Multiple Sclerosis (MS)
We focus on all aspects of care to help you manage MS and live your best life.
Our Approach to Multiple Sclerosis Care
Multiple sclerosis (MS) is a neuroimmune disorder that occurs when your immune system attacks nerves in your brain and spinal cord. It causes a wide range of symptoms, including muscle weakness, fatigue and vision problems.
In the past, MS often led to severe disability. But new therapies are giving people a brighter outlook.
What Is Multiple Sclerosis?
Multiple sclerosis is a neuroimmune disorder that affects your brain, spinal cord and nerves of the eye (optic nerves). It occurs when your immune system attacks myelin, a protein in the tissue that covers nerves. Damage to this tissue disrupts nerve signals that control movement, vision and other functions.
There are several types of MS. They differ based on how the disease progresses:
- Relapsing-remitting MS: In this type, you have periods of symptoms (relapses or flares) separated by symptom-free periods (remission). Remission may last weeks, months or years. Relapsing-remitting MS is the most common pattern in people with newly diagnosed MS.
- Secondary-progressive MS: This type occurs when people with relapsing-remitting disease develop steadily worsening symptoms.
- Primary progressive MS: Symptoms in this type get worse without any periods of remission.
MS is a lifelong condition that often starts in early adulthood. Untreated, MS can cause severe disability. But with the treatments available today, most people with MS can live full, active lives.
MS Symptoms
Common symptoms of MS may include:
- Cognitive issues such as, difficulty learning, concentrating and remembering
- Muscle weakness, stiffness and spasms (spasticity)
- Pain and itching
- Numbness or tingling
- Dysesthesia (MS Hug) is a squeezing sensation around the torso that feels like a tightened blood pressure cuff.
- Tightness around torso
- Trouble with coordination and balance
- Vision problems
Other symptoms can include:
- Depression and emotional problems
- Fatigue
- Poor bladder control
Diagnosing MS
Diagnosing MS can be challenging. Our neurologists are skilled in piecing together information to make an accurate diagnosis.
The first step is a review of your symptoms and medical history. We also perform a neurological exam to assess:
- Involuntary processes, such as breathing, heart rate and digestion
- Muscle reflexes, balance and coordination
- Senses, such as touch, hearing, smell and vision
- Thinking and memory
Other tests we use to diagnose MS include:
- Blood tests to look for markers of inflammation and irregular immune activity
- Evoked potentials tests to measure the transmission of nerve signals to your brain
- MRI imaging to look for lesions or scarring
- Spinal tap to check the fluid around your spinal cord
Making a Difference for Our Patients
Treating MS
MS is often a manageable condition. The goal of treatment is to reduce flares and prevent recurrences. We work with you to develop a treatment plan tailored to your symptoms and needs. Your plan may include:
Treatments for MS
Medication Therapy Management for MS
Our neurologists have extensive knowledge of MS medications and how to use them effectively. We work closely with Memorial Neuroscience Institute pharmacists to manage your medications. Pharmacists secure insurance coverage for medications. They also arrange to coordinate infusions through Memorial Healthcare System, other infusion centers or at your home.
- Disease-modifying medications: These medicines suppress your immune system to prevent recurrences. There are many types of disease-modifying medications. They come in different forms, including pills, injections and intravenous (IV) infusions.
- Corticosteroids: These drugs help reduce inflammation, prevent myelin damage and speed recovery. You typically receive these drugs intravenously.
- Plasma exchange: We exchange the liquid part of your blood (plasma) with another fluid. This process removes the proteins your immune system produces to attack myelin (antibodies).
At Memorial Rehabilitation Institute, you have access to other neurorehabilitation therapies, including:
- Baclofen pump: Baclofen is an antispasticity medication. We surgically implant a pump under your skin and a thin tube that runs to your spine. The pump delivers baclofen to the fluid around your spinal cord.
- Botulinum toxin injections: Botulinum toxin is a substance produced by bacteria that has many medical uses. Injecting it into muscles can reduce muscle contractions and spasticity.
Rehabilitation
Memorial Rehabilitation Institute provides physical therapy and occupational therapy, which can improve movement and reduce spasticity. Rehabilitation services include:
- Physical Therapy: Exercise is also essential to improve endurance, strength and flexibility. Our physical therapists can recommend exercises for your ability level to help you get moving.
- Functional electrical stimulation (FES): In this treatment, you wear a device that delivers painless electrical impulses to affected muscles. The stimulation helps you move your muscles better. We use FES most often to treat weakness in the legs, feet and hands.
Our therapists also ensure you have the necessary assistive devices, such as braces, canes, walkers and wheelchairs.
Behavioral Health
An essential part of our care is monitoring patients for mental health concerns such as depression and other conditions. We provide care within Memorial’s Neuroscience Institute and also collaborate with other departments based on the patient’s need.
- Outpatient Behavioral Health: When needed, we coordinate referrals for treatment with our outpatient behavioral health team. Treatment and therapies include psychotherapy, access to our Mind/Body Wellness Clinic (which includes therapies such as massage, yoga and acupuncture), and support groups.
Neuropsychology
MS can cause changes in your brain that affect different functions. You may find it difficult to remember things, make decisions or find the right words. As part of your MS care, we may recommend neuropsychological testing. These specialized tests dive deep into how your brain works to help us identify and track changes over time.
Leaders in Multiple Sclerosis Care
Memorial Neuroscience Institute has been recognized by the National MS Society as a Center for Comprehensive MS Care. This distinction reflects the deep expertise of our neurologists, our team-based approach and care based on the latest research and guidelines.
Learn more about our Multiple Sclerosis Center and what sets us apart.
It matters to you. It matters to us.
Quality and Safety Data for Memorial Healthcare System's Neuroscience Institute
Our goal is to provide our patients with the information they need to make informed choices for themselves and their families.
View Quality and SafetyYou have a right to know about pricing
We want to give you the information you need to make important healthcare decisions.
View PricingMyChart Portal
View test results, schedule follow-up appointments, request prescription refills and more.
Login or Sign-up to MyChartPatient- and Family-Centered Care
We treat patients and family members as partners in healthcare.