Living with Multiple Sclerosis: What is the best Intervention?

A diagnosis of Multiple Sclerosis can be scary and cause all sorts of negative emotions and feelings. As an Occupational Therapy Assistant, I have experience with patients who are newly diagnosed and who have been living with Multiple Sclerosis for most of their lives, and I have learned to help them in so many different ways. It is important to know that the diagnosis is only the beginning of this journey.  

The Cause Broken Down

Multiple Sclerosis is a disease of the Central Nervous System.

It is caused when the body attacks itself and breaks down the connections between your brain and the rest of your body. The cause of this disease can be due to many factors and the root cause is still unknown.

 

Treatments

It’s an ongoing process that includes:

  •     * Medications to manage the disease course and treat flare-ups
  •     * Rehabilitation to promote function
  •     * Managing both physical and mental health
  •     * Diet and Exercise
  •     * Social Support Systems

 

The Role of Exercise, Education and Medication in Fatigue Management for People with Multiple Sclerosis

A study conducted by Asano & Finlayson (2014) examined the impact of exercise, education and medication on fatigue management for people with Multiple Sclerosis. The study exclaimed that the rehabilitation avenue should be considered first as a treatment option for individuals with MS, even before medication management due to its numerous positive effects. However, the study does explain that a multidisciplinary approach, that combines all three, would be the best way to manage Multiple Sclerosis. It is important for individuals to educate themselves on identifying symptoms and taking action with either a medical or rehabilitative route or a combination of both. Educational interventions, such as self-management components, are also very important to consider (Asano & Finlayson, 2014). Although it is extremely challenging to find specific conclusions for which treatment intervention is best, it is crucial to understand symptom management strategies for individuals with MS. 

 

Research has proven that incorporating a healthy diet and daily exercise, avoiding smoking, staying on top of routine doctor visits and managing symptoms and engaging in mental and physical rehabilitation can lead to an increase in overall health and well-being.

Mental Health is just as Important as Physical Health!

     * Resilience    *     Positivity   *          * Managing Stress  *   

   * Paying Attention to Depression &    Anxiety  *

       * Sustaining & Engaging in                                                                           Meaningful Relationships *

Cognitive Behavioral Therapy for Management of Multiple Sclerosis Related Pain

An article by Gromisch et al. (2020) focused its research on pain in people with Multiple Sclerosis and studied the effectiveness of Cognitive Behavioral Therapy. Although medications are the most significant form of treatment for MS, there still seems to be issues regarding the most effective treatments for people diagnosed with MS. Medications, however, are not always the best and only option for MS. Cognitive behavioral therapy has been studied to show its effect on fatigue and depression with people with MS. Ultimately, medication is very useful and can help manage so many symptoms of MS. However, it is not the only option, and this study does a great job in providing more information and explanations as to why health care professionals need to consider a more holistic view.

Treatment Approaches should focus on: 

* Holistic View * Comprehensive Care * Multidisciplinary Approach *

     * Combination of Medication Management & Physical and Mental Rehabilitation

 

 

MS Resources

You are not alone. This is only the beginning. Check out this Podcast through the Multiple Sclerosis Discovery Forum and this blog through the National MS Society for more information about the role of medication in people with MS and other helpful information:

Multiple Sclerosis Discovery Forum

Sense of self

References 

Asano, M., & Finlayson, M. L. (2014). Meta-analysis of three different types of fatigue management interventions for people with multiple sclerosis: Exercise, education, and medication. Multiple Sclerosis International2014, 1-12. https://doi.org/10.1155/2014/798285

Gromisch, E. S., Kerns, R. D., Czlapinski, R., Beenken, B., Otis, J., Lo, A. C., & Beauvais, J. (2020). Cognitive behavioral therapy for the management of multiple sclerosis–related pain. International Journal of MS Care22(1), 8-14. https://doi.org/10.7224/1537-2073.2018-023

What is MS? (2020). National Multiple Sclerosis Society. https://www.nationalmssociety.org/What-is-MS

5 thoughts on “Living with Multiple Sclerosis: What is the best Intervention?

  1. 008011993

    Hey!

    Your blog post does a great job at maintaining a positive tone throughout the text. Anyone with MS reading the blog will feel like they can continue living despite their diagnosis. The format of the blog started off with a video which was positive and uplifting, then information about how to manage MS symptoms, and lastly resources that can be helpful to this population. The text was also very fun and playful and kept my interest to want to keep reading. The visuals and videos you chose supported the information that was written in text. One of the major things I learned from your blog was that the best results come from a multidisciplinary approach of education, exercise and medication.

    1. 008012601

      Hello!
      Great job at describing so well and concisely what MS is for those who don’t know! I did not know much about the disease, but I now know how so much more about the specific ways to help my patients who have MS better. I liked how you included mental health into the discussion as this is something many people forget to discuss. I really enjoyed your formatting and videos and how you made many words larger to allow the reader to know what to focus on. This made your blog very easy to read. Great job!

  2. 008005120

    Hello,
    I really enjoyed reading through your blog. I found that it was very informative and easy to follow which is very important. The visuals you used were appropriate and highlighted the topic very nicely. Awesome job adding mental health effects of MS as well. It is great to touch on the physical side of things but addressing how it effects mentality is super helpful as well. Great job!

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