MANAGEMENT

GENERAL MANAGEMENT

This is probably the most important part of MS for patients and for general readers. I don’t think it is the most important part for the neurologists, as the main job for any neurologist is to reach a diagnosis. Once the diagnosis is made, any one can talk about treatment especially in today’s world were it is so easy to check the internet and get an answer almost for every thing !.

I will here go through the available treatments for MS with some information about each one of them with the latest updates.

I will then leave any advances in the management, and current research activity to the next page which is devoted for the latest advances in the management of MS.

I will also give updated information about the currently non-licensed medications many people with MS are using either privately or out of license.

As I always believe in treating our patients as human beings, but not diseases, I will start with an approach to dealing with any person who suffers from MS, especially those who are newly diagnosed.

Managing patients with MS

  • Multidisciplinary Approach
  • Treatment of exacerbation (relapses)
  • Treating complications
  • Disease modifying therapy (DMT)

Before I start writing about management process I would like to consider mentioning in this space more about MS itself in relation to management options and choices. 

I need to mention here that MS is not an inflammatory disease only even in its very early relapsing and remitting status, and even on the first day when we (doctors) see the patient. MS is in reality a combination of inflammation (nerve sheath) and degeneration (nerve fiber). Inflammation is reversible if treated at the right time, but degeneration is permanent once it was left to happen.

The time is going on and moving forward, and we definitely need to move on with it if we seriously aim to beat MS. I think MS will be cured one day, and that day is not going to be too far to wait for. I have already heard high authority professionals in MS management saying that in about 8 – 10 years we will be able to cure MS. Within a decade or even may be less; it is not a long time to wait for !.

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An attempt to understand around us via pondering inside us