Multiple sclerosis -
Symptoms, Treatment, Diagnosis

 

What is Multiple Sclerosis (MS)?

Multiple Sclerosis (MS) is a complex inflammatory disease of the central nervous system that affects both the brain and the spinal cord and typically occurs in early adulthood. The diversity of the disease makes it difficult to make general statements about its course, symptoms, and the effectiveness of treatment. Each patient experiences MS in an individual way, earning it the reputation of being the "disease with a thousand faces." It is important to emphasize that MS is neither contagious nor fatal, and it does not necessarily lead to muscle atrophy or a mental illness. The widespread belief that MS inevitably leads to permanent disability and a life in a wheelchair does not reflect reality.

 

Symptoms of Multiple Sclerosis

In the early stages of MS, motor disturbances such as paralysis and visual disturbances, caused by inflammation of the optic nerves (optic neuritis), can manifest. Sensory disturbances of the skin are also common, characterized by tingling, (painful) abnormal sensations, or numbness.

Additionally, various issues such as bladder disorders, walking or gripping insecurity, and slurred speech may occur. Moreover, nonspecific complaints that are often hard to pinpoint can appear. These include excessive fatigue, cognitive impairments such as memory problems, attention disorders and depressive moods, pain, dizziness, and sexual dysfunction. The visible and invisible symptoms of MS can significantly impact the independence and ability of those affected in their daily lives and reduce their quality of life.

Diagnosis of Multiple Sclerosis

Diagnosing Multiple Sclerosis (MS) can be a complex and time-consuming process, as a single examination is not sufficient to confirm it definitively. Instead, the diagnosis is based on a combination of clinical symptoms, neurological examinations, and imaging techniques. Typically, the following examinations are conducted in diagnosing MS:

  • Neurological, physical examination
  • Evoked potentials (nerve conduction and speed)
  • Lumbar puncture (collection of cerebrospinal fluid)
  • Magnetic resonance imaging (MRI, brain and spinal cord imaging) 

The final diagnosis of MS often requires time and patience, as it relies on a careful assessment of clinical findings and a thorough evaluation of all available test results. It is important that you consult your trusted doctor if new symptoms occur or if initial symptoms reappear. This can happen after months, years, or sometimes even decades.

 

MS Treatment

Although there is no causal cure for Multiple Sclerosis yet, there are numerous options for symptomatic treatment. In terms of symptom management, many non-medical therapies are available in addition to medications, including physiotherapy, occupational therapy, speech therapy, psychotherapy, and neuropsychological therapy. 

They all aim to:

  1. Suppress the acute inflammatory reaction of a relapse (relapse therapy).
  2. Slow the progression of the disease.
  3. Extend the time without or with minimal symptoms (disease-modifying therapy).
  4. Alleviate the symptoms of MS and prevent possible complications (symptomatic therapy). 

The latter two therapy areas, in particular, are usually applied in combination. Treatment can be tailored to the individual patient, considering factors such as age, gender, life situation, life planning, comorbidities, and the current disease course.

Living with MS

Living with Multiple Sclerosis (MS) can bring a variety of challenges, as the disease is often unpredictable and can manifest in different forms and symptoms. In this context, it is important to develop various strategies to lead a fulfilling and active life despite the associated difficulties. 

Here are seven tips for living with Multiple Sclerosis:

  1. Stay as active as possible,
    but avoid constant overexertion.

  2. Focus on your own abilities and strengths,
    not on potential shortcomings and limitations.

  3. Stay informed and acquire knowledge
    about the disease and current therapeutic options.

  4. Develop self-confidence
    and take responsibility for your health.

  5. Define and accept your individual performance limits.

  6. Allow yourself to grieve the loss of abilities,
    but remain optimistic and look forward.

  7. Compensate for lost abilities through the use of technical aids
    and by developing action and problem-solving strategies.

 

Aids can include:

 


Walking aids

Bathroom aids

Gripping aids

 

Additionally, there are ramps and standing aids, incontinence aids, communication aids, and much more.
Feel free to consult your doctor about the appropriate aids.