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Hi what are the symptoms of Multiple sclerosis?

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Practicing since : 2010
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Hi what are the symptoms for ms lesions in the spinal cord and brain what are the differences. How fast would lesions appear after aymptoms
Posted Thu, 27 Feb 2014 in Brain and Spine
Answered by Dr. Manjeth Kumar G 1 hour later
Brief Answer: NO such difference. Blurring of vision, Pain, Emot Detailed Answer: Hello, I have gone through your query and understand your concern. First think you have to understand is it is a Autoimmune inflammatory disorder affecting both brain and spinal cord. Autoimmune means our body forms antibodies against our own cells or tissues. This result in antigen antibody reaction and inflammation. In Multiple sclerosis. What happens is there is a formation of the antibody against the myelin sheath. Myelin sheath is a insulating protective covering the each nerves in our body. Due to damage in myelin sheath, then nerves does not work properly. Usually this is not a continuous process, it have remittance and relapse episodes. The relapsing episodes are triggered mostly be environmental factors or infections. One may have the repeated episodes of inflammation and healing. this results in scar around the nerve fibres and the multiple nerves are affected and thus called Multiple sclerosis. As the nerves in the brain and spinal cord are surrounded by same type of myelin sheath. There is no such difference between the spinal and Brain Multiple sclerosis. And the symptoms are also vary from person to person depending on the inflammation and Previous history of relapses. Usually first symptom is swelling around optic nerve in eye called optic neuritis. they may have blurring of vision or having double vision.. Tremors or spasms of some of your muscles- due to damage in nerves of muscles. Fatigue, Musculoskeletal pain, Neuropathic pain, emotional Problems etc. We cannot predict when the symptoms will occur. It varies from person to person as i already described. It is often difficult to be sure if a first episode of symptoms (a first relapse) is due to MS. It is also difficult to diagnose at the first episode of symptoms. We suggest MRI brain for the one who suffer from repeated episodes of symptoms. This may be helpful in detecting the lesion and scars. No curative treatment at present for MS. Hope this helps. Please write back for further queries. Wishing you good health.
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Follow-up: Hi what are the symptoms of Multiple sclerosis? 6 hours later
How long does ms show up in MRI if there is symptoms also does ms cause paralysis Also what are the symptoms of fibromyalgia How long doze ms flare up last and fibro flare up last are they both the same
Answered by Dr. Manjeth Kumar G 4 hours later
Brief Answer: No. Both are not same. Always varies. Detailed Answer: Hello, Thanks for your reply. It is difficult to predict when the lesion occurs and when it is detectable by MRI. Because investigation is usually recommended when one have the typical symptoms and exclusion of other neurological diseases. Thus we cannot exactly when the plaques will appear either before or after the symptoms. Usual symptoms of Fibromyalgia are chronic pain and even the patient may have pain on light pressure. Additional symptoms are fatigue, sleep disturbances, anxiety , depression etc. As multiple sclerosis affects the multiple nerves, it can cause paralysis. Both Multiple Sclerosis and Fibromyalgia are not same. Fibromyalgia is a neurobiological disease and but still the exact cause is not known. As i already said, Multiple sclerosis is a Autoimmune disorder. But both are aggravated by infections and environmental factors etc. In fibromyalgia, one may have the chronic symptoms of pain, neuropsychiatric symptoms. In multiple sclerosis, we cannot predict when it flares but usually triggered by infections and environmental factors. Usually episodes of flare back to normal in 6 months. But it may vary from individual to individual. In same individual, the intensity of flare vary from one episode to others. Hope this helps. Please write back for further queries. Wishing you good health.
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Follow-up: Hi what are the symptoms of Multiple sclerosis? 1 hour later
My symptoms are constant low back pain pain in both legs pins and needless in feet especially in the morning numbness in feet occasionally burning sensations in leg and feet and vibrating feeling in feet and legs are theses symptoms of ms sometimes muscle twitches in legs or arms dr says it's fibromyalgia had 4 brain mri negative and C-T spine MRI 10 months ago have these symptoms for 6 yrs last 4 months it's gotten constant and worst had all kind of blood work and emg all normal
Answered by Dr. Manjeth Kumar G 7 hours later
Brief Answer: No. Sciatic Nerve Irritation. Ortho & Physiotherap Detailed Answer: Hello, I have gone through your query and understand your concern. You have the symptoms pertaining to the back and lower limb. This is not the feature of fibromyalgia. As I already described, fibromyalgia patients have the chronic pain syndrome and feel tender even for light pressure. The symptoms that you describe are suggestive of sciatic nerve irritation. As your MRI and CT Scans and all the blood works were negative, you should reconsider the diagnosis. Even today the causes for the many low back pain is not identified with the advanced technology. There are plenty of causes like poor muscle tone in the back, muscle tension or spasm, back sprains, ligament and muscle tears, joint or disc problems. Sometimes nerves from the spinal cord can be irritated causing buttock or leg pain, numbness, tingling, or weakness in the legs. Some times poor physical condition or do work that include heavy labor or long periods of sitting or standing are at greater risk for low back problems. Emotional stress or long periods of inactivity may also make back symptoms seem worse. Some times Muscle in lower back called pyriformis irritates the sciatic nerve. There are many causes which cannot be diagnosed by advanced technologies like MRI or CT Scan. because the pain in lower back is not due to the swelling or growth any where. Please consider all the facts which i mentioned above and discuss with your treating physician. You need a good Clinical orthopedics and Physiotherapist to diagnose these condition by various physical exams pertaining to the back and muscles. Hope this helps. Please write back for further queries. Wishing you good health.
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