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Multiple sclerosis

June 20th 2009 14:24
multiple sclerosis
Multiple Sclerosis- from www.ahealthyme.com



As what I have discussed in the previous article, Multiple Sclerosis (MS) is characterized by demyelination of the myelin sheath.

The importance of myelin sheath in our nervous system is best exemplified in my previous article in neuroanatomy.


Without the myelin sheath, normal impulse transmission is not possible. Impulse transmission via neurotransmitters like acetylcholine and glutamate enables the brain to get control of the whole body, including the muscles in contraction, and even the way we breathe or speak. Even sensing or feeling-in order for it to be normal- requires fast transmission of signals.

Without the myelin sheath, as in MS, voluntary muscle control and even sensory functions are impaired. A patient may manifest with slow reaction time, as when you prick his/her arm and he/she would not feel what you did at all. patient may also manifest with rigidity of extremities, or even numbness or pins-and-needles sensation althroughout the body, especially around the spine...

I could not emphasize enough how debilitating this disease is. It is very hard for patients, especially those who manifest speedy disease progression.


Management for this condition is preventive, at the same time supportive. Preventive in the sense that we want to slow-down or even prevent aggravation of symptoms and complications. Supportive in the sense that we would like a patient to maintain the normal functions left of them...

Consulting a neurologist, a physiatrist, and even physiotherapist enables patients and family to anticipate disease outcome, prepare for the future, and even adapt for their disabilities.

Complications of the disease may include effects of immobilization such as atrophy, muscle weakness, bed sores, lung collapse, restrictive pulmonary diseases, and others.

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4 Comments. [ Add A Comment ]

Comment by Anonymous

June 20th 2009 16:30
My aunt, cousin, and now one of my sons has this disease. When I found out that my son had the disease, I cried for the first time as an adult knowing that I could have passed it on to him through my genes.

Comment by katyzzz

June 20th 2009 22:05
That's very sad for you anonymous, but we all pass things on through our genes, you were not to know. Take heart, knowledge is increasing all the time, giving your son a better hope for the future, and Physio, this is an exceptionally good article, well done.

Comment by Kristin Wolgemuth

June 21st 2009 23:05
This is a scary disease. My aunt has it, and I'm afraid I've inherited it also, as I've inherited so many of my family's genetic diseases.

Comment by Physiotherapy

June 22nd 2009 16:42
hi katyzzz! thank you!

Kristin, Anonymous I am sorry to learn that part of your family has the disease...I hope everything goes well...

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