Specific disease-modifying therapies (DMTs) significantly slow the rate of brain volume loss in adults with multiple sclerosis (MS), a benefit that is directly linked to reduced long-term disability, according to a new review. A network meta-analysis of more than 26,000 patients confirms that therapies most effective at preserving…
disability
Most children with multiple sclerosis (MS) have chronic active lesions that slowly get bigger over time, and their frequency seems to correlate with the total number of lesions and reduced brain growth, according to a research letter. Changes in disability or cognitive scores over time, however, weren’t significantly associated…
Having better physical performance is associated with higher cognitive function in people with multiple sclerosis (MS), particularly among those with more disability, a study finds. Disability levels, in turn, correlate negatively with cognition and physical performance, with patients with moderate disability having worse scores on assessments than those with…
I have a kilt. It’s just a simple, olive-colored utility kilt, and I don’t wear it because of family or cultural tradition. I wear it because it’s comfortable, looks right with my knee-high compression socks, is nearly perfect for wheelchair use, and quite frankly, makes me look even cooler than…
While subtle symptoms of multiple sclerosis (MS) — like muscle weakness, fatigue, and numbness or unusual sensations — are often overlooked in individuals with minimal disability, more detailed clinical tools can help detect these early signs, according to a new study from Italy. Moreover, such tools — including wearable…
Who hasn’t found themselves in the following situation? A loose acquaintance, or even a total stranger, strikes up a conversation with you, and at first it’s just pleasant small talk. Then there’s the pause. Those of us who have been living with a disability for a while know what’s coming…
The healthcare costs of secondary progressive multiple sclerosis (SPMS) are high, according to a real-world study in Spain, and higher still for younger patients and those with severe disability who cannot walk unaided, even for short distances. On average, yearly costs for one patient amount to more than €41,000…
A friend of mine went hiking alone during the warmer months of early autumn. Before he left, he contacted several of his friends via a group chat and let us know when and where he intended to start and the location where he planned to camp for the night. He…
For students, it’s back-to-school season with the recent start of the fall semester. I was diagnosed with relapsing-remitting multiple sclerosis at a young age, so I’ve carried this disease with me throughout my high school, undergraduate, and graduate education. I often struggled to juggle my healthcare and course…
I almost didn’t write this column. It might be a sensitive topic, but I’m not afraid of offending anyone. Even if I do, it’s not intentional. It’s not that I don’t understand the subject, either. I think I do, but I’ve been having a lot of trouble putting it into…
People with multiple sclerosis (MS) tend to experience a short-term reduction in disability and brain lesion volume after receiving stem cell therapy, according to a meta-analysis of nine studies detailing randomized clinical trials. After six and 12 months, however, the researchers found no differences in disability between patients…
I have not been kind to my body over the years. I was very active in my old life, although I was a little clumsy even before multiple sclerosis (MS) started affecting my balance. Active and clumsy aren’t a great combination. I accumulated plenty of bumps and bruises along…
The antihistamine clemastine accelerated disease progression by more than five times in some adults with progressive multiple sclerosis (MS) who received it in a Phase 1/2 trial, new data show. Joanna Kocot, PhD, a neuroscientist at the National Institutes of Health (NIH), showed that this effect is at least…
People in the early stages of multiple sclerosis (MS) who have more spontaneous myelin repair in the cortex — the outermost layer of the brain that’s critical for higher cognitive abilities — are less likely to experience worsening disability, a new analysis suggests. These findings have important implications for…
In the U.S., pregnant people with multiple sclerosis (MS) who are Black or Hispanic tend to have more severe disability than their white counterparts, along with fewer socioeconomic resources, a new study indicates. “What we are seeing is that underrepresented women with MS start their…
People with multiple sclerosis (MS) who discontinue a disease-modifying treatment are more likely to have greater long-term disability than patients who continue with such therapies or go untreated, a registry database study reports. Findings also suggest that patients who self-report better mobility early in their disease course also…
People with relapsing-remitting multiple sclerosis (RRMS) who had an early start on high-efficacy disease-modifying therapies (DMTs) experience slower disability progression compared with those on escalation treatment, according to recent research. The study, which followed patients for up to 10 years, supports starting high-risk RRMS patients on highly effective…
Most disability worsening events happen independent of relapse activity across all types of multiple sclerosis (MS), including clinically isolated syndrome (CIS) and early relapsing-remitting MS (RRMS), a new study reports. The findings challenge the idea that relapses are the main driver of disability worsening in early relapsing…
Greater self-reported physical disability within the first years of being diagnosed with relapsing-remitting multiple sclerosis (MS) is associated with a higher likelihood of transitioning to a progressive form of the disease. The finding comes from a recent analysis of patient-reported data from the U.K. MS Register. Scientists believe the…
Primary progressive multiple sclerosis (PPMS) can greatly reduce quality of life for patients and affect their ability to work, according to real-world data collected from a German MS registry. These results “confirm the steadily deteriorating course of PPMS accompanied by increasingly limited quality of life,” researchers wrote. The study,…
Experiencing disability in the early stages of multiple sclerosis (MS), even without relapses, increases the risk of progression to secondary progressive MS (SPMS), a more severe form of the disease, a large study finds. Starting a disease-modifying therapy early on in the disease may decrease the SPMS…
Einstein said that time is relative, and as I age (gracefully, I hope), I’ve found that to be true. For example, I frequently find myself referring to events that occurred a decade or more in the past as happening “just the other day.” In my mind, I’m still…
Being exposed to stress as children or adults makes it more likely that people with multiple sclerosis (MS) will experience more disability and/or a heavier burden from relapses, according to a new survey study of more than 700 people in the U.S. “MS is the leading cause of non-traumatic…
Boarding an aircraft before others is a small benefit to being a disabled flyer. For years, giving me a small start to get down the jetway ahead of even the most frequent of frequent flyers has given me time to get off the little scooter I use due to my…
A greater loss of myelin — the protective coating around nerve fibers — in the part of the spinal cord found in the neck was associated with worse disability in people with multiple sclerosis, data from a new study showed. More substantial myelin loss in this region, known…
We had family portraits made a few days ago. With a family of five, this never goes perfectly, so there was a little pre-photo briefing beforehand. There were some veiled threats, a promise of dinner after as a reward for good behavior, and more than a few hissed admonishments to…
Worse disability scores in multiple sclerosis (MS) patients with restless legs syndrome (RLS) were significantly associated with the thinning of a retinal layer in the eye in a new study. Overall, the study found that people with MS who experience RLS exhibit more severe disability than those…
Multiple sclerosis (MS) patients with minimal to moderate disability live about 30 additional years after their diagnosis, but life expectancy steadily decreases as patients reach more advanced levels of disability, a new study suggests. For example, average life expectancy drops to just over a decade when patients become unable to…
Early use of disease-modifying therapies (DMTs) among people with secondary progressive multiple sclerosis (SPMS) may lead to overall lower levels of disability, according to a new analysis. But staying on treatment does not appear to significantly slow disability progression over time. People with SPMS who used DMTs early…
Recently diagnosed multiple sclerosis (MS) patients with two forms of chronic active brain lesions — slowly expanding lesions (SELs) and paramagnetic rim lesions (PRLs) — on their MRI scans experience greater disability progression than those with SELs only, a small study suggests. Also, the slowly expanding lesions are…