Doctor insights on:
Amitriptyline For Ms
I have MS and have been taking amitriptyline an was prescribed Zanaflex (tizanidine) for spasms, is it ok to take them at the same time?
I have MS and trigem neuralgia and have terrible pain. Tried gaba, baclofen, norco, (hydrocodone and acetaminophen) elavil, tegretol, otc, etc...What is the best pain med for this?
Trigeminal neuralgia: Sadly trigeminal neuralgia is a poorly understood disease that has an even worse track record for treatment. Most patients suffer from this disease without much relief. There is a growing body of evidence looking into Lamotrigine as a treatment. Ask your prescribing doctor if this is an alternative. ...Read moreSee 3 more doctor answers
Who gets MS: People everywhere may develop multiple sclerosis. It most often starts between ages 20-40. Cases of teenagers and older adults are less common. It is more common in climates that are cold, cloudy, and located in far northern or far southern latitudes. Family history and smoking are related to MS, but are not the cause. MS is relatively rare, it is present in only 2 million people worldwide ...Read moreSee 2 more doctor answers
Yes..but low ..: Even in identical twins, the incidence is only 20-35%, thus environmental factors (infections such as epstein virus, geography, vitamin d deficiency? +others factors, unknown) play more important role than genetic in development of ms..There is still much ongoing research in this area and hopefully will shed more light in the years ahead. It is a difficult one if you have ms, best of luck to you. ...Read moreSee 1 more doctor answer
Benign MS: About 15% of people with MS have only 1-2 attacks of neurological deficit, otherwise, they have an entirely normal life. This is the case even if they are not treated for MS. It would be nice to know how to predict who will have such a clinical course. ...Read moreSee 3 more doctor answers
Process: History and physical exam suggests the diagnosis. MRI films demonstrating old and new lesions together, scattered about the brain white matter, can be confirmatory, and lesions in both brain and spinal cord can clinch the diagnosis. Spinal fluid often useful if the films are ambiguous, and blood studies are obtained to exclude other disorders which may mimic MS. ...Read moreSee 3 more doctor answers
Multiple Sclerosis: For doctors, ms usually means multiple sclerosis, a disease that affects the brain and spinal cord, resulting in loss of muscle control, vision, balance, and sensation (results in numbness or paresthesia). With multiple sclerosis, the nerves of the brain and spinal cord are damaged by one's own immune system, so ms is called an autoimmune disease. ...Read moreSee 2 more doctor answers
RRMS: Relapsing-remitting MS is the most common form of MS. In this, there are episodic "attacks" or relapses of symptoms interfering with neurological function. These could affect vision, movement, sensation, speaking, coordination, bowel or bladder function, etc. Normally these attacks last 2-3 days. They often are treatable and the symptoms resolve. ...Read moreSee 4 more doctor answers
A subtype of MS: This subtype represents about 10-15% of all ms, tends to occur at an older median adult age. It is characterized by progressive worsening neurological disability for at least 1 year, without relapses, and with MRI findings compatible with demyelinating disease of the central nervous system. Other medical and neurological conditions which may mimic this clinical course must be carefully excluded. ...Read moreSee 1 more doctor answer
See below: Secondary progressive MS is a more advanced stage of relapsing remitting ms. In this stage, individuals experience fewer recognized neurological relapses, and betwen such attacks begin to accumulate measureable worsening of physical or cognitive disability. It is not a distinct form of disease, but part of the spectrum of relapsing ms. ...Read moreSee 2 more doctor answers
Complicated: Really don't know cause, but there are genetic susceptibility markers, and environmental events to trigger disease. Of interest is fact that there are 3.5 women to every male, and this is thought possibly secondary to hormonal issues. Also, the immunology is fundamentally different in men vrs women. Hope this helps, but we are making progress. ...Read moreSee 2 more doctor answers
Multiple Sclerosis: The different types of multiple sclerosis follow different patterns of progression. There are four main types of multiple sclerosis, as well as benign and malignant forms of the disease. The main types of multiple sclerosis include relapsing-remitting, primary-progressive, secondary-progressive, and progressive-relapsing. ...Read moreSee 2 more doctor answers