What is Multiple Sclerosis MS
Multiple sclerosis (MS) is a chronic disease which affects the brain and spinal cord. MS can cause a variety of symptoms, including changes in sensation, visual problems, muscle we...
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Multiple sclerosis (MS) is a chronic disease which affects the brain and spinal cord. MS can cause a variety of symptoms, including changes in sensation, visual problems, muscle we...

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is it always going to be this difficult?
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I responded in another thread but here it is:
Oct 3 I woke up with what I thought was just a foot that fell asleep. By Monday the numbness extends all the way up my leg and now moving to the right foot. I call the doc and come in on Tuesday. He doesn't have a clue but prescribes Vitamin D because apparently some tests from the previous month came back "off". Now the numb is in both legs and feet by Thursday morning and walking is becoming difficult. I soak in the tub, I stretch, etc etc...no change. I go to work and fall over in the bathroom because my legs are now weak. So off to the ER I go! Everyone is stumped; they take blood, do an Xray, take more blood, do a spinal tap (OUCH!), and an MRI on my brain and spine. The ER doc says something about lesions and possible MS. After the MRI they escort me to a room in the neurology ward where I spend the next 5 days on my back. Mind you I can still walk but they seem to think I can't. I just look like a zombie because it's really difficult now. They take a whole lot more blood and do yet another tap! I was admitted Oct 8 and by Monday and after many days of crying I demand to go home (I'm a single mom.......I can't do it anymore). I see the neuro and hospitalist a total of one hour in 5 days...that's it! They give me vicoden and baclofen, instructions to follow up in a week and call rehab for physical therapy. I'm really shocked because nobody will tell me anything and are thoroughly uninterested in the numb that has travelled all the way up to my chest and now is moving into my hands and arms. I have asked what baclofen is for and I know that my muscles are pulling and I have spasms but what about the NUMB? CAN SOMEONE TREAT THE NUMB? Is there a treatment? *sigh* I called another neuro and am about to make my way over there and hopefully get some help. Is it really going to be this difficult? Does it really progress that quickly? Will the numb go away on its own or should I be on something to help it along? I'm really tired of being in the dark... Posted on 10/15/09, 03:10 pm |
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Wow. Did you have any IV steroids during that ti\me. MS is really difficult to diagnose & symptoms can be a lot of other things. Which makes the diagnosis so difficult, but I thought all those other things it could possibly be are also treated with steroids? I'm just surprised to read of your account. But I have no medical training, so I don't understand the way they treated an unknown symptom. Not with steroids, huh?
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FROM 2009 International Differential Diagnosing Guide for MS...
Link to it can be obtained here... http://www.dailystrength.org/c/Mul... From Table 1: Peripheral neuropathy Clinical Event Red Flag to consider possibilities other than MS = Major Other possibilities=B12 deficiency; adrenoleukodystrophy; metachromatic leukodystrophy, Lyme disease --------------------------------------------------------------------------------------------------- What you describe is Red Flagged for other possible causes besides MS. And MS is a diagnosis of exclusion, when everything else it could be is excluded and all that is left is MS, then it is MS. --------------------------------------------------------------------------------------------------- From: https://www.google.com/health/ref/... a description of Peripheral neuropathy & possible causes. SENSATION CHANGES Damage to sensory fibers results in changes in sensation, burning sensations, nerve pain, tingling or numbness, or an inability to determine joint position, which causes incoordination. For many neuropathies, sensation changes often begin in the feet and progress toward the center of the body with involvement of other areas as the condition worsens. Diabetes is a common cause for sensory neuropathy. Treatment Treatmet involves: * Identifying and treating any underlying medical problem (such as diabetes) or removing the cause (such as alcohol) * Controlling symptoms * Curing the disorder, if possible * Helping the patient gain maximum independence and self-care ability Physical therapy, occupational therapy, and orthopedic interventions may be recommended. For example, exercises and retraining may be used to increase muscle strength and control. Wheelchairs, braces, and splints may improve mobility or the ability to use an affected arm or leg. Safety is an important consideration for people with neuropathy. Lack of muscle control and reduced sensation increase the risk of falls and other injuries. The person may not notice a potential source of injury because he or she can't feel it. For example, one may not notice if water in a bathtub is too hot. For this reason, people with decreased sensation should check their feet or other affected areas frequently for bruises, open skin areas, or other injuries, which may go unnoticed and become severely infected. Often, a podiatrist can determine if special orthotic devices are needed. Safety measures for people experiencing difficulty with movement may include: * Installing railings * Removing obstacles on floors such as loose rugs Safety measures for people having difficulty with sensation include: * Adequate lighting (including night lights) * Testing water temperature before bathing * Use of protective shoes (no open toes, no high heels) Shoes should be checked often for grit or rough spots that may cause injury to the feet. Persons with neuropathy (especially those with polyneuropathy or mononeuropathy multiplex) are prone to new nerve injury at pressure points such as knees and elbows. They should avoid prolonged pressure on these areas from leaning on the elbows, crossing the knees, or assuming similar positions. Prescription pain medications may be needed to control nerve pain. Anticonvulsants (phenytoin, carbamazepine, gabapentin, and pregabalin), tricyclic antidepressants (duloxetine), or other medications may be used to reduce the stabbing pains. Use the lowest dose possible to avoid side effects ---------------------------------------------------------------------------------------------------- Plus more on that site. Are you certain it is MS?
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Thank you for your responses Nnyl1! I didn't have any IV steroids at all while I was in the hospital but thankfully the neurologist I saw today was able to help me tremendously. It is a definite diagnosis of MS and they are sending a home health care team to my house tomorrow to administer IV solumedrol for the next 3 days and then we can move forward with long term treatment. I just can't believe the hospital didn't address it and now the numb is worse. I am in shock at how lax the hospital was!
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Well I'm glad, it seems like you finally got some control of this issue...you will feel much better after the steroids & I'm glad it is only MS. Everyone would prefer to be healthy rather than have MS....but to be truthful MS is much,much better than many other things.
I was contemplating you would go to your appointment & the nuero would say its not MS, its something else more serious. But the result is good...I have no idea why they didn't treat you with steroids during all that time in the hospital. It sure does illustrate some medical incompetence! Be well! You'll feel better soon.
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I've had ms for 17 yrs and the whole time I've had numbness in both feet and up to my theighs (sp wrong). After awhile you will get use to it and it won't bug you as much. what did the spinal tap show..
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I have had tingling and numbness from my toes to my knees every day since June of 2002. Sometimes more, somtimes less. it has, upon occassion, gone up higher and then slowly settled back down. I was told sometime ago that this will never go away. the truth is that if that is the only thing wrong with me on any given day, I feel almost like I don't have MS. It sounds odd, but you will get used to it. It won't stop you.
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