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Frequently Asked Questions (FAQ)

Multiple Sclerosis (M.S.)

Wellness 360 Physical therapy and Massage

Q.

What is multiple sclerosis?

A.

According to the M.S. society, Multiple sclerosis is a disease that impacts the brain, spinal cord and optic nerves, which make up the central nervous system and controls everything we do. The exact cause of MS is unknown, but we do know that something triggers the immune system to attack the CNS. The resulting damage to myelin, the protective layer insulating wire-like nerve fibers, disrupts signals to and from the brain. This interruption of communication signals causes unpredictable symptoms such as numbness, tingling, mood changes, memory problems, pain, fatigue, blindness and/or paralysis. Everyone’s experience with MS is different and these losses may be temporary or long lasting.

Q.

What are common M.S. symptoms?

A.

There are multiple M.S. symptoms.  Not all people diagnosed with M.S. share the same symptoms.  Symptoms include, but are not limited to:  visual changes, numbness, and tingling, vertigo or dizziness, erectile dysfunction, urinary incontinence, muscle spasticity, tremor, coordination, ​involuntary muscle contractions, slurred speech, and fatigue. 

Q.

When is the best time to exercise with M.S.?

A.

Most patients diagnosed with M.S. find that exercising in the morning is best.  

Q.

What type of exercise is best for M.S.?

A.

Exercise has proven benefits for those diagnosed with M.S. Movement and exercise are the primary PT interventions for people with MS. High-intensity exercise is not advisable for M.S. High intensity can damage the myelin sheath of the muscles. Exercises that stretch the body and exercises that decrease muscle spasms, improve functional mobility, and improve balance are the most beneficial. It is crucial not to overheat the body. Heat tends to exacerbate M.S. symptoms. Typically the exacerbated symptoms decrease after the body cools off. 

Q.

What happens with a physical therapy evaluation for M.S. ?

A.

Each patient with M.S. has individualized symptoms and treatments. Our individualized evaluations include your pain levels, rigidity, range of motion, neurological ability, strength, balance, and endurance. Each treatment would be individualized per patient and treated accordingly.  

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