Multiple Sclerosis (MS)
When To Call a Doctor
Some of the symptoms of multiple sclerosis (MS) are similar to those of many other illnesses. See your doctor if over a period of time you have more than one symptom, such as:
- Blurry, foggy, or hazy vision, eyeball pain, loss of vision, or double vision.
- A feeling of heaviness or weakness, involuntary leg dragging, stiffness, walking problems, and clumsiness.
- Tingling or a pins-and-needles sensation, numbness, tightness in a band around the trunk, arms, or legs, or electric shock sensations moving down the back, arms, or legs.
- Inability to hold urine or to completely empty the bladder.
- Dizziness and unsteadiness.
- Problems with memory, attention span, finding the right words for what you mean, and daily problem-solving.
If you have been diagnosed with MS, see your doctor if:
- Your attacks become more frequent or severe.
- You begin having a symptom that you have not had before or you notice a significant change in symptoms that are already present.
Watchful Waiting
Milder MS-type symptoms can be caused by many other conditions or periodically occur in healthy people. For example, lots of people experience minor numbness in their fingers or a mild dizzy spell once in a while. Stiffness and muscle weakness can result from being more active than usual. Watchful waiting is appropriate for these types of everyday aches and pains, so long as they do not continue.
If your symptoms become more frequent or do not go away, talk to your doctor.
For people with MS
Talk to your doctor about what to expect from the disease and from treatment. MS is an unpredictable disease, but you probably can get some idea of what is “normal” and what symptoms or problems are reasons for concern.
Some people with MS want active, regular support from their doctors. Others want to manage their condition on their own as much as possible. Wherever you are in this range, find out which signs or symptoms mean that you need to see your doctor, and seek help when you need it.
Who To See
Health professionals who may be involved in evaluating symptoms of multiple sclerosis and treating the condition include:
- Family doctors or internists. Consult your doctor when symptoms first develop. He or she will refer you to a neurologist if necessary. If you have MS, your family doctor or internist can treat your general health problems even if you see a neurologist for MS treatment.
- Neurologists. A neurologist can decide whether your symptoms are caused by MS and can help you decide what may be the best treatment for your condition.
Many university medical centers and large hospitals have MS clinics or centers staffed by neurologists and other health professionals who specialize in diagnosing and treating MS and may be able to provide the most thorough evaluation.
If you have been diagnosed with MS, at some point you may need to seek the help of:
- A physical therapist, to assist with exercise to maintain body strength and flexibility and deal with movement problems.
- An occupational therapist, to identify ways of accomplishing daily activities if MS has caused any physical limitations.
- A speech-language pathologist, to improve speech, chewing, and breathing if MS has affected the muscles of the face and throat.
- A physiatrist. A physiatrist can help with managing pain, maintaining strength, and adapting to physical disability.
- A psychologist or psychiatrist, to evaluate and treat depression, anxiety or other mood disorders, and problems with memory and concentration if these develop.
- A pain management specialist, to help with any significant chronic pain that MS causes in some people. A pain specialist, often as part of a pain clinic, can help find ways of reducing pain when possible and dealing with pain that doesn't go away.
- A neurosurgeon, to perform surgery for severe tremors or spasticity.
To prepare for your appointment, see the topic Making the Most of Your Appointment
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| Author: | Monica Rhodes | Last Updated: February 28, 2008 |
| Medical Review: | Anne C. Poinier, MD - Internal Medicine Colin Chalk, MD, CM, FRCPC - Neurology | |
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