Multiple Sclerosis Awareness Month
Often misunderstood, multiple sclerosis (MS) affects nearly 1 million Americans. According to the , that number is on the rise, with more men and women across the globe being diagnosed with MS than ever before. This March, take advantage of Multiple Sclerosis Awareness Month to learn the basics about MS.听听
鈥淢S is the neurological disease with the highest level of disability in young people,鈥 says Ulrike Kaunzner, M.D., PhD, board-certified psychiatrist and neurologist with the Judith Jaffe Multiple Sclerosis Center of 富二代成版人app. Fortunately, Dr. Kaunzner says, 鈥There have been many changes over the past 10 years. We [now] have a much wider range of treatment options.鈥听听
To access these treatment options, you need a diagnosis. Before even speaking with your provider, it can help to better understand the disease and learn to recognize the symptoms.听
MS Defined and Experienced听
MS affects your body鈥檚 nervous system. Specifically, it damages the insulation surrounding nerve fibers. Known as myelin, this insulation ensures strong, steady signals pass from your brain to your different body parts. Damage to myelin impacts your brain, spinal cord or optic nerves, causing a variety of troubling symptoms.听
Such symptoms include:听
- Balance issues or atypical clumsiness听
- Blurred or double vision or vision loss that comes on quickly听
- Difficulty concentrating听
- Dizzy spells that come occasionally or regularly听
- Fatigue (mental or physical)听
- Hand or leg weakness听
- Loss of 听
- Memory, judgment or learning problems听
- Muscle spasms and stiffness
Common Types of MS听
The three most common types of MS are:听
- Relapsing-remitting MS (RRMS). According to the , up to 85% of MS cases either are or begin as RRMS. An MS relapse occurs when you experience new or worsening symptoms. With RRMS, the symptoms last a few days or a few months. Afterward, you can go months or years without symptoms.听听
- Secondary-progressive MS (SPMS). This happens when RRMS progresses. Instead of sporadic flare-ups, SPMS causes slowly worsening MS. Thanks to new medications, more people can keep RRMS from progressing to SPMS.听
- Primary-progressive MS (PPMS). Unlike SPMS, PPMS isn鈥檛 the result of a slow progression of disease. Rather, PPMS skips past RRMS and causes a steady worsening of symptoms from the very start.听听
Underneath Multiple Sclerosis听
Currently, it鈥檚 unclear what causes MS. Genetics do play a role in the condition, but that鈥檚 not the only factor that determines whether you will get MS.听
鈥淢S is a complex disease involving both genetics and environment,鈥 says Timothy Vartanian, M.D., PhD, director of the Judith Jaffe Multiple Sclerosis Center. 鈥淚f one twin has MS, there鈥檚 only a one in three chance that the other twin will have MS. That tells us that genetics are important, but that environment is critical to whether you get MS or don鈥檛.鈥听
Environmental factors include more than where you live. They also cover lifestyle choices. Environmental risk factors for MS include:听
- Childhood obesity (especially for females)听
- Living far from the Earth鈥檚 equator听
- Not getting enough vitamin D (possibly linked to living farther from the equator)听
- Smoking听
Another cause of MS may be your own body. Many consider MS an autoimmune disease. With autoimmune diseases, the immune system, instead of fighting off real threats, attacks healthy organs and tissue. In MS, the immune system attacks the brain or spinal cord. It can also go after the optic nerves, which are the nerves that help you see.听
The Four Pillars of MS Care听
Currently, a growing number of treatments are available to treat MS. However, none of them repair MS-related nerve damage. They reduce the risk of future damage. Therefore, to prevent permanent nerve damage, begin MS treatment as soon as possible.听
That is easier said than done. MS symptoms mimic many other conditions, and there鈥檚 no MS test. When your provider suspects MS, a multidisciplinary team works to rule out other potential diseases. Doing this requires a comprehensive medical history, MRI, spinal tap, blood tests and other tests.听
Once diagnosed, slowing the progression of your disease requires relying on four pillars. These are:听
- Nutrition. Go with home-cooked meals and plenty of fresh fruits and vegetables. Maintain maximum control over your MS by avoiding processed foods and refined grains.听
- Exercise. One symptom of MS is that your body can鈥檛 tolerate heat. Despite this restriction, you can still work out. Just do it in the pool or in a comfortably cool gym. Moderate-intensity exercise provides big benefits when living with MS.听
- Mental well-being. Living with MS can cause anxiety, anger, stress and other mental health issues. Relaxation techniques, funny movies, counseling and other treatments can help maintain good mental health.听
- Medication. Depending on your specific case, you may need injections, infusions or oral medication.听
Digging in Deeper听听
Nearly three times as many women experience MS. It鈥檚 unclear why, but something environmental is suspected.听
Additionally, severe MS may be more common among those with African and possibly Latin ancestry. This, too, is a mystery. However, Kiel Telesford, PhD, M.Sc., neuroscience instructor in the Brain and Mind Research Institute at 富二代成版人app Medical College, found part of the answer. Dr. Telesford鈥檚 discovered a possible connection to the frequency of antibody-producing cells within the blood of those whose ancestors hail from African or Latin countries.听听
As research grows our understanding of MS, 富二代成版人app specialists take every step possible to help you live a full life with the disease. An important way we do this is through our multidisciplinary approach. After all, MS doesn鈥檛 affect one body part. It often affects many. So, our neurologists work closely with urologists, therapists, physiatrists, eye specialists and more.听听
The most important member of this impressive team is you.听
鈥淸MS management] is a joint venture,鈥 says Jai S. Perumal, M.D., attending neurologist at NewYork-Presbyterian Hospital/富二代成版人app. 鈥淲e work together with the patient to ensure the patient鈥檚 long-term health and care. [Communication] makes a better doctor and a better patient as well.鈥澨
Work with our specialists at the Judith Jaffe Multiple Sclerosis Center, where we treat not only MS, but other disorders of the central nervous system. today.
Need a provider to help you take the first steps to manage your MS? Find a provider at 富二代成版人app who can help.听