Many people with Multiple Sclerosis (MS) experience a variety of symptoms that can be indicative of the disease. These symptoms can range from muscle weakness to swallowing difficulties. Many people with MS also experience other side effects of the disease, such as psychological or social difficulties. For instance, people with MS may no longer have the same social life as they once did, which could make them depressed. Secondary symptoms are a normal part of living with MS, and are often hard to identify on their own.
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The immune system attacks the myelin that surrounds nerve cells in the central nervous system. Normally, our immune system fights germs and other foreign objects, but in MS, the immune system attacks this protective sheath. The inflammation leads to scarring that slows or blocks nerve-to-brain communication. This disruption results in vision problems, difficulty walking, and unsteadiness on one’s feet. Experts do not know what triggers this autoimmune attack, but it may be associated with low vitamin D levels, geographic location, and smoking.
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Although MS is a debilitating disease, the majority of people with this condition do not become severely disabled. Initially, their symptoms include tingling and numbness in the hands and feet, which often subside with rest. Later, a person may also experience hearing loss, which affects about 3% of patients with the disease. Tremors are also common in patients with MS. These symptoms usually last a few days, and can range in intensity.
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MS can affect the eyes. Inflamed optic nerves can result in painful vision loss. Fortunately, a proper diagnosis can drastically change the course of the disease. Some common symptoms of optic neuritis include blurred vision, double vision, and alterations in color. During the early stages, however, patients may recover their sight, with some permanent visual damage unlikely. Further, early diagnosis of this condition can help patients live a life free from the disease.
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Those who experience relapses of MS should notify their healthcare team, which includes a neurologist, allied health care professionals, and rehabilitation specialists. This team can help patients navigate the relapse process and provide supportive treatment to address their symptoms. Treatment options for people with MS include the use of medications, physical therapy, and physiotherapy. Keeping a detailed diary of your symptoms can also be beneficial for doctors, as accurate information can help them treat the disease. Those with MS should be particularly vigilant in keeping their symptoms accurate, as this can help prevent a relapse of symptoms.
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The most common form of MS is relapsing-remitting, or RRMS. It is characterised by attacks followed by periods of stability. Most MS patients have relapsing-remitting MS, which entails several episodes of new symptoms, but also involves periods of remission. During remission, symptoms may worsen or disappear altogether. However, this condition does not progress as rapidly as in other forms of the disease.
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In the first decade of the disease, mobility is considered to be relatively unimpaired. However, mobility is impaired for 35% of people. About 15% of people with MS require a wheelchair on a regular basis, and one-third experience some symptoms in their first year. However, there is no definite end date for the onset of symptoms, and symptom severity can fluctuate over time. In the meantime, symptom prevalence tables are an invaluable tool in the diagnosis and treatment of MS.
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The symptoms of MS may appear similar to those of other nervous system problems. Nevertheless, the diagnosis of MS depends on the signs of multiple attacks on the brain or spinal cord. The condition is categorized as relapsing-remitting or primary progressive and is usually characterized by increased disability. During this phase, patients may experience partial recovery and relapses. This process can take years, or even decades.
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Disease-modifying therapies are available for long-term management of MS. These drugs are approved by the FDA and have shown to reduce relapses and slow disease progression. They can also reduce the severity and frequency of new lesions. Some people may not need to take medications for milder symptoms, but their neurologist will prescribe high-doses of corticosteroids to reduce inflammation and slow down damage to the myelin sheath. Physical rehabilitation can also help patients maintain their independence.
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