First Choice Neurology

Multiple Sclerosis

Multiple Sclerosis (MS) is a potentially disabling disease of the brain and spinal cord. With multiple sclerosis, the immune system attacks the protective sheath (myelin) that covers nerve fibers and causes communication problems between your brain and the rest of your body. With time, the disease can potentially cause the nerves themselves to deteriorate or become permanently damaged.

Multiple Sclerosis affects more than 2.3 million people around the world. MS can occur at any age, but most commonly affects people between the ages of 15 and 60. It is most common in women, as they are twice as likely to as men to develop MS. MRI scans reveal abnormalities in the majority of people with MS. A neurologist will use the MRI scan to look for evidence of new damage and evidence of chronic damage to the central nervous system.

Facts about Multiple Sclerosis

• MS is a silent disease. It causes many different symptoms and varies from person to person.
• MS does not necessarily affect your lifespan.
• Stress can be a trigger for MS.
• Fatigue is the most common symptom, affecting between 75% and 90% of people who have MS.
• Exercises for strengthening, stretching, and balance can be useful in managing MS symptoms.

Symptoms of Multiple Sclerosis

MS symptoms can vary widely among individuals, making diagnosis challenging. Common signs include:

Fatigue: Overwhelming and persistent tiredness is a prevalent symptom, affecting daily activities.

Numbness or Tingling: Many individuals with MS experience numbness, tingling, or a "pins and needles" sensation, often in the limbs.

Vision Problems: Blurred or double vision, eye pain, and partial or complete vision loss can occur due to optic nerve inflammation.


Muscle Weakness: Weakness or difficulty in coordination, leading to challenges in walking and performing fine motor tasks.

Balance and Coordination Issues: MS can affect balance and coordination, leading to problems with walking and an increased risk of falls.

Pain and Spasticity: Individuals with MS may experience pain, often described as aching or burning, along with muscle stiffness and spasms.

Cognitive Changes: Memory problems, difficulty concentrating, and changes in judgment can occur as part of cognitive impairment.

Treatments for Multiple Sclerosis

While there is no cure for MS, various treatment options aim to manage symptoms, slow disease progression, and improve quality of life. Treatment approaches may include:

Disease-Modifying Therapies (DMTs): DMTs help to modify or suppress the immune system's response, reducing the frequency and severity of relapses.

Symptomatic Treatments: Medications and therapies are prescribed to manage specific symptoms, such as pain, spasticity, and fatigue.

Physical and Occupational Therapy: These therapies focus on maintaining mobility, improving coordination, and enhancing overall function.

Counseling and Support Services: Emotional support, counseling, and support groups can be invaluable for individuals coping with the challenges of MS.


Stages and Types of Multiple Sclerosis

MS is a dynamic condition with a wide range of disease courses and progression. The condition is often categorized into four main types:

Relapsing-Remitting MS (RRMS): Characterized by periods of symptom exacerbation (relapses) followed by periods of remission.

Primary Progressive MS (PPMS): Involves a gradual and steady worsening of symptoms without distinct relapse and remission phases.

Secondary Progressive MS (SPMS): Develops in individuals with an initial RRMS diagnosis, leading to a progressive worsening of symptoms over time.

Progressive-Relapsing MS (PRMS): A less common subtype characterized by a steady progression of symptoms with occasional relapses.



Multiple sclerosis is a multifaceted condition that requires a nuanced understanding of its symptoms, causes, treatments, stages, and types. First Choice Neurology stands at the forefront of MS care, with a commitment to delivering comprehensive and compassionate services to individuals living with this challenging neurological disorder. By combining expertise, state-of-the-art facilities, and a patient-centered approach, First Choice Neurology strives to enhance the quality of life for those navigating the complexities of multiple sclerosis. If you or a loved one is seeking specialized MS care, contact one of our MS neurologists at First Choice Neurology for expert guidance and support.

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