Many patients with Multiple Sclerosis can benefit from neurorehabilitation and various medications to manage the symptoms and improve their functional status. Medications are a common treatment for spasticity, pain, and fatigue caused by the disease. Neurorehabilitation is a treatment where neurologists use physical therapy to improve symptoms. In 1868, French neurologist Jean-Martin Charcot recognized multiple sclerosis as a separate disease and summarized previous reports. Charcot’s work was the first to recognize the disease as a separate condition. The term “sclerose en plaques” is still used to describe the disease.
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Most people with MS do not develop severe disabilities or become completely incapacitated, but early signs of the disease may include numbness and tingling in the affected area, especially in the legs. People may experience unequal balance and fall because of a weakness in the legs. The following are some of the most common Multiple Sclerosis Symptoms and How to Recognize Them
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MS affects one in every 1,000 people. In the United States, approximately 450,000 people live with the disease. It is more common in Caucasians and women than in other races. However, it is very rare in groups like Native Americans and Africans. For some people, symptoms may appear and disappear in a matter of months or years, depending on how severe the condition is. Many people with MS develop a progressive disability over time, and some never fully recover.
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A doctor must rule out other conditions before they can diagnose MS. A number of blood tests are necessary to rule out other causes of the symptoms. A lumbar puncture may be performed to check for cerebrospinal fluid and CSF oligoclonal banding. An MRI of the brain or spine may also be used to determine whether MS is the cause. Nerve function tests are also less common. They help diagnose the disease, but are important in establishing a diagnosis.
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Other MS symptoms include impaired concentration, memory, and focus. While symptoms are often temporary, patients with MS may have trouble walking, need a wheelchair, or other medical devices to help them stay on their feet. MS can make people feel tired and weak, so it is important to plan for plenty of rest and find ways to stay cool. Additionally, too much heat can worsen the symptoms of MS. So, it is important to avoid hot showers and tubs if possible and try to find alternate methods of cooling off.
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There are two main types of MS: primary progressive and secondary progressive. Primary progressive MS sufferers usually have relapsing remitting disease, but secondary progressive MS patients have recurrent episodes and a steady progression of symptoms. In relapsing MS, remission is possible, but it is rare to reach a total cure. Patients can remission or have intermittent relapsing episodes during which new symptoms appear.
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The immune system attacks myelin, which protects nerve cells in the central nervous system. In MS, the immune system attacks myelin, causing scarring that prevents the signals from traveling between the body and the brain. These lesions interfere with nerve function and cause vision problems. Damage to surrounding tissues can also cause unsteadiness on feet. There is no single cause for multiple sclerosis, though environmental factors, genetic predisposition, and immune mediated inflammatory changes are likely to play a role.
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Treatment options for patients with MS vary, with the goal of managing current symptoms and reducing the frequency of attacks. Medications are a common form of treatment, though some are not recommended if the disease is in the early stages. Some of these medicines relieve muscle spasms and inflammation and may even help with some long-term issues caused by MS. In addition to disease modifying medications, physical rehabilitation is an important part of MS management.
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Some genetic factors play a role in developing MS, though these do not seem to be significant. A person with a first-degree relative with MS has a slightly increased risk of developing MS. Earlier, people living in northern latitudes were at higher risk, but more people are being diagnosed in more temperate regions. Furthermore, living in the same region until the age of 15 seems to give people a relative risk of developing MS there.
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Infusions of intravenous immunoglobulin, a group of antibodies from healthy donors, are another possible treatment for MS. While intravenous immunoglobulin can cause muscle and joint pain, the injections can also lead to low-grade fever. In addition to the risks of intravenous immunoglobulin, patients should consider a course of treatment based on their specific condition. This may be the best option for them.
