This causes inflammation and scar tissue, or lesions. This can make it hard for your to send signals to the rest of your body.
of people with MS report having fatigue. Fatigue that occurs with MS can become debilitating, affecting your ability to work and perform everyday tasks.
Difficulty walking can occur with MS for a number of reasons:
Difficulty walking can also lead to injuries due to falling.
Other fairly common symptoms of MS include:
The condition can also lead to speech disorders.
体育投注网址Your doctor will need to perform a neurological exam, request a clinical history, and order a series of other tests to determine if you have MS.
体育投注网址Diagnostic testing may include the following:
An MS diagnosis requires evidence of demyelination occurring at different times in more than one area of your brain, spinal cord, or .
A diagnosis also requires ruling out other conditions that have similar symptoms. , , and are just a few examples.
It isn’t uncommon for these early symptoms to go away only to return later. You may go weeks, months, or even years between .
These symptoms can have many different causes. Even if you have these symptoms, it doesn’t necessarily mean that you have MS.
RRMS is more common in women, whereas PPMS is equally common in women and men. believe that MS in men tends to be more aggressive and recovery from relapses is often incomplete.
体育投注网址Although this episode is characteristic of MS, it’s not enough to prompt a diagnosis.
If there are more than one lesion or positive oligoclonal bands (OCB) in your spinal fluid at the time of a spinal tap, you’re more likely to receive a diagnosis of relapsing-remitting MS (RRMS).
If these lesions aren’t present, or your spinal fluid doesn’t show OCBs, you’re less likely to receive an MS diagnosis.
involves clear relapses of disease activity followed by remissions. During remission periods, symptoms are mild or absent, and there’s no disease progression.
体育投注网址RRMS is the most common form of MS at onset and accounts for of all cases.
If you have , neurological function becomes progressively worse from the onset of your symptoms.
However, short periods of stability can occur. The terms “active” and “not active” are used to describe disease activity with new or enhancing brain lesions.
体育投注网址 occurs when RRMS transitions into the progressive form. You may still have noticeable relapses in addition to disability or gradual worsening of function.
体育投注网址Your MS may change and evolve, for example, going from RRMS to SPMS.
体育投注网址You can only have one type of MS at a time, but knowing when you transition to a progressive form of MS may be difficult to pinpoint.
体育投注网址It’s almost impossible to predict how MS will progress in any one person.
体育投注网址 of people with MS have only rare attacks and minimal disability 10 years after diagnosis. It’s generally presumed they’re not on treatment or injectables. This is sometimes called .
体育投注网址With the development of disease-modifying therapies (DMTs), studies show promising results that the progression of the disease can be slowed.
Progressive MS generally advances faster than RRMS. People with RRMS can be in remission for many years. A lack of disability after 5 years is usually a good indicator for the future.
The disease tends to be more severe and debilitating in men and older adults. The same prognosis is also seen in African Americans and those who have a high relapse rate.
Your quality of life with MS will depend on your symptoms and how well you respond to treatment. This rarely fatal, but unpredictable, disease can change course without warning.
体育投注网址Most people with MS don’t become severely disabled and continue to lead full lives.
Self-injectable disease-modifying medications for RRMS include and beta interferons, such as:
Oral medications for RRMS include:
体育投注网址 for RRMS include:
In 2017, the Food and Drug Administration (FDA) approved the first DMT for people with PPMS. This infusion drug is called ocrelizumab (Ocrevus), and it can also be used to treat RRMS.
Another drug, ozanimod (Zeposia), has recently been approved for treating CIS, RRMS, and SPMS, but it isn’t yet marketed due to the COVID-19 pandemic.
Not all will be available or appropriate for every person. Talk to your doctor about which drugs are most appropriate for you and the risks and benefits of each one.
Other treatments may also ease your symptoms and improve your quality of life.
体育投注网址Because MS is different for everyone, treatment depends on your specific symptoms. For most, a flexible approach is necessary.
体育投注网址If you take one of the DMTs, you’ll need to adhere to the recommended schedule. Your doctor may prescribe other medications to treat specific symptoms.
体育投注网址 is important for physical and mental health, even if you have disabilities.
If physical movement is difficult, swimming or can help. Some are designed just for people with MS.
A , low in and high in and , will help you manage your overall health.
Your diet should mainly consist of:
The better your diet, the better your overall health. You’ll not only feel better in the short term, but you’ll also be laying the foundation for a healthier future.
体育投注网址You should :
体育投注网址If you have other medical conditions, ask your doctor if you should follow a special diet or take any dietary supplements.
Foods that are high in calories but low in nutrients won’t help you feel better or maintain a healthy weight.
Studies regarding the effectiveness of are scarce, but that doesn’t mean they can’t help in some way.
The following therapies may help you feel less stressed and more relaxed:
Other things you should know:
体育投注网址Canadians have the highest rate of MS in the world.
The lesions MS causes can appear anywhere in your CNS and affect any part of your body.
As you age, some disabilities MS causes may become more pronounced.
If you have mobility issues, falling may put you at an increased risk for bone fractures. Having other conditions, such as and , can complicate matters.
体育投注网址One of the most common symptoms of MS is fatigue, but it’s not uncommon for people with MS to also have:
体育投注网址Mobility issues can lead to a lack of physical activity, which can cause other health problems. Fatigue and mobility issues may also have an effect on sexual function.
You can also try our free MS Buddy app to share advice and support in an open environment. Download for or .
Last medically reviewed on May 15, 2020