Doctor insights on:
The Causes Of Multiple Sclerosis
Hard to Say: The exact causes of multiple sclerosis (MS) are unknown. It's believed to be an autoimmune disease where the body's immune system attacks its own tissues. In MS, this process destroys myelin, the fatty substance that coats and protects nerve fibers in the brain and spinal cord. ...Read moreSee 2 more doctor answers
You bet!: Anti-spasticity agents will assist the tightness in the legs, and you could try baclofen, tizanidine, maybe botox, etc. The newest agent touted to assist gait speed, and stamina, is called ampyra, (dalfampridine) but may not help everyone, just have to try it. Best way to address mobility problem is to be using the most effective potent medications, and supplementing with vitamin d. ...Read more
Not known: We know this so far, ms is an autoimmune disease associated with genetic susceptibility, and environmental triggers (including increased incidence with prior ebv infections, low levels of vitamin d, growing up north of latitude 39, smoking, eating high fat, high salt diet, etc). Not sure what you mean by mitochondria, but these cellular contents are damaged by ms lesions. ...Read more
Complex: We now classify progressive disease as active or non-active, and an aggressive transformation can well be indicative of new superimposed systemic or local inflammation. Specific medication intervention might well help, but you need an experienced MS specialist, which is available in Las Vegas at Lou Ruvo Center of Cleveland Clinic. ...Read more
Unknown: We do not know why some folks get spinal tumors, although some could be secondary to tumor spread from elsewhere, such as lung cancers, maybe associated with smoking. Genetics may play a role. Ms susceptibility can be associated with genetics and environmental influences, but the final cause remains unclear. ...Read more
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
No: Though optic neuritis might be the first presentation in someone who will develop ms, there are many times when it is simply optic neuritis. A thorough history and examination by a neurologist can help address for you whether you might already have ms, or simply optic neuritis. ...Read moreSee 1 more doctor answer
How is the treatment for multiple sclerosis? Will my tinnitus (caused by multiple sclerosis) go away after i treat it?
Hard to predict.: If you have Multiple Sclerosis, you should be using specific MS medication, and do NOT understand why you are using ginkgo, which is totally useless for any neurological disease. Tinnitus may be due to inner ear issue and best to evaluate using audiological/ otological testing. ...Read moreSee 1 more doctor answer
I recently had a course of iv steroids (solumedrol) for optic neuritis caused by multiple sclerosis. When can I expect my vision to get better?
Varies: Usually a few weeks but sometimes faster and sometimes slower and potentially with some residual deficits. ...Read more
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