What Is the Course of Multiple Sclerosis (MS)?

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So the first symptoms of multiple sclerosis can be almost anything, and this is going to be one of the most flustrating things about diagnosing miltiple sclerosis because it could be from a little bit of dizziness to a little of blurred vision or a little bit of tingling somewhere in the body or sometimes even severe fatigue or headaches.

And so what is important is when if somebody has strong neurological symptom to look at what are the risk factors for multiple sclerosis and then doing the appropriate diagnostic test. But it's a lot like solving a mystery you have to become a bit of a detective as a physician who's diagnosing people with MS because you are putting all the pieces together, you finally have a full picture of, yes, this does fit all the criteria for multiple sclerosis.

And when I was trained in neurology, I was trained in very specific courses that people have in multiple sclerosis, either relapsing, remitting course or benign course or more of a progressive course. But what I have found in the last decade of treating MS patients is that if we intervene early on and start making lifestyle changes for reducing inflammation start making changes in terms of their stress levels, you can very proactively change the course of this disease and it's nothing that I was trained as neurologist.

It's something that I watched patience over a decade basically defy everything that I was taught about this disease. So what I told my patients is, look this is a very unpredictable all condition, but there are things that we can do to just make you healthier. And if one of the by product is possibly changing the course of this disease, fantastic let's take that opportunity.