

You may have to adapt your daily life if you’re diagnosed with MS.  But the right care, support, and motivation can give you active and healthy life. Following things needs to be taken care of while living with MS.

  • Follow self-care practices
  • Undergo regular reviews
  • Eat healthily
  • Get engaged in regular physical activities
  • Reduce the use of tobacco products
  • Sleep well

 

Support & Care

Support and care from family members can make a huge difference in the daily life of MS patients.  Friends and family members can offer a helping hand in managing daily chores such as:

  • Reminding to take medications
  • Helping with cooking, cleaning, laundry, etc.
  • Driving to doctor’s appointment
  • Spending quality time with MS patients
  • Making the house safer and easier to use for MS patients
  • Grocery shopping and errands

In-Home Support

As your MS progresses, you may need help from someone beyond your family and friends. A few signs may be a tip-off that it’s time to start looking for in-home options such as a home nurse or housekeeper. Don’t hesitate to hire a home help if you have trouble with self-care tasks.

Support Groups

Each person’s journey with MS will be different. The best person to help an MS patient might be another person experiencing the same health conditions. Many organizations and online support groups for MS patients have been formed in the past years.

The MS support groups can be useful for the following purposes:

  • To interact with other MS patients
  • Share your tips and advice
  • Seek expert opinion on your concerns
  • To keep you motivated during difficulties
  • To learn about MS medical research and lifestyle articles
  • Monitor your health and MS progression

The Takeaway

MS is a lifelong condition that gives unique challenges over time. Focus on communicating your concerns with your doctor, learn all you can about MS, and discover what makes you feel better.

Never give up. Stay positive even on your worst days of MS. 

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To know more about Multiple Sclerosis, book an appointment with our doctors.

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Published By:
Dr. Claudia Kristensen
NSH Senior Consultant Neurologist

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