![]() with meals, at certain times of time day). For instance, if medication is prescribed, it is imperative that it be taken correctly (i.e. Patients also have a responsibility to follow the recommendations of their doctors, as most treatments will ultimately prove ineffective if the patient is uncooperative. Another factor is the consideration of whether a particular treatment will decrease the frequency of relapses, as well as prevent fresh lesions from appearing in the body (detected through MRI tests). They need to evaluate which treatments will most effectively slow down the progressive mentally and physically debilitating effects of the disease. In determining the right course of action, doctors need to consider the patient’s age, overall health, and the type of MS with which they have been diagnosed. The ultimate goal is to postpone disability, such as paralysis and loss of vision, which are unfortunate inevitabilities in the late stages of the disease. The earlier MS is treated, the better the chances of slowing down its progress and minimizing its symptoms. Although there is no cure, treating multiple sclerosis is possible. Once diagnosed with MS, patients need to work closely with doctors and specialists to determine the most effective treatment strategy for their specific case. So it’s best to not do things that could lead to overheating, such as extended periods of time in the sun or overexerting yourself.Multiple sclerosis (MS) is an autoimmune disease that leads to the deterioration of the central nervous system. ![]() If your body temperature goes up, it may make your symptoms worse for a short time. Regular exercise and getting plenty of sleep may also help. Your healthcare provider will also probably want to meet with you on a regular basis to monitor your disease. For example, therapists may teach you exercise strategies and how to manage new symptoms that develop. Physical and occupational therapy may be helpful. Some people limit MS relapses by avoiding specific triggers such as stress and overheating. How can I prevent primary-progressive MS?Įxperts don't know how to prevent MS or the PPMS type of MS. These may address problems such as depression, sexual problems, and extreme tiredness (fatigue). But more likely your healthcare provider will try to provide treatments that relieve symptoms and improve your quality of life. Your healthcare provider may still be able to use 1 of these medicines in your case. But the FDA hasn't approved any medicines to treat primary-progressive MS. Several medicines are available to treat relapsing forms of MS. Because of this, it may take time for the PPMS diagnosis to be made. This test is done to see how well your optic nerves are working.Īfter the general diagnosis of MS, the diagnosis of PPMS is based almost exclusively on the patient's symptom history. Your healthcare provider removes a sample of spinal fluid to check for signs of MS. This test measures nerve fibers in the retina. These images will help your healthcare provider look for signs of damage that suggest MS. This is done to see how your nerves and muscles are working. Your healthcare provider will talk with you about your symptoms. Methods that your healthcare provider may use to diagnose MS include:ĭiscussion. Pain (for example, headaches, pain in the legs and feet, back pain, and muscle spasms)Įlectric-shock sensations that run down the back and limbs when the neck is bent (Lhermitte sign) The occurrence and severity of PPMS symptoms vary with each person. What are the symptoms of primary-progressive MS? It can also damage nerves used for vision. This process can lead to damage in and around the nerves in your brain and spinal cord. Myelin acts as a type of insulation on your nerve cells. The exact cause of MS is not known, but research suggests it develops when your immune system attacks a substance called myelin. On average, people with primary-progressive MS start having symptoms between ages 35 and 39. About 10% of people diagnosed with MS have PPMS. Men and women are evenly affected by this type of MS. But declining neurologic progression is constant. And there can be periods of short-term (temporary) minor improvements. There can be times when things are stable. How fast the disease progresses may vary. There are no symptom flare-ups (also called relapses or attacks). With PPMS, neurologic functions get steadily worse in the beginning. It can be disabling.Įach type might be mild, moderate, or severe. It interferes with your brain's ability to control your body. Multiple sclerosis (MS) is a neurodegenerative disease. What is primary-progressive multiple sclerosis?
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