Multiple Sclerosis Specialists in Loni Road, Delhi

What is Multiple Sclerosis?

Multiple sclerosis is a chronic autoimmune disease in which the immune system mistakenly attacks the protective covering called myelin that surrounds nerve fibres in the brain and spinal cord, disrupting the normal transmission of nerve signals throughout the body. This damage, known as demyelination, can occur at multiple different sites within the central nervous system at different times, which is reflected in the disease's name and explains the wide variety of symptoms that can occur depending on which nerve pathways are affected. The disease typically follows one of several patterns, with many patients experiencing distinct relapses of new or worsening symptoms followed by periods of partial or complete recovery, while others experience a more steadily progressive course. Multiple sclerosis most commonly affects young adults, particularly women, and while it is not directly life-threatening for most patients, it can lead to significant and cumulative disability over time if not well managed. While there is no cure, a range of disease-modifying medications can significantly reduce relapse frequency and slow long-term disability progression.

Causes of Multiple Sclerosis

Believed to result from an abnormal immune response that mistakenly attacks the myelin covering of nerve fibres in the central nervous system, triggered by a combination of genetic susceptibility and environmental factors. Certain viral infections, particularly Epstein-Barr virus, have been strongly associated with increased risk, and low vitamin D levels and smoking are also recognised risk factors. Family history increases susceptibility, and the condition is more common in populations living farther from the equator, suggesting a role for reduced sun exposure and vitamin D.

Symptoms of Multiple Sclerosis

Fatigue, numbness or tingling in the limbs, muscle weakness, vision problems including blurred or double vision, balance and coordination difficulties, muscle spasms or stiffness, bladder or bowel dysfunction, cognitive changes including difficulty concentrating, electric shock-like sensations with neck movement

Treatment & Types of Multiple Sclerosis in Loni Road, Delhi

Treatment includes disease-modifying medications that reduce the frequency and severity of relapses and slow the accumulation of long-term disability, with the specific medication chosen based on disease activity and individual patient factors. Acute relapses causing significant new symptoms are often treated with short courses of high-dose corticosteroids to speed recovery. Symptomatic treatments, along with physical therapy, occupational therapy, and rehabilitation, help manage specific symptoms such as spasticity, fatigue, and mobility difficulties and maintain overall function and quality of life.

Multiple sclerosis follows several recognized disease courses: relapsing-remitting MS, the most common form, involving distinct relapses of new or worsening symptoms followed by periods of partial or complete recovery; secondary progressive MS, where relapsing-remitting MS gradually transitions into steady worsening over time; and primary progressive MS, a less common form involving steady worsening from the outset without distinct relapses.

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