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Sunday, November 8th, 2009

Multiple Sclerosis, What Type of Treatment Plan is Needed?

Multiple sclerosis, also known as MS, is a disease of the central nervous system (CNS) which can affect the brain, spinal cord and optic nerves. Nerves are protected by a myelin sheath and multiple sclerosis damages this protective layer.  Transmissions between various parts of the body and the brain itself are disrupted.

The symptoms of multiple sclerosis at onset may include weakness in the muscles, numbness, and feeling of pins and needles.  Balance may be affected as may vision.  In some cases problems with memory may develop. Symptoms may at first be mild or could be as severe as paralysis.  The way in which a person with this disease is affected and the rate at which it progresses is different for each individual and therefore treatment is not standard.

There is, at present, no cure for MS but there are drugs which may be prescribed for the relief of many of the symptoms.  There are several alternatives for treatment of each condition as it arises.  Due to the necessity to consider individual tolerance, the possible side effects or any interaction between medications, it is important that the specific drugs for your use should be determined by you and your medical advisor.  There are different medications available for each symptom so careful consideration of your own specific needs is necessary.

There are prescription drugs available to combat fatigue, muscle spasms, tremors, different types of pain, depression, bladder and bowel problems and nausea, vomiting or dizziness.  There are also specialized medicines related to optical problems.  All of these need to be controlled individually.  There are complementary and alternative treatments which are also available.

Exercise has been show to improve not only overall health but also specific multiple sclerosis related problems such as fatigue and bowel and bladder function and can reduce stiffness.  It has been shown that exercise can combat depression so that may be another reason to consider it.  A physical therapist familiar with MS problems can assist with a program tailored to your needs.  Following a healthy diet is important.  Many people with MS have found relief in alternative modalities such as biofeedback and other forms of stress management.

Acupuncture has been of help to many, as has the oriental discipline of tai chi a form of exercise that consists of slow deliberate movements.  Yoga has also been found to be of great benefit and there are yoga programs which have been specifically designed for MS sufferers.

It has been noted that MS is more prevalent in the Northern Hemisphere and research is going on at present into the possibility that sunlight and Vitamin D may offer protection.  There is also research ongoing into the use of medical marijuana or drugs derived from it to help with the symptoms of pain and muscle spasms and one such drug has been approved for use in Canada.

8 Responses to “Multiple Sclerosis, What Type of Treatment Plan is Needed?”

Maria Says:

These types of articles pain me, I have MS and have had it for almost 20 years. I have gone from RRMS to CPMS and have tried everything from holistic to accupuncture PT you name it. This is a disease which effects every single person with it differently for example I have other medical conditions that could either be making my MS worse or not effecting it at all. All I know is that my life is an never ending battle of changes day to day. I can honestly say if I have 2 good days a week I consider myself lucky. I use a arm crutch to keep my ataxia in check, but that does nothing for the pain in my foot which is from drop foot. My back pain which while excruciating goes untreated because of all the chronic drug abusers have made it impossible for those of us that actually need pain meds to get them because all the doctors are afraid to write for them. I really think that people who don’t have MS really can’t say that Vitamin D will help or that Marijuana will help with spasms it makes my muscles tense up and hurt twice as bad??? PT didnt offer much help as the more I did it the worse I hurt the days after. So Please stop lumping those of us that Have MS In a tidy little clump. What works for one doesnt work for another and so on and so on. It just isnt fair to think that it does, it is hard enough to get people to understand MS and not make the stupid remarks well you look so good or it doesnt hurt or a hundred other stupid remarks that I have heard in my 20 years of being sick. The goverment tells me that I am not disabled, well how nice for them to know how it feels to be in my body and know how hard it is to do some of the simplest tasks. Shame on you all that pretend to know what someone who has this disease goes thru on a daily basis.

Maja Field Says:

I was diagnosed with MS 20 years ago…..I just found out I had Lyme instead….

Marre Carpenter Says:

I was diagnosed in 1990 with my first bite episode of Lyme, and now it acts just like MS, ALS, OR other neuro diseases like Parkinson’s, etc. A whole mess of bites later, and I’m a medical wonder that I’m still alive my new Lyme Literate doc told me…..it mimmicks all diseases in order to hide, like a mutation or something, and now researchers/scientists are finally getting the links of all these together! I’ve been to hell and back with this Lyme, my heart stops and slows down, my muscles give out whenever, my head bobbles, I have dyslexia, my short term memory is gone, and I get cattleprod-like electrical shocks throughout my body when I least expect it. I only pray and stay alive for my kids and for other children/adults with any of the neuro disorders and hope they all get a cure soon dear jesus…..

Ian Says:

I have been dealing with MS since 2000. I came home from work on halloween, sat down in my lazy boy reclined, and at that exact moment my life was changed forever. My left hand started going numb, it started in my finger tips and within two weeks both arms just hung by my side. I had a client at the time who was a neuro surgeon, he checked me out, no answers. went to a different neuro and had the MRI’s, and cat scans done, the MRI showed 2 big leisons in my brain and 2 more in my spine at c2 and C4. To confirm the diagnosis I had a spinal tap done, those are fun. So the monday following thanksgiving I found out I had MS. I have been on all the disiease modifing drugs, that are supposed to slow progression. To my grand luck I had to stop all of the meds at one point or another. I am not one to trust holistic or any other types of cures. I do how ever go to the gym as much as possible and take alot of vitamins along with a vast array of pharmacuticels and I am part of the medical marijuana debate, I am pro. MS is a weird disease because there is nothing predictable about it. I know someone who has not had a relapse in 20 years, while I have at least 3 major relapses a year, but please don’t waste your energy and pity me. when you are out and meet new people allwasy approach them with understanding because you don’t know they could be very sick. I once asked someone what does a sick person look like. When I have a good day (not often) I look like there is nothing wrong with me, but yet I am chronically ill and will be sick for the rest of my life but I don’t allways look like I am sick, and most people would not know I am sick when I feel like crap. so approach every one with understanding because who knows what is wrong with them

Vicki F Says:

Well said Maria!

JoAnne Says:

I was diagnosed with MS in 1985 at the age of 41 but had other symptoms in my 20′s. Fortuate enough to say I am healthy but I deal daily with a variety of visual problems which are getting worse and the worse pain is my facial pain… trigeminal neuralgia. The doctors say it is from the MS and yet I have seen no article about it. I have known two others with it who have MS. It is begining to be daily. Acupuncture and laser therapy has helped for a few years but not sure it is helping any more. I have had to increase the Tegretol and add Neurontin. Does anyone have answers?

angela Says:

i have had ms for 16 years, i am 36. it started with myalgia & shortly was paralyzed completely on my left side. the left side of my face dropped like i had a stroke. i did not receive a diagnosis until 24 because the diagnosis criteria was different. i stop counting how many time i was paralyzed. i have beem blind in both eyes and currently blind in the left due to optice neuritis. my vision is slowly coming back. solu-medrol is what gets you out of an acute attack. an interferon slows the disease down because it is a disease modifying drug that suppresses the immune system. people with ms, have a really great immune system…..so great that it is overly active and attacks itself. i started on betaseron (the best) for 7 years & now i am on rebif. i became immune to the betaseron. i was on amantadine for the chronic fatigue, it caused miagraines so we tried provigil but the new drug nuvigil is so much better. i take alot of vitamin d, plenty of fish oil tablets, and multivitamins. i drink plenty of water also. i don’t drink alcohol, soda and never smoke. all of that helps. my problem is people take me for granted because i don’t look sick. i am relapse remittance. an ms patient needs a treament team of a neurologist, primary care physician, and optamologist that will run test and communicate with each other. i hope this helps someone.

angela Says:

my cousin has chronic progressive and she receives chemotherapy, and my other cousin has relapse remittance like me and she takes copaxone. so you are right when you say everyone is different. my team of doctors encourage the inteferons, vitamins, eating healthy as in a balanced meal and we (ms) do need our carbohydrates so don’t cut them out. please rest and don’t commit to stuff you don’t want to do. i get stressed but that is the main factor….eliminate the stress if that is realistic.

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