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Doctor insights on: Subchondral Sclerosis Treatment

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Dr. Tiffanie Noonan
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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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)

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What is the treatment for multiple sclerosis?

What is the treatment for multiple sclerosis?

Getting exciting: Original meds included self-injectables, such as betaseron, avonex, compaxone, and rebith. Later, tysabri (natalizumab) infusions, and 2 oral meds, Gilenya and aubagio. We now know that vitamin d supplements provide added benefit. No one med fits all, but most effective drugs currently are Gilenya and tysabri (natalizumab), and these work best of the current crop.

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What is the best treatment for multiple sclerosis?

What is the best treatment for multiple sclerosis?

No unique answer: MS has many forms, many phases, individuals respond in all sorts of different and at times unpredictable ways so there is no BEST drug to tell you about. Latest research suggests the use of interferons and immunomodulating drugs is what best manages this disease. Unfortunately, there are plenty of problems with that approach but your doctor will discuss all the options with you.

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Is there any permanent treatment for multiple sclerosis??

Is there any permanent treatment for multiple sclerosis??

All are permanent: All treatments for MS are not curative, in order to stop or slow down the progression of the disease, you have to take them indefnitely. I hope this answers your question, not sure what you mean by permanent. If you mean that the treatments "permanently" stop progression, only possibly if you keep using them. I like tysabri (natalizumab) despite the side effects. I see MS lesions literally disappear.

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What are the causes, effects, treatment of multiple sclerosis?

What are the causes, effects, treatment of multiple sclerosis?

Complex: We do not know the exact cause of this autoimmune disease that attacks brain and spinal cord, but do find that both heredity and environment play roles in susceptibility. We are gaining new medicines which are far more potent (altho maybe risky), which can control the disease far better. The most potent available include tysabri (natalizumab) and gilenya. No cure yet, but stay tuned, it is close.

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In simple terms can anyone tell me what is the best treatment for multiple sclerosis?

In simple terms can anyone tell me what is the best treatment for multiple sclerosis?

My opinion: For what it's worth, each ms patient is unique and not all meds fit each person. Yet, you want a potent effective medicine, and nowadays we have lots of choices. Must consider risks and side effects. Most effective meds in descending order would be tysabri, (natalizumab) gilenya, tecfidera, rebif, betaseron, aubagio, copaxone, and lastly avonex. No perfect med exists commercially..

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What exactly is multiple sclerosis? What is the usual prognosis and what is the treatment?

Autoimmune: Ms is a disease where the immune system attacks the coverings of nerves in the brain and spinal cord. Susceptibility due to heredity and environment seem to affect who gets afflicted. The prognosis is improving dramatically these days due to new medicines. Therapies include tysabri, (natalizumab) gilenya, copaxone, betaseron, rebith, extavia, etc.

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How can putting off treatment of multiple sclerosis by a few months after initial diagnosis (because of a temp. Loss of insurance) impact prognosis?

How can putting off treatment of multiple sclerosis by a few months after initial diagnosis (because of a temp. Loss of insurance) impact prognosis?

My experiences: Every MS patient is different, and experiences a varied and unique disease presentation, but we strongly suggest starting disease modifying agents as soon as diagnosis is confirmed to prevent disability. That said, delay of a few months may be trivial in your case, but, drug companies have programs for those without insurance, and no real reason to delay treatment. Discuss with your neurologist.

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Is there treatment for systemic sclerosis?

Is there treatment for systemic sclerosis?

Not really: D-penicillamine might work, and there a number of studies suggesting this, but no long term double blind studies exist. A recent report suugest that a drug CellCept (mycophenolate mofetil) might be of value, and there are those that use mtx or tetracyclines. The major advances are ability to control BP and treat pulmonary hypertension. We can deal with esophgeal spasm and reflux. Nothing great at present for underlying dx.

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Do I need a treatment for lichen sclerosis?

Do I need a treatment for lichen sclerosis?

Consider it: Lichen sclerosis, especially in the genital area, can be quite painful and destructive over time. Treatment can help stop this.

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What is the treatment for tuberous sclerosis?

What is the treatment for tuberous sclerosis?

Not curable: The disease is managed by surgery for the tumors as applicable, and medications. No two cases are alike. Ask about sirolimus if this question applies to a family member. Patients who wish to become parents will do well to learn how to prevent transmission of the illness to their children. Best wishes.

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What is hypertrophic facet sclerosis and best treatment?

What is hypertrophic facet sclerosis and best treatment?

Degenerative Disease: The articular surfaces of the vertebrae become enlarge abnormaly and become stiff. The evidence suggests that best treatment is surgery by pedicle to pedicle decompression.

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For someone who is 40 years old, what are the long term detrimental impacts of interferon treatment for multiple sclerosis?

For someone who is 40 years old, what are the long term detrimental impacts of interferon treatment for multiple sclerosis?

Interferon: The real question you should be asking is "what are the detrimental effects of not taking interferon for treatment of ms". Ms can be a deadly disease and medications are chosen and recommended by physicians after a careful consideration of risks versus benefits. Ask the prescribing physicians for information that will help you look at both sides of this issue.

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Is cortisone given for multiple sclerosis treatment?

MS relapses: Steroids such as cortisone can be used to treat relapses, but should not be used chronically due to adverse event potential. These drugs should only be used briefly to reverse a flare.

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What is the treatment for amyotrophic lateral sclerosis?

What is the treatment for amyotrophic lateral sclerosis?

Not good: Lou gehrig's disease remains resistant to successful treatment or control. The drug Riluzole is on the market but is very disappointing, although may delay useage of a tracheostomy tube for a few months. We are learning about a misfolded protein, and this may point the way for future success.

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Classical hodgkin's lymphoma nodular sclerosis, what is the best treatment?

Classical hodgkin's lymphoma nodular sclerosis, what is the best treatment?

Depends: For early stage disease, it's usually 2-4 cycles abvd w/ involved site radiation. For advanced disease, it's at least 4-6 cycles of abvd or even beacopp with radiation reserved for sites of bulk disease. For relapse, new drugs like Adcetris (brentuximab vedotin) are in use as are the option of transplant.

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Will systemic sclerosis kill me if I don't get treatment? Is it just a slow disease?

Yes: Systemic sclerosis is a slow progressive but relentless disease. Current treatments are of limited efficacy. Having said that, you should follow closely with a rheumatologist.

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Treatment for upper motor neuron sympathy for my diagnose of primary lateral sclerosis?

Try this: Although no cure currently, the drug Riluzole has been used to slow down the process and prevent or delay tracheostomy. Some pts might benefit from other glutamate blockers, Gabapentin and memantine have been tried in addition. Some alternative health sites have mentioned anti-oxidant approaches, and you might check hsi (health science institute). Get second opinion at nearby medical schools.