Doctor insights on:
Multiple Sclerosis Psoriasis
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
An autoimmune disease involving the skin, nails, and occasionally the joints. It is not contagious. There are several types of skin lesions, most common variety being large red scaly itchy plaques on extensor surfaces such as elbows and knees. Psoriasis can be controlled by a wide variety of medications, but a cure has ...Read more
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
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
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
I recently diagnosed by multiple sclerosis, and I don't know what to do I'm afraid to take medication.
Multiple sclerosis: First, I wish you will get better and get over this disease, and that can't be achieved without specialists supervision, neurologists and other physicians, and taking medications prescribed according to your stage / severity of the disease, if questioning the diagnosis, get a second opnion. If really anxious / depressed seek psychiatric help, but don't just stay put, good luck ...Read more
I've had numerous test done. Outcome sign of Multiple Sclerosis not active I'm 50 will it become active?
Yes it is possible: Disease can go into remission and then flare up. You have to look for the cause. We propose to treat causes of such chronic ailment. To learn more about how to treat the cause Please visit us www. Ehacstl. Com ...Read more
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
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!!! ?
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
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
No cure at this time: It is difficult to develop a cure when the cause of a condition is not fully understood. There seem to be several factors that contribute to the development of MS but there is no ONE gene or ONE virus that has been implicated as a direct cause. Rather, the interaction of genetic susceptibility and infectous and/or environmental factors seem to result in dysregulation of the immune system. ...Read more
Detective Work: No one diagnostic study can stand alone to conclusively diagnose ms. A neurologist must be a detective, hunting out clues from symptoms suggesting abnormal function in the brain or spinal cord white matter, of appropriate duration (greater than 24 hours) coupled with abnormalities on examination. Mri, spinal fluid, and certain blood tests. This information can help exclude MS mimickers. ...Read more
Not fully understood: Multiple sclerosis is a very complex disease. There is a large collection of research identifying certain genes (most governing control of the immune system) as both increasing risk and potentially protective against MS (based on studies of populations). Environmental and hormonal factors may also play a role in individuals with a background genetic risk. ...Read more
Genes: Ms has been shown to be associated with mutations in a number of genes, the majority of which appear to regulate the immune system. Among first degree relatives, the risk of ms is increased, but absolute risk is low. Other factors weigh in to the development and expression of this disease other than strictly genetic predisposition. ...Read more
I suggest that my patients spend time exploring the following websites:
You may also get information from the MS societies in the UK and Canada.
Please understand that the phenotype of MS is highly variable. Some patients are seemingly unaffected and others are profoundly disabled. Do not assume that the person with MS will experience all of the symptoms you read about. ...Read more
Not genetic disease.: Ms occurs in genetically susceptible people who are exposed to environmental influences. If your mom has ms, perhaps 3-5% chance, and dad, about 1-3%. If both mom and dad each have ms, increased risk about 11-35%, and certain genetic profiles either increase or decrease ultimate risk. Environment may instead play a larger role. ...Read more
Several tips: The best approach is to use a potent medication, and take it as directed. The best include tysabri, (natalizumab) gilenya, tecfidera. Vitamin d-3 supplements will help, about 5000 units twice daily (aim for blood level about 50-60 ng/ml) do aerobic exercise, eat low fat, low salt diet. Find an expert doctor who has experience and specializes in ms. ...Read more
Go to neurologist: If you really do have MS, see an experienced neurologist and get treated. In 2014, this is both a treatable and controllable condition that responds beautifully to newer medications. And if you do NOT have MS, wouldn't you feel better? ...Read more
Vascular surgery: Dr. Mechanic's answer is correct. It is important to realize that dr. Zamboni is a vascular surgeon, not a neurologist, and he did this surgery in a non-controlled fashion. More recent studies have shown no benefit to this surgery, and given the real risks of this surgery, it is not recommended. ...Read more
Genes only one part: While there are some genetic susceptibilities to ms, the true reasons while one person develops the disease and another does not remain unclear. Family history is only a risk factor, and not a definite predictor, with other factors such as nutrition, infection, and so forth likely playing a role. ...Read more
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
No: Population studies have suggest that mononucleosis in adolescence, smoking, and possibly childhood obesity are risks for developing ms. However ms is a complex variable disease requiring genetic predisposition along with some environmental trigger (s), possibly influenced by hormones, immune system priming from certain infectious agents. ...Read more