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Understanding Multiple Sclerosis

Learn about Multiple Sclerosis (MS), its symptoms, causes, diagnosis, and treatment options, along with tips for managing daily life and improving quality of living.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. Dhankecha Mayank Dineshbhai MBBS

Last updated on 28th Aug, 2025

Introduction

Multiple sclerosis (MS) is a condition that affects the brain and spinal cord, leading to a range of physical and sometimes cognitive challenges. While it can seem overwhelming, understanding MS can help patients and their loved ones manage it better. This guide explains what MS is, its symptoms, causes, and ways to live well with the condition.

What is Multiple Sclerosis?

Multiple sclerosis is an autoimmune disease where the body’s immune system mistakenly attacks the protective covering of nerve fibers (called myelin) in the central nervous system. This damage disrupts communication between the brain and the rest of the body, leading to various symptoms.

MS is a lifelong condition, but its progression varies from person to person. Some experience mild symptoms, while others may face more significant challenges. The good news is that with proper care, many people with MS lead active, fulfilling lives.

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Common Symptoms of MS

MS symptoms can differ widely depending on which nerves are affected. Some common signs include:

  • Fatigue – Feeling extremely tired, even after rest.

  • Numbness or tingling – Often in the arms, legs, or face.

  • Muscle weakness or stiffness – Difficulty walking or maintaining balance.

  • Vision problems – Blurred vision, double vision, or temporary vision loss.

  • Dizziness or coordination issues – Trouble with balance or fine motor skills.

  • Bladder or bowel problems – Frequent urination or difficulty controlling bowel movements.

  • Cognitive changes – Memory lapses, difficulty concentrating, or mood swings.

Symptoms may come and go (relapsing-remitting MS) or worsen over time (progressive MS). Early diagnosis and treatment can help manage these symptoms effectively.

What Causes MS?

The exact cause of MS is still unknown, but researchers believe a combination of factors plays a role:

  • Genetics – A family history of MS increases risk slightly.

  • Environmental factors – Low vitamin D levels, smoking, and certain infections (like Epstein-Barr virus) may contribute.

  • Immune system dysfunction – The immune system mistakenly attacks healthy nerve cells.

While MS isn’t directly inherited, having a close relative with MS may slightly increase risk.

How is MS Diagnosed?

There’s no single test for MS, but doctors use a combination of methods:

  • Medical history & neurological exam – Checking reflexes, coordination, and vision.

  • MRI scans – Detecting damage in the brain and spinal cord.

  • Spinal tap (lumbar puncture) – Testing cerebrospinal fluid for abnormalities.

  • Evoked potential tests – Measuring nerve signal speed.

If you experience persistent symptoms, consult a neurologist for proper evaluation.

Managing MS: Treatment & Lifestyle Tips

While there’s no cure for MS, treatments can slow progression and manage symptoms. Here’s how you can take control:

1. Medical Treatments

  • Disease-modifying therapies (DMTs) – Help reduce relapses and slow nerve damage.

  • Symptom management – Medications for pain, muscle spasms, fatigue, and bladder issues.

  • Physical therapy – Improves mobility, strength, and balance.

2. Healthy Lifestyle Choices

  • Exercise regularly – Gentle activities like yoga, swimming, or walking help maintain strength.

  • Eat a balanced diet – Focus on anti-inflammatory foods (fruits, vegetables, omega-3s).

  • Get enough vitamin D – Sunlight or supplements may help.

  • Avoid smoking & limit alcohol – Both can worsen symptoms.

  • Manage stress – Meditation, deep breathing, or counselling can help.

3. Emotional & Social Support

  • Join support groups – Connecting with others who have MS can be comforting.

  • Talk to a therapist – Helps cope with emotional challenges.

  • Stay socially active – Friends and family play a crucial role in mental well-being.

When to Seek Help?

If you or a loved one experience unexplained neurological symptoms (numbness, vision issues, severe fatigue), consult a doctor. Early intervention can make a big difference in managing MS effectively.

Final Thoughts

Living with MS can be challenging, but with the right care, many people lead active, fulfilling lives. Understanding the condition, staying informed, and making healthy lifestyle choices can make a significant difference.

Remember, you’re not alone; medical professionals, support groups, and loved ones are there to help. Stay positive, take one day at a time, and focus on what you can do.

Consult Top neurologist

Dr. Aditendraditya Singh Bhati, Neurosurgeon

Dr. Aditendraditya Singh Bhati

Neurosurgeon

18 Years • MBBS(2004), DNB Neurosurgery(2014); MNAMS; Fellow Neuroendoscopy

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

85%

(100+ Patients)

1000

150 Cashback

1500

No Booking Fees

Dr. E Prabhakar Sastry, General Physician/ Internal Medicine Specialist

Dr. E Prabhakar Sastry

General Physician/ Internal Medicine Specialist

40 Years • MD(Internal Medicine)

Manikonda Jagir

Apollo Clinic, Manikonda, Manikonda Jagir

recommendation

90%

(125+ Patients)

1000

150 Cashback

1000

No Booking Fees

Consult Top Specialists for Personalised Tips

Dr. Aditendraditya Singh Bhati, Neurosurgeon

Dr. Aditendraditya Singh Bhati

Neurosurgeon

18 Years • MBBS(2004), DNB Neurosurgery(2014); MNAMS; Fellow Neuroendoscopy

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

85%

(100+ Patients)

1000

150 Cashback

1500

No Booking Fees

Dr. Sarthak Mehta, Neurologist

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Neurologist

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Bengaluru

Apollo Clinic, JP nagar, Bengaluru

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Dr. Ganeshgouda Majigoudra, Neurologist

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Neurologist

7 Years • MBBS, MD General Medicine, DM Neurology

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Sairam Neuro and Children Hospital, Jagtial

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400

Dr. E Prabhakar Sastry, General Physician/ Internal Medicine Specialist

Dr. E Prabhakar Sastry

General Physician/ Internal Medicine Specialist

40 Years • MD(Internal Medicine)

Manikonda Jagir

Apollo Clinic, Manikonda, Manikonda Jagir

recommendation

90%

(125+ Patients)

1000

150 Cashback

1000

No Booking Fees

Consult Top neurologist

Dr. Aditendraditya Singh Bhati, Neurosurgeon

Dr. Aditendraditya Singh Bhati

Neurosurgeon

18 Years • MBBS(2004), DNB Neurosurgery(2014); MNAMS; Fellow Neuroendoscopy

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

85%

(100+ Patients)

1000

150 Cashback

1500

No Booking Fees

Dr. Sarthak Mehta, Neurologist

Dr. Sarthak Mehta

Neurologist

6 Years • MBBS , MS Mch ( Neuro )

Bengaluru

Apollo Clinic, JP nagar, Bengaluru

1000

150 Cashback

Dr. Ganeshgouda Majigoudra, Neurologist

Dr. Ganeshgouda Majigoudra

Neurologist

10 Years • MBBS, MD ( GENERAL MEDICINE) DM (NEUROLOGY)

Bengaluru

Apollo Clinic, JP nagar, Bengaluru

1000

150 Cashback

Dr. Annakula Ramu, Neurologist

Dr. Annakula Ramu

Neurologist

7 Years • MBBS, MD General Medicine, DM Neurology

Jagtial

Sairam Neuro and Children Hospital, Jagtial

625

400

Dr. E Prabhakar Sastry, General Physician/ Internal Medicine Specialist

Dr. E Prabhakar Sastry

General Physician/ Internal Medicine Specialist

40 Years • MD(Internal Medicine)

Manikonda Jagir

Apollo Clinic, Manikonda, Manikonda Jagir

recommendation

90%

(125+ Patients)

1000

150 Cashback

1000

No Booking Fees

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