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Dr Ashok Bajpai
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Dr Ashwini Dash
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Multiple Sclerosis (MS) is an autoimmune disease where the immune system attacks the protective sheath, called myelin, around nerve fibres in the brain and spinal cord. This culminates in disruptions in the transmission of signals between your brain and body, leading to various neurological symptoms. The severity and progression of this disease differ from person to person.
Indore is experiencing a growing awareness of Multiple Sclerosis, which can lead to earlier diagnosis and better management. Apollo Hospitals in Indore has an excellent network of multiple sclerosis doctors and employs some of the best multiple sclerosis specialists. With their expertise and commitment, individuals affected by MS can receive world-class treatment options in Indore.
Types/Stages of Multiple Sclerosis
Diving into the complexity of MS, we find some distinctive types:
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Relapsing-remitting MS (RRMS): This most common type of MS is characterised by episodes of new or increasing symptoms followed by partial or complete recovery periods.
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Primary progressive MS (PPMS): This type signifies steady disease progression from the beginning without any distinct relapses or remissions.
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Secondary progressive MS (SPMS): This type starts like RRMS but later transitions into a steadily worsening state.
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Clinically isolated syndrome (CIS): When someone has an initial set of symptoms suggesting MS, but it's not enough for a confirmed diagnosis, doctors might label it CIS. This CIS has the potential to develop into MS.
Symptoms of Multiple Sclerosis
The symptoms can be as varied as the patients themselves. They include:
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Fatigue.
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Vision problems like blurry, double vision, or even temporary loss of sight.
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Numbness or tingling in the limbs or face.
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Muscle weakness and spasticity lead to unsteady gait and coordination issues.
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Cognitive impairment and depression.
Tests to Diagnose Multiple Sclerosis
Diagnosis of MS by specialists is not straightforward, as there's no single test that can confirm it. It often involves:
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Neurological examination: A physical exam to check for impaired nerve function.
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Magnetic Resonance Imaging (MRI): To detect lesions or spots in the brain and spinal cord.
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Analysis of cerebrospinal fluid: This fluid is tested for specific immune system proteins that are often present in people with MS.
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Evoked potential tests: To measure the electrical activity of your brain.
Treatment or Surgery Options for Multiple Sclerosis at Apollo Hospitals in Indore
At Apollo Hospitals, the best multiple sclerosis treatment doctors work closely with patients to manage their symptoms and slow disease progression. The treatment options available are:
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Disease-modifying therapies (DMTs): These are drugs that reduce relapse rates and slow disability progression.
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Corticosteroids: Used to manage acute relapses by reducing inflammation and shortening their duration.
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Plasma exchange: This is used for severe relapses when corticosteroids aren't effective.
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Symptom management: This includes medications and various therapies like physical, occupational, and speech therapy that help manage symptoms and improve daily functioning.
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