Multiple Sclerosis: What You Need to Know
Aug 24, 2021
What is MS?
Multiple sclerosis, or MS, is a disease that affects the brain and spinal cord. It can cause problems with vision, balance, sensation, and muscle control. This disease affects everyone differently. Some people have mild symptoms while others have debilitating symptoms that prevent them from doing daily tasks.
Multiple sclerosis occurs when the immune system attacks the nerves in your brain or spinal cord. When the nerves become damaged the brain isnt able to send signals through your body correctly.
How can you recognize and MS attack?
Relapsing MS is characterized by the unpredictable occurrence of new attacks. These attacks are sometimes also called an exacerbation, a relapse, or flare. An attack involves new neurological signs and symptoms, which typically develop over a few days and subside or completely resolve over the ensuing weeks and months.
Symptoms from MS attacks include:
Numbness
Weakness
Incoordination
Visual loss or double vision
Dizziness
The most common symptom of an MS attack is numbness or sensory loss. Numbness occurs when the immune system attacks an area of the brain conducting sensory information to the body. If an attack occurs in an area of the brain transmitting motor information to the limbs, a person may experience weakness in the limbs. Double vision or dizziness may also occur from an MS attack.
In patients who have MS it is important to distinguish a true attack from a pseudoexacerbation. A pseudoexacerbation is when signs and symptoms from an old attack can worsen or reemerge from other causes. Common causes for pseudoexacerbation include a new illness, elevated body temperature, fatigue, stress, and pain.
How is MS diagnosed?
Multiple sclerosis is a clinical diagnosis made when there is evidence of immune system attacks on the brain and spinal cord. A neurologist looks for evidence of these attacks in a person's symptoms, examination, and MRI scans. Attacks typically leave scars in the brain that are visualized on MRI. Scars from MS have a characteristic appearance and pattern that must be carefully discerned from other causes. The presence of inflammatory and protein markers in the cerebrospinal fluid can also help support the diagnosis.
How do you treat MS?
MS treatment has three parts:
Treating attacks
Disease modifying therapy to reduce the likelihood of more attacks
Treatment of residual symptoms from prior attacks
MS attacks are treated with high dose steroids over 3-5 days. Treating attacks with steroids helps decrease the duration and intensity of symptoms.
Disease modifying therapy (DMT) is central to the care of people with multiple sclerosis. DMTs are the best strategy to alter the course of MS. Clinical studies have demonstrated that DMTs:
Reduce the occurrence of attacks
Slow progression of disability
Slow cognitive decline
Until recent years, only a few injectable medications were available to prevent MS attacks. Now there are many additional medications and these are more effective at preventing attacks. Some medications are oral pills and others are infusions.
Management of MS also includes treating unresolved symptoms from prior attacks. For example:
Physical therapy helps with motor weakness and instability
Urinary urgency or incontinence may be alleviated with medicine
Excessive stiffness in muscles from nerve injury may be alleviated with medicine
Painful sensory loss or disturbance may be treated with medicine
What is on the horizon for MS?
We are in an exciting era of treatment for MS. In recent years, several new treatments have been FDA approved, including the first ever treatment for a rare form of MS calledprimary progressive. Many additional therapies are being studied and hold promise in treating MS. In addition to novel oral medications and infusions, stem cell transplant is showing promise as a treatment for MS. In stem cell transplant, a patients stem cells are used to "reset" the immune system with the hope of eliminating the overactive inflammatory activity in MS.
Did you know?
National Multiple Sclerosis SocietyandMultiple Sclerosis Association of Americaare reliable sources for accurate information regarding MS
Weighing only 3 pounds and operating on 12 watts, the brain sends electrical signals over 200 mph
The nervous system is capable of detecting grooves as small as two millionths of an inch, discerning differences as small as 0.01 degree Fahrenheit, and differentiating more than seven million colors
Other Articles You May Like
Passions Grow, Passions Bloom:
Passions Grow, Passions Bloom: Cultivating Wellness at Willow Valley Communities Among the most popular passions at Willow Valley Communities is gardening. And, Residents here have a wide variety of ways to indulge. Three generous gardens are situated across our sprawling 210-acre campus for Residents to use in a multitude of configurations of their choosing. Willow Valley Communities hardworking Grounds Team tills each garden in the spring and plows them in the fall, making them ready for Residents to dig right in. Whether Residents are experienced pros or novices, gardening is a wonderful way for them to get outside, enjoy nature and each other, and learn new things. Some Residents have been gardening for decades, while others have only started gardening after moving to Willow Valley Communities. In keeping with our Life Lived Forward philosophy, some Willow Valley Communities Residents take their love of gardening to deeper levels. For example, several Residents from across the country have achieved the distinction of Master Gardener. Master Gardeners are certified in their home state, and the program can take six months to a year to complete and includes a minimum of 40 hours of classroom training, a score of 80 percent on the final exam, and 50 hours of volunteer service. In another example, Residents Annabelle Simpson and Susan Kelly worked with the Penn State Extension of the Pennsylvania State University to have one of their gardens certified as an official Pennsylvania Pollinator-Friendly Garden. The stunning garden is well-known for attracting huge numbers of bees, butterflies, insects, and birds, helping our ecosystem to thrive. Residents are also able to partner their gardening skills with their desire to volunteer and give back to the Lancaster community. With the areas rich, fertile soil, and the extra special care and attention the plants receive, Residents often have an abundance of vegetables and donate them regularly. Throughout the growing season, the Solanco Neighborhood Ministries food bank receives a variety of beans, lettuce, kale, peas, carrots, eggplant, cucumbers, peppers, tomatoes, spinach, and much more from Willow Valley Communities Resident gardens. Additionally, every fall, a harvest of hundreds of pounds of sweet potatoes and butternut squash goes to the Lancaster County Food Hub, a community resource for free, nutritious food and gently used clothing. Some Residents maintain gardening plots every year just for this purpose.Annabelle Simpson and Susan Kelly Gardening time is couple time for Residents Mike and Susan Ziegler. Sue is an avid gardener, and Mike loves being outdoors supporting her gardening passion at Willow Valley Communities. They both love being together in nature, and Sue is amazed by how magical gardening can be. Its just a miracle when the seeds come up, she says. Resident Pat Mortensen challenges herself every year by growing something completely different. Once she enjoyed a robust harvest of King Tut Purple Peas, a very rare garden pea said to have been taken out of the tomb of King Tut! Resident and Master Gardener Angela Booker-White is originally from Virginia but has lived all over the country. Her interest in gardening grew as she read and learned more about it. In her plot at Spring Run, Angela grows all sorts of fruits, vegetables, and flowers and always tries something new. She has the most success with seeds she purchases from the dollar store! Angela has also learned how gardening can help during challenging times. She is grateful to her garden, as well as to her fellow Willow Valley Communities gardeners, for helping her during the difficult time of her husbands unexpected passing. Gardeners, and she doesnt know exactly who, would come and help by doing extra work around her plot. Residents just came in and helped, Angela says. Weeding, cutting, trimming, harvesting whatever work needed to be done. Thats the way Residents are here at Willow Valley Communities: very supportive. Resident Keith Yoder, who coordinates the Spring Run Garden, is not at all surprised by the variety of gardeners at Willow Valley Communities or by the reasons they enjoy the activity so much. He agrees that gardening is definitely a hobby that enhances well-being. Though hes known this himself for years, he refers to an article put out by CNBC that states how gardening can add years to your life. And life to your years, Keith adds. Gardening gets you into nature. Its good exercise for your body and your mind plus, you get to eat what you grow!
Pampering for Self-care & Wellness
The Willow Valley Communities Day Spa is a destination for wellness and renewal. Its a critical component of the comprehensive Mind, Body, Spirit approach to wellness of Willow Valley Communities. The Day Spa offers many ways to soothe, calm, invigorate, or rejuvenate. A full range of professional services, all performed by our attentive and inviting staff, allows Residents to create their own regimen for personal well-being and beauty. These services include manicures and pedicures, skin care, facials, revitalizing peels, waxing, tanning, microdermabrasion, and body treatments with a wide range of different massage modalities, wraps, and scrubs. The Relaxation Room, with its beautiful waterfall and Himalayan Salt Wall, is a main feature of The Day Spa. It provides a peaceful and well-appointed environment in which to relax and offers a perfect and welcome respite between services. Himalayan salt rich in negative ions and essential nutrients and minerals offers numerous health benefits for our bodies, such as stress reduction, energy increases, and mood boosts at a biochemical level. Day Spa Manager Diamando Wallace says, Self-care is essential. Although manicures and pedicures are a well-deserved treat, they offer so much more to Residents sense of well-being. You can see the boost in a clients self-confidence as they walk out feeling refreshed. Massages are one of the most popular services requested by Residents, and The Day Spa offers a wide menu of options, including hot stone and aromatherapy. Emily Ransing, Willow Valley Communities Day Spa Massage Therapist, says, Massage is meant to enhance your well-being physically and mentally. I frequently remind my clients that this is their time to focus on themselves to feel healthier. I do all I can to send each client home feeling better than when they arrived. A Willow Valley Communities Resident was asked about her massage as she was leaving The Day Spa one afternoon. She said, After a massage with Emily, your body is so relaxed that you can focus on the things that you often overlook the air is sweeter, the birds are more melodious, the day is brighter. You are better equipped to face the next days, whatever they may bring. As she walked out of the Cultural Center to her car, she added with a smile, Its also a way to take the tension out of your body although theres not much tension at Willow Valley Communities!
Physical Therapy in Meridian, ID
Pain, weakness, balance problems, or reduced movement can interfere with everyday independence.For older adults, these changes may affect walking, climbing stairs, getting out of a chair, returning home after surgery, or participating in favorite activities. Physical therapy provides an individualized way to work on movement, strength, and function.What Is Physical Therapy?Physical therapy is a rehabilitation service delivered by licensed professionals who evaluate movement and develop a treatment plan based on the patient's condition and goals.Physical therapy may address: Pain Muscle weakness Balance problems Limited flexibility Difficulty walking Recovery after surgery Recovery after an injury Difficulty completing daily activities Reduced mobility following an illness The exact treatment plan depends on the evaluation, diagnosis, medical history, and patient's goals.Some insurance plans require a referral or prior authorization. Patients should confirm coverage, copays, visit limits, and referral requirements before beginning treatment.Wright Physical TherapyPhone: 208-969-9945Address: 1739 South Jade Way, Suite 110, Meridian, ID 83642Wright Physical Therapy operates two Meridian-area clinics. The South Jade Way location serves central and southern Meridian, while the North Meridian clinic provides another option for residents closer to northern Meridian and nearby communities.The practice provides outpatient physical therapy for people experiencing pain, injuries, reduced movement, and recovery needs.Its public materials emphasize individualized care intended to identify the source of a patient's problem and improve the activities that matter in everyday life.Older adults should tell the therapist about: Recent falls Surgeries Joint replacements Use of a cane or walker Dizziness Pain patterns Changes in balance Activities they have stopped doing Difficulty getting around the home Concerns about returning to normal routines Patients may also benefit from bringing a current medication list, physician referral, imaging reports, surgical precautions, and other relevant medical information.Physical therapy progress depends on the diagnosis, attendance, home exercise participation, and other health factors. Patients should ask how progress will be measured and what exercises are safe to complete between appointments.They should also understand when the therapist will communicate with the referring clinician and what symptoms should be reported immediately.Why This Matters LocallyHaving two Meridian clinic options can make repeated physical therapy appointments more manageable for residents and caregivers.Convenient access matters because physical therapy often involves several appointments and consistent home practice. Missed visits or difficulty traveling can interfere with progress.A local clinic may also coordinate with nearby physicians, orthopedic practices, rehabilitation providers, and other healthcare professionals when appropriate.How to Get Started Call 208-600-6064 for the South Meridian clinic or 208-417-5160 for the North Meridian clinic. Ask which location is most convenient for the patient. Confirm whether a physician referral or insurance authorization is required. Ask about copays, visit limits, and insurance coverage. Bring identification, insurance information, medication lists, precautions, and relevant medical records. Wear comfortable clothing and shoes suitable for movement during the evaluation. Follow the recommended home program. Report new pain, falls, dizziness, or changes in function promptly. Related CategoriesOccupational Therapy in Meridian, IDOrthopedic Care in Meridian, IDMobility Equipment in Meridian, ID