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Doctor insights on: Dental Pain With Multiple Sclerosis

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Is it common to have chronic pain with multiple sclerosis? What are some ways besides narcotics to treat it?

Is it common to have chronic pain with multiple sclerosis?  What are some ways besides narcotics to treat it?

Yes: There maybe others to treat it, but it depends on whether the pain is due multiple sclerosis or things like osteoarthritis. Talk to your doctor and see what other options there may be. ...Read more

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Dr. Theodore Davantzis
1,165 doctors shared insights

Tooth Pain (Definition)

Just what it says. Pain may be localized or diffuse, sharp or dull, aching or throbbing. May be from a host of different causes, the most common being infection. It requires immediate treatment, pain indicates the cause has significantly progressed. Please ...Read more


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Neuro help needed: i'm 18 male and have optic neuritis. What are my chances of having multiple sclerosis?

Neuro help needed: i'm 18 male and have optic neuritis. What are my chances of having multiple sclerosis?

Statistical risk: According to data from optic neuritis treatment trial, risk of clinically definite ms, if MRI lacks any lesions is 25% by 15 yrs, but, if only one white matter lesion, the risk escalates to 72%. Therefore, get followup MRI studies, and find neurologist who focuses in ms to work with. Please do not worry, newer meds are far more successful these days. Do supplement vitamin d-3. ...Read more

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My wife is 37 and has multiple sclerosis. She wants to get pregnant but i'm afraid that stopping her medication will do her harm. Is it safe?

My wife is 37 and has multiple sclerosis. She wants to get pregnant but i'm afraid that stopping her medication will do her harm. Is it safe?

Multiple sclerosis: It is a concern. Removing certain medications can increase the relapse rate immediately after stopping the medication (immune reconstitution syndrome). This is not seen with the older "platform" therapies. Copaxone (glatiramer) is category b for pregnancy. Nevertheless, all my patients have opted to stay off medication during their pregnancies. Good thing is relapse rate is reduced during 2-3rd trimester. ...Read more

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What is my risk for multiple sclerosis? . I'm 16 year old male non smoker. No family history. I moved from singapore to the UK when I was 14. High ris

What is my risk for multiple sclerosis? . I'm 16 year old male non smoker. No family history. I moved from singapore to the UK when I was 14. High ris

Actually very low: Your risk is best considered to be at the level of the average resident of Singapore, and therefore very low, and indeed, lower than if you lived in UK your entire lifespan. ...Read more

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My head is moving(nodding) involuntary since along time but it's increased nowadays..My aunt has multiple sclerosis and i'm afraid that I have it too?

My head is moving(nodding) involuntary since along time but it's increased nowadays..My aunt has multiple sclerosis and i'm afraid that I have it too?

Nonspecific: You describe a head tremor which could be due to many causes, including heredofamilial essential tremor, hyperthyroidism, issues with cerebellar brain stem connections, Wilson's disease, and medication reactions. This alone would not confirm MS, and your aunt's illness, is NOT a predictor of increased risk in you. Have a neurologist check this out. ...Read more

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Dr. What if on last MRI the lesions of multiple sclerosis disappear? is that means that I'm healed ?yeah I'm the patient

Dr. What if on last MRI the lesions of multiple sclerosis disappear? is that means that I'm  healed ?yeah I'm the patient

Comments: The MRI lesions in MS do NOT typically "disappear", and if this has happened, you did NOT have MS. Get a neurological consultation, but under the circumstances truly doubt your original diagnosis. ...Read more

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I have all the symptoms of multiple sclerosis, but it didn't show up on the mri, could i still have ms? What else could it be? I'm negative for lupus

I have all the symptoms of multiple sclerosis, but it didn't show up on the mri, could i still have ms? What else could it be? I'm negative for lupus

Lots of things: Ruling MS in or out is much easier than it used to be, but it still requires training, skill & expertise that you'll never get from "Doctor Google." It isn't just laypeople who lack the knowledge & experience to distinguish MS from conditions that superficially resemble MS but aren't; the average US nonneurologist physician isn't confident of his/her ability to do so either. ...Read more

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Can I catch multiple sclerosis?

Can I catch multiple sclerosis?

No: MS is not an infectious disorder. Instead, there is varying genetic susceptibility triggered by environmental influences. ...Read more

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Best multiple sclerosis medications?

Best multiple sclerosis medications?

Interferons ? : There is no best medication , some would suit the patient better than others but interferons are the most widely used for prevention of attacks. ...Read more

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I'm scared I have multiple sclerosis?

Need to know more: Will really need to know more about what your symptoms are. Initially, you should discuss your concerns with your primary care physician. Then an appropriate a referral to a neurologist will allow a more definitive diagnosis for you.Multiple sclerosis is treatable at the present time with multiple medications and ensure an excellany quality of life. ...Read more

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How do you treat multiple sclerosis ?

Many successful ways: Although not curable yet, ms in many cases is both treatable and controllable. The most potent medicine on the market is tysabri, (natalizumab) followed by gilenya, and then a group of injectables, including interferons (such as betaseron) and copaxone. Several exciting drugs are finishing research and may be available in the next few years. Many physicians recommend vitamin d, b complexes, aerobic exercise. ...Read more

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How does multiple sclerosis progress?

How does multiple sclerosis progress?

Some patterns: Initially, a relapsing remitting course, but without treatment at 10 yrs, 50% become progressive, and 90% @20 yrs. Disability can involve need for walking assistance even wheelchair, but memory loss and fatigue can get progressive. Issue is to stop this progress by using potent agents, such as Gilenya or Tysabri (natalizumab). ...Read more

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What all can mimic multiple sclerosis?

What all can mimic multiple sclerosis?

Many conditions: Initially the ms patient goes through many diagnostic considerations. Stroke, drug effects, malingering, viruses, toxic reactions, lupus, pinched nerves, are just some of the common initial concerns. It may take hundreds of tests and repeated bouts before a definite diagnosis can be made. ...Read more

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How do you diagnose multiple sclerosis?

Clinical diagnosis: Although the MRI can help support the diagnosis, and spinal fluid analysis may help, the diagnosis ultimately depends on a physician analysing history and exam findings, and making certain that alternative problems are not the true diagnosis. ...Read more

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How many people have multiple sclerosis?

How many people have multiple sclerosis?

200 cases each WK: It is estimated approximately 250, 000. To 350, 000. People are affected in usa and 200 cases are diagnosed each week. ...Read more

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How do I know if I have multiple sclerosis?

Can be tricky: Multiple sclerosis is a very difficult disease to diagnose, because the symptoms can be so variable from person to person. Classically, it presents as discrete attacks of symptoms (vision loss, weakness, numbness, etc) that each wane over a few weeks. Definitive diagnosis can be made by a neurologist, usually with a combination of physical exam, lumbar puncture, and mri. ...Read more

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What disease might mimic multiple sclerosis?

What disease might mimic multiple sclerosis?

Several potentials: Cadasil, lupus, arteritis, clippers, pernicious anemia, cervical spondylosis, lyme disease, CNS lymphoma, sjogren's, melas. If you get the point, ms may be hard to diagnose, and often need to exclude other explanations. Patterns may or may not be different, and sometimes it is important to get testing and even several opinions. ...Read more

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Is there a benign form of multiple sclerosis?

Is there a benign form of multiple sclerosis?

Tough to predict: The course of ms is variable, and no two patients are ever alike. One might hope, in the end, that the outcome is mild or benign, but it is almost impossible to sort out early in the disease. Many specialists would treat, and modify interventions as time progresses. ...Read more

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Is multiple sclerosis a hereditary condition?

Is multiple sclerosis a hereditary condition?

In part: Hereditary risk is one factor, but the interplay between genetic background and environment is likely in this disease. Identical twins studies show about a 30% risk for MS if one twin has the disease (certainly not 100%). Population studies show certain ancestry may increase or decrease risk (e.g. Northern european ancestry high, whereas asian, african, aboriginal very low). ...Read more

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How can I stop my multiple sclerosis relapse?

How can I stop my multiple sclerosis relapse?

In my opinion,: Virtually all true MS relapses need to be treated, and the classic approach involves steroids or ACTH. An experienced neurologist can set up the therapy. Still, best approach is to prevent the relapse by using potent medication such as Gilenya or Tysabri (natalizumab). ...Read more

Dr. Suzanne Galli
3 doctors shared insights

Sclerosis (Definition)

We neurologists employ the term to describe localized damage involving the central nervous system, and sclerosis means scarring. If in many areas, might be multiple sclerosis. If affecting the motor nerve cell, ...Read more


Dr. Bennett Machanic
1,438 doctors shared insights

Multiple Sclerosis (Definition)

A progressive disease that interferes with the functioning of the central nervous system and brain. Symptoms include numbness, impairment of speech and of muscular coordination, blurred ...Read more