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Understanding Multiple Sclerosis

Ramin Ansari MD
Medically reviewed by Ramin Ansari
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Ramin Ansari MD
Medically reviewed by Ramin Ansari

There are many autoimmune illnesses of the nervous system (NS). This includes the brain and spinal cord, but one of the most widespread is multiple sclerosis (MS). This is a chronic illness. The immune system mistakenly attacks the protective sheath (myelin). It characterizes MS. The disease can cause the nerves to deteriorate. They also may become permanently damaged. But the exact cause of MS is unknown. It is usually believed to involve a combination of genetic and environmental factors.

MS is typically diagnosed through medical history, neurological exams, and MRI. There is no cure for such illness, but some treatments are available. They can help manage symptoms. Let’s discuss the life expectancy and key characteristics of multiple sclerosis.

What exactly is Multiple Sclerosis?

This is a serious condition affecting the central nervous system (CNS). It leads to brain dysfunction in transmitting and receiving signals. The destruction of myelin-type substances reduces the transmission of nerve impulses. The electrically insulating shell is destroyed, and as a result, sclerotic scars usually form. 

Maintaining the patient’s health with this condition depends on timely diagnosis. Quality treatment is also important. As a result of this disease, damage to the membranes of nerve structures occurs. If the disease is left untreated, several neurological disorders develop. 

In the medical literature, you can find the following names – multiple and disseminated sclerosis. An autoimmune disease develops against a background of immune dysfunction. As a result, the myelin sheaths become foreign and are attacked. Over time, the disruption of the transmission of electrical impulses from the brain to the organs appears. Intense attacks lead to paralysis, various partial paralysis, and decreased visual function.

Who is most likely to be affected by Multiple Sclerosis? 

This condition primarily affects specific populations more than others. Let’s explore the key factors. Among them are:

  • Women: They are 2-3 times more likely to develop MS than men.
  • Young adults: Typically diagnosed between ages 20 and 50.
  • People of Northern European descent: MS is more common in this ethnic group.
  • Individuals living in temperate climates: Particularly those farther from the equator.
  • People with a family history of MS: Especially those with affected first-degree relatives.
  • Smokers: As smoking is a known risk factor.
  • Those who were obese in childhood or adolescence.
  • People who have had Epstein-Barr virus (mononucleosis).
  • Individuals with other autoimmune conditions.

There is no known multiple sclerosis prevention. Understanding these risk factors can help in early detection and management.

Digging into the Causes

stages-of-multiple-sclerosis

An abnormal immune response usually causes such a condition. It attacks the CNS, specifically the myelin sheath covering nerve fibers. This results in inflammation and damage, disrupting nerve signals. The exact trigger is unknown. This is believed to involve genetic and environmental factors.

The role of the immune system in Multiple Sclerosis 

This immune system targets the myelin sheath. This is a protective layer around nerve fibers in the CNS. This autoimmune attack leads to inflammation and damage. It disrupts the transmission of nerve signals. The damaged myelin forms scar tissue (sclerosis), further impairing nerve function. The immune system’s role is central in initiating and perpetuating the disease. This makes MS a chronic and progressive condition.

Risk factors associated with Multiple Sclerosis 

Several risk factors increase the likelihood of developing MS:

  • Age: Most commonly diagnosed between 20 and 50 years.
  • Gender: Women are more likely to develop MS than men.
  • Genetics: A family history of MS increases risk.
  • Geography: Higher prevalence in regions farther from the equator.
  • Vitamin D Deficiency: Lower levels are linked to higher risk.
  • Infections: Certain viruses, like Epstein-Barr, are usually associated with MS.
  • Smoking: Increases the risk and severity of MS.

Understanding these factors is crucial. It helps with early detection and management of the disease across different stages of multiple sclerosis.

Recognizing the Symptoms of Multiple Sclerosis

Clinical presentations are diverse. They often include:

  • fatigue;
  • muscle weakness;
  • coordination issues;
  • vision problems;
  • numbness or tingling;
  • cognitive changes are also common.

Physical symptoms

They can significantly affect daily life. Muscle weakness and spasticity often lead to mobility challenges. Fatigue is a frequent and debilitating symptom. Numbness, tingling, and pain are common. Multiple sclerosis eye signs include blurred or double vision and optic neuritis. They can cause vision loss. Bladder and bowel dysfunction can also occur. It further impacts the quality of life.

Emotional and mental health impacts

Such a condition significantly affects emotional and mental health. Depression, anxiety, and mood swings are common. This is because of the chronic and unpredictable nature of the disease. Memory issues and difficulty concentrating can arise. Multiple sclerosis can cause strange feelings in the head, such as dizziness or a feeling of pressure. Addressing these mental health aspects is important for comprehensive treatment.

Different Stages of Multiple Sclerosis 

This condition progresses in distinct stages. Specific patterns of symptom development and progression typically characterize each. Understanding these stages is vital for effective management and treatment. The disease can vary significantly in severity and impact on individuals.

Relapsing-Remitting MS (RRMS)

This is the most common form of MS. Clearly defined attacks of new or worsening neurological symptoms (relapses) appear. They are typically followed by partial or complete recovery (remission) periods. During remissions, all signs may disappear, or some may continue and become permanent. RRMS can transition to secondary-progressive MS over time.

Primary-Progressive MS (PPMS)

A gradual worsening of neurologic function often marks such a multiple sclerosis stage. This is from the onset of symptoms, without early relapses or remissions. PPMS affects about 10-15% of people with MS. Such signs tend to be typically diagnosed later in life compared to RRMS. Progression can be steady. Also, it may include occasional plateaus and minor improvements.

Secondary-Progressive MS (SPMS)

This stage follows an initial relapsing-remitting course of multiple sclerosis. Over time, SPMS transitions into a steadily worsening condition with fewer or no relapses. Disability gradually increases as the disease progresses. A continuous decline in neurological function characterizes SPMS. This makes effective management crucial to maintain quality of life. Also, a treatment plan slows the progression of symptoms.

Progressive-Relapsing MS (PRMS)

This is a rare form of MS that combines steadily worsening symptoms with acute relapses. Patients experience a permanent decline in neurological function from the very beginning. Sudden episodes of increased severity punctuate them. PRMS is aggressive and challenging to manage, often leading to significant disability. Addressing this type is vital. This is vital to optimizing patient care during multiple sclerosis’s final stages.

Diagnosing Multiple Sclerosis

Diagnosing involves a comprehensive approach to identifying characteristic signs. This includes a thorough medical history, physical examination, and specialized tests. They are MRI scans and cerebrospinal fluid analysis. Such methods help to detect inflammation and rule out other conditions.

Medical history and physical examination

Diagnosing begins with a detailed medical history. It helps to document symptoms, their onset, and progression. A physical examination assesses neurological function. It looks for abnormalities in vision, coordination, strength, and reflexes. These initial steps help identify patterns consistent with MS and guide further testing. A thorough history and physical exam distinguish MS from other neurological disorders.

Use of Magnetic Resonance Imaging (MRI) 

This is a critical multiple sclerosis diagnosis criteria. MRI provides detailed brain and spinal cord images. It detects lesions or areas of damage caused by demyelination, a hallmark of MS. MRI can reveal active inflammation and chronic lesions, helping to confirm the diagnosis. Serial MRIs can also monitor disease progression and response to treatment. This makes it essential in managing MS.

Checking for signs of inflammation in cerebrospinal fluid (CSF)

Analyzing it through a lumbar puncture helps diagnose MS. CSF detects signs of inflammation and immune activity in the central nervous system. The presence of oligoclonal bands in CSF indicates an abnormal immune response. This is commonly seen in MS patients. Cerebrospinal fluid analysis and other diagnostic tools are part of a comprehensive diagnosis. They also exclude various processes.

Treatment Options for Multiple Sclerosis

multiple-sclerosis-prevention

Medications alter the course of MS. They reduce the frequency of relapses, delaying disease progression. Also, medications manage symptoms. These treatments aim to suppress the immune system’s harmful response. Also, they promote neurological function. Treatment plans improve the quality of life. This is important for individuals with MS.

Disease-modifying therapies (DMTs)

These are medications designed to alter the course of MS. They reduce the frequency of relapses, delaying disease progression and managing symptoms. These treatments aim to suppress the immune system’s harmful response. Also, they promote neurological function. Treatment plans improve the quality of life for individuals with MS.

Managing symptoms through medication and physical therapy

These points can easily manage fatigue, spasticity, and mobility issues. Medications target specific symptoms. Physical therapy helps maintain strength, flexibility, and overall mobility. Adaptive devices and assistive technologies also enhance daily function. Self-care for people with multiple sclerosis includes:

  • Avoiding heat exposure: Such a method helps manage heat sensitivity. This is a common issue in MS.
  • Regular medical check-ups: Monitor disease progression. Also, it adjusts treatment plans as needed.

Lifestyle modifications and support 

Beyond medical treatments, these changes are important in managing MS. These include:

  • maintaining a balanced diet to manage multiple sclerosis;
  • regular exercise to improve strength and coordination;
  • managing stress to minimize flare-ups.

Support groups and counseling can provide emotional support. They also offer strategies for coping with the challenges of living with MS. A holistic approach to care helps individuals maintain independence. Also, it lets them optimize their quality of life.

Living with Multiple Sclerosis

Living with this condition involves adapting to the challenges. They are posed by the disease while maintaining a fulfilling life. Individuals need proper management. Professional support is also essential. So they can effectively manage symptoms. Patients also may enhance their quality of life.

How to maintain a positive mindset 

This aspect is important in managing MS. The common strategies include:

  • Staying Informed: Understanding the disease empowers individuals to make informed decisions.
  • Setting Realistic Goals: Focus on achievable milestones. It will help to maintain motivation.
  • Practicing Gratitude: Appreciating daily blessings fosters resilience.
  • Engaging in Activities: Pursuing hobbies and interests boosts mood.
  • Seeking Support: Connecting with others facing similar challenges. They provide perspective and encouragement.

Individuals should prioritize Multiple sclerosis self-care and stay connected. So they can foster resilience. Individuals may maintain a positive outlook despite the challenges of MS.

The importance of building a supportive community 

Building a supportive community is essential for those with MS. A strong support network:

  • Provides emotional support during difficult times;
  • Offers practical assistance with daily tasks;
  • Share information and resources about managing MS;
  • Reduces feelings of isolation and loneliness;
  • Promotes advocacy and awareness within the community.

Individuals should connect with support groups and online communities. They also must collaborate with local MS organizations. 

Contact Lone Star Neurology

If you’re seeking expert care for neurological conditions MS, contact us. We have a team of dedicated specialists. Our healthcare providers offer comprehensive evaluation. Also, we provide personalized treatment plans to meet your needs.

Making an appointment 

To schedule an appointment at Lone Star Neurology, call our office directly. You may also visit our website to request an appointment online. Our staff will assist you in finding a convenient time for your consultation. Early diagnosis is vital in managing multiple sclerosis and its various symptoms. Don’t hesitate to reach out for timely evaluation and care.

Available services at Lone Star Neurology

Our company provides a wide range of services tailored to neurological health. These include diagnostic evaluations. MRI scans and neurological exams diagnose conditions like MS. Treatment options accurately encompass:

  • disease-modifying therapies (DMTs);
  • symptom management strategies;
  • rehabilitative services to enhance the quality of life.

Our compassionate team will support you throughout your journey with multiple sclerosis to maximize the life expectancy. We ensure comprehensive care and ongoing support.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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