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Doctor insights on: Multiple Sclerosis Cooling Vest

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Optic neuritis (nmo) or multiple sclerosis (ms)? What are the different victims?

Optic neuritis (nmo) or multiple sclerosis (ms)? What are the different victims?

Say what???: This question is confusing! optic neuritis (abbreviated on) is one of many symptoms of ms and results from inflammation in one or both optic nerves. It is one of the most common symptoms of ms and typically causes eye pain and decreased vision in one eye. It does not typically cause complete blindness. Multiple sclerosis (ms) is an autoimmune disorder of the center nervous system. See below. ...Read more

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Dr. Sandra Eleczko
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


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Is primary progessive multiple sclerosis always fatal?

Is primary progessive multiple sclerosis always fatal?

Not necessarily : Ms has been said to shorten life span, and untreated this is correct, but several studies have supported normal life if appropriate potent meds are employed. Primary progressive ms does not respond well to the usual meds, and mostly symptomatic interventions are used. There are many research projects nowadays, and best to contact a medical school and get involved. ...Read more

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Is amyotrophic lateral sclerosis a type of multiple sclerosis (ms)?

Is amyotrophic lateral sclerosis a type of multiple sclerosis (ms)?

Not similar diseases: Als is very different, and is a disease of "mis-folded proteins" like alzheimers and parkinson's, and all of these affect older people. Ms is an autoimmune disease afflicting younger patients who have hereditary susceptibilities and environmental exposures. Ms can be successfully treated and controlled, but ALS does not respond well to current therapies. ...Read more

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Is lumbar medial branch radiofrequency ablation safe in patients with multiple sclerosis?

Is lumbar medial branch radiofrequency ablation safe in patients with multiple sclerosis?

Yes: There is absolutely NO clinical evidence that any type of surgery, anesthesia, or standard clinical injections can affect the trajectory of MS, and radio frequency ablation should be relatively safe. ...Read more

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Is aloe vera a treatment of multiple sclerosis (ms)?

Is aloe vera a treatment of multiple sclerosis (ms)?

No.: It is not. I could not in my wildest dreams think of how a benefit could be obtained. However my medline search revealed no studies. ...Read more

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What symptoms of ms multiple sclerosis ?

What symptoms of ms multiple sclerosis ?

Variable: Please consult this site for information on early symptoms of MS http://www.webmd.com/multiple-sclerosis/guide/multiple-sclerosis-symptoms Wish you good health. ...Read more

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What's the present mortality rate of multiple sclerosi. Are there surgical options for multiple sclerosis?

What's the present mortality rate of multiple sclerosi. Are there surgical options for multiple sclerosis?

Two questions: 1. There is no surgical process that will beneficially help ms, other than possibly deep brain stimulation to control cerebellar tremors. 2. If treated with a potent medication, the lifespan should be similar to a patient without ms. 3. Forget this business with surgery to veins draining from the brain, it is life-threatening and does not work. ...Read more

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Is optic neuritis always caused by multiple sclerosis?

Is optic neuritis always caused by multiple sclerosis?

Not always: But, if there is but one MRI white matter lesion associated with optic neuritis, about 75% of pts have developed clinically definite ms by 14 years. In other words, you may need followup for a period of time if you have suffered optic neuritis. Find an experienced ms specialized neurologist and discuss your situation. ...Read more

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In what ways are multiple sclerosis and bilateral pulmonary embolisms related?

In what ways are multiple sclerosis and bilateral pulmonary embolisms related?

Really aren't: Pulmonary embolism represents a loose blood clot from an area of pre-existing thrombosis, such as leg, heart, or pelvic areas. Chronic disease can lead to debility, and prolonged immobility, which can promote blood stasis and local clotting, but if the ms patient is treated with potent medication, exercises, and stays active, the risk of embolism is very low. ...Read more

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Multiple sclerosis cause loss of use of hands?

It can: Lesions of MS are present at multiple locations in the brain and spinal cord. Depending on the anatomic location of the lesions, a person could lose the use of hands. Legs are generally affected more than arms. ...Read more

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Is multiple sclerosis progressive and fatal?

Prog.disease: There is a variant form of MS that is very aggressive that can lead to coma or death. However most of the other forms do not have such a grave prognosis. If left untreated >30 % of patients will develop significant disability within 20->25 years after onset. Life expectancy is shortened only slightly, death usually results from secondary complications. ...Read more

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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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What are promising new treatments for multiple sclerosis?

What are promising new treatments for multiple sclerosis?

Many: We have 12 drugs approved to treat MS, and more on the way. The newest are Tecfidera, Plegridy, and the most potent drug of all, Lemtrada. Coming are newer mono-clonal antibodies, a drug to restore myelin damage, and even some treatment for the progressive forms. ...Read more

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Brain MRI findings. Tiny nonspecific periventricular and subcortical white matter. Possiblities mini strokes, vasculaties, ms. I shuffle my feet & drop?

Brain MRI findings. Tiny nonspecific periventricular and subcortical white matter. Possiblities mini strokes, vasculaties, ms. I shuffle my feet & drop?

Nonspecific finding: White matter changes that are nonspecific are sometimes over reported or under-reported on MRI studies. They may be misread and really suggest MS, they may be a finding with no clinical relevance. Usually it is the latter. It sounds like the brain MRI did not help that much. So you shuffle your feet and drop? What do you mean by drop? Do you have numbness? Why was the brain MRI done? ...Read more

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Is multiple sclerosis fatal?

Is multiple sclerosis fatal?

Not usually: Ms is a chronic neurological condition, characterized by episodes of neurological disability of variable severity and recovery. A minority of inidividuals can have a very aggressive course, and become so disabled that they are at risk of secondary medical complications which may be fatal. There are subtypes of MS which are so aggressive that a fatal outcome can happen. Fortunately these are rare. ...Read more

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What types of vision change occur with multiple sclerosis?

Optic neuritis: Not uncommon is a rapid decrease in unilateral vision associated with pain and decreased color intensity. Double vision can occur and sometimes objects seem to jump around. Any of these problems should be addressed asap by your neurologist. ...Read more

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What are the differences between striatonigral degeneration & multiple system atrophy?

What are the differences between striatonigral degeneration & multiple system atrophy?

MSA and SND: are rare Parkinson's plus degenerative conditions. The tend not to respond to medications for Parkinson's disease. The differences are subtle but many. I suggest you google "Parkinson's plus" for a good explanation. It would take more than the 400 character limit to scratch the surface. ...Read more

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Does storing your child's cord blood cure multiple sclerosis?

Not yet: There is no evidence that your child's tissue will assist ms in future. Research in stem cells too primitive at this point. ...Read more

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Mri: sagittal t2 & flair imag, altho less well seen in the axial plane, is increas signal wthin c5-c6 cervical cord, perhaps an area of myelomalacia, ?

Mri: sagittal t2 & flair imag, altho less well seen in the axial plane, is increas signal wthin c5-c6 cervical cord, perhaps an area of myelomalacia, ?

Myelomalacia: That means that there may or may not be an area of subtle change which may represent myelomalacia in your cervical spine at the c5/6 location. Myelomalacia if present can signify injury that is ongoing or had been there in the past. Only a history and neurological exam can determine if this 'finding' (if any is actually there) is of any clinical relevance. Please be evaluated by a spine surgeon. ...Read more

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Treatment of multiple sclerosis is for life or temporary taking s.c injection of betaferon?

Treatment of multiple sclerosis is for life or temporary taking s.c injection of betaferon?

Need chronically: Some advice, there are pills available, but where you live, might be tough to get. Nonetheless, do not miss your injections, and add Vitamin D-3 about 5000-10000 units per day. We do not have a clear idea when to stop the MS meds, and in those older patients who I have stopped, a few have had relapses. Stay tuned, drugs to be used differently are on the horizon. (even Lemtrada) ...Read more

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All test Negative. No multiple Sclerosis! Who or where can I go to find out why I'm having problems bending my leg. NO PAIN!!! ?

All test Negative. No multiple Sclerosis! Who or where can I go to find out why I'm having problems bending my leg. NO PAIN!!!
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Painless leg problem: I'm a bit confused. You state "No multiple Sclerosis!" but in your Clinical Findings: Conditions, you list "Multiple sclerosis". You also didn't describe where you're having painless difficulty bending your leg: hip? knee? ankle? My suggestion is to have your Family Doc refer you to Sports Med specialist, Rheumatologist, Orthopedic surgeon & even Neurologist esp if MS. Have u had EMG/NCV? Biopsy? ...Read more

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I have multiple sclerosis & the symptoms of diabetes are so similar how do I know if i'm a diabetic? My dr. Refers everything to multiple sclerosis.

I have multiple sclerosis & the symptoms of diabetes are so similar how do I know if i'm a diabetic? My dr. Refers everything to multiple sclerosis.

Easy: The test for diabetes is simple - it is just a blood test. It is important not to attribute everything you experience to ms. However, it is possible your doctor has already done some additional testing and has ruled-out diabetes. Many patients are not aware of all the tests that are run when they go to the lab and have blood drawn. Just ask your doctor. ...Read more

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What are the odds that I'm going to develop multiple sclerosis? How common is this?

Variable.: If you have identical twin with MS, about 30%, but if no relative and you live north of latitudes 39-42, could be as high as 1 in 545 in the general population. About 450,000 cases thought to be in USA, in a population over 300,000,000. ...Read more

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What are the dangers, if any, of taking cycles or "gear" for bodybuilding if that person had multiple sclerosis? I'm just curious.

What are the dangers, if any, of taking cycles or "gear" for bodybuilding if that person had multiple sclerosis? I'm just curious.

Not simple: Bodily temperature elevation, from vigorous exercise, may result in a pseudo exacerbation, with amplification of prior symptoms which can reverse with cooling. But exercise is of value for ms patients, just needs to be paced. Also, depending upon the patients debility, exercise should be designed to prevent harm secondary to weakness, or imbalance/incoordination. ...Read more

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Why are "family doctors" answering multiple sclerosis questions?! I have spotted inaccurate info being given. Only a neuro answer? 's

Part of a team: Your family doctor is usually the doc who makes the referrals and is often the one who helps treat complications, such as urinary tract infections, fatigue, associated injuries, medication reactions, and he/she keeps open the communication lines between different specialties. Coordination of medical care is critcal these days. ...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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How does one get multiple sclerosis?

No one really knows: Ms is thought to be caused when the immune system attacks the neurons in the body, specifically the cells that make white matter. There are many theories of why the body does this but no agreement. ...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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Common symptoms of multiple sclerosis?

Common symptoms of multiple sclerosis?

Varies, but often: The disease can present with loss of vision in one eye, electrical tingling on bending the neck, unexplained imbalance or falling, leg weakness and/or spasticity, bladder incontinence, fatigue, double vision, and problems with intellectual function. This can be isolated or grouped, and in 85% if pts symptoms come on rapidly and slowly remit, i.e., relapsing-remitting ms. Start rx asap. ...Read more

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How can multiple sclerosis affect the body?

How can multiple sclerosis affect the body?

Central nervous only: Affects brain, spinal cord, and eyes, by attacking the myelin coverings of the nerves. Causes changes in vision, balance, strength, sensation, stamina, memory, bowel and bladder functions, in part. No direct effect on internal organs such as heart or lung. ...Read more

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Which system does multiple sclerosis attack?

Which system does multiple sclerosis attack?

MS: Initially brain and / or spinal cord. But many other systems are attached to nervous system such as; muscle causing weakness and stiffness urinary bladder causing dysfunction behavior causing mood disturbance peripheral nerves causing numbness eyes causing blindness, pain and loss of color vision balance and falls. ...Read more

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Can multiple sclerosis cause other conditions?

Not directly: But, complications due to MS can occur. Such as bladder infections, falling resulting in bone fractures, osteoporosis due to frequent steroids or immobilization, risk of medication adverse events such as hypertension or liver abnormalities or thyroid issues. ...Read more

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Can someone with multiple sclerosis have children?

Can someone with multiple sclerosis have children?

Depends on situation: I have one wonderful mom whose 3 kids (all after ms dx) are just wonderful. ...Read more

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What are the common symptoms of multiple sclerosis?

What are the common symptoms of multiple sclerosis?

Varies, but often: The disease can present with loss of vision in one eye, electrical tingling on bending the neck, unexplained imbalance or falling, leg weakness and/or spasticity, bladder incontinence, fatigue, double vision, and problems with intellectual function. This can be isolated or grouped, and in 85% if pts symptoms come on rapidly and slowly remit, i.e., relapsing-remitting ms. Start rx asap. ...Read more

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How much time are lesions present in multiple sclerosis?

If you have MS, : There are some lesions present in brain white matter or grey matter at all times throughout the disease. On occasion, these lesions may be tough to see on MRI and may be easier visualized in the spinal cord. The idea of therapy is to prevent inflammation and potent meds such as Tysabri (natalizumab) or Gilenya can control the disease quite well. ...Read more

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What types of vision change occur with multiple sclerosis?

Optic neuritis: Not uncommon is a rapid decrease in unilateral vision associated with pain and decreased color intensity. Double vision can occur and sometimes objects seem to jump around. Any of these problems should be addressed asap by your neurologist. ...Read more

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How to determine which multiple sclerosis med is the best?

Complex: Treatments have dramatically changed over past few years. The older self-injectables are rapidly being discarded in favor of the newer orals and infusible agents, which seem easier to use and more effective. But, no one drug is the answer for everyone, and decisions are based on tolerance, co-morbidities, question of pregnancy. Maybe you are candidate for tysabri, (natalizumab) techfidera, gilenya, aubrigio? ...Read more

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What does it mean Multiple Sclerosis in you but not active?

What does it mean Multiple Sclerosis in you but not active?

Exactly what it is: That means you do have the disease condition which is currently very quiet but may become active again sometime in the future as can often be expected in MS. ...Read more

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How to tell if these are common multiple sclerosis symptoms?

Symptoms of MS: Common symptoms of MS are loss of vision in one eye, numbness or weakness on one side of the face or the body, double vision, clumsiness, or sometimes neuropsychiatric symptoms. The MS society keeps a helpful list of symptoms on their website. The symptoms of MS do not make the diagnosis - the evaluation and test results are needed. ...Read more

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Dr. Bennett Machanic
1,450 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 muscular coordination, blurred ...Read more