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Here is My Question:
Both lower legs have pins and needles plus burning sensation on soles of feet. This gets worse when resting. Is it usual for it to worsen when resting?? Answer: These annoying sensations tend to be worse later in the day, often at a time when people are less active or resting. We believe there are likely 2 mechanisms
Most of these symptoms are treatable although it is often difficulty to eliminate the sensations altogether. Talk to your MS doctor about the options available to you Good Luck Revere P (Rip) Kinkel, MD #multiplesclerosis #MS #pinsandneedles
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Here is My Question:
I am scheduled to get a mammogram. With the radiation I'll be getting from the mammogram, is that okay for me, being that I got the infusion (weakened immune system)? Answer: You can safely obtain a routine mammogram on any of the currently approved MS treatments including Ocrevus. Revere P (Rip) Kinkel, MDProfessor of Neurosciences Director of the Multiple Sclerosis Program University of California San Diego #Ocrevus #multiplesclerosis #MS Question:
Can I get lip fillers if I have multiple sclerosis? Answer: Yes PLEASE NOTE: This information/opinions on this site should be used as an information source only. This information does not create any patient-HCP relationship, and should not be used as a substitute for professional diagnosis and treatment. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. Revere P (Rip) Kinkel, MDProfessor of Neurosciences Director of the Multiple Sclerosis Program University of California San Diego #multiplesclerosis #MS Here is My Question:
Is Lemtrada effective in treating MS? Answer: Lemtrada (alemtuzumab) is very effective in early relapsing forms of MS but is typically reserved for individuals with a high risk of relapse and progression and is rarely used as first line therapy. It does have significant risks and should only be prescribed by an expert in MS management after consideration of other available highly effective DMTs. Revere P (Rip) Kinkel, MDProfessor of Neurosciences Director of the Multiple Sclerosis Program University of California San Diego #multiplesclerosis #MS #Lemtrada Here is My Question:
With MS can I take Nucala? Answer: We have not seen any harmful effects from using Nucala in people with MS. That being said, it is doubtful that enough people with MS have taken Nucala to observe any rare side effects. This should not be used if you harbor a parasitic infection or take Helminth therapy for your MS. Revere P (Rip) Kinkel, MDProfessor of Neurosciences Director of the Multiple Sclerosis Program University of California San Diego #multiplesclerosis #MS #Nucala Here is My Question:
What is the best medicine for MS? Answer: There is no particular "best" DMT for MS. There are certain high efficacy treatments, but the most appropriate medication requires balancing risks in particular individuals, required benefits based on disease stage and other disease characteristics. Revere P (Rip) Kinkel, MDProfessor of Neurosciences Director of the Multiple Sclerosis Program University of California San Diego #DMT #MS #multiplesclerosis Here is My Question:
Does Kesimpta cause hair loss? Answer: Hair loss is not a side effect of Kesimpta Revere P (Rip) Kinkel, MDProfessor of Neurosciences Director of the Multiple Sclerosis Program University of California San Diego #Kesimpta #hairloss #multiplesclerosis #MS Here is My Question:
My mother had PPMS and passed away 4 years ago. I contracted Covid in April 2022 and recovered from it. But in Dec 2022, I started experiencing tingling feet, pins and needles in my hands and feet, muscle spasms in my body, hand tremors, heavy feeling in my left arm and legs, cognitive issues and low mood. My brain MRI shows several lesions. My Spinal cord MRI has no lesions and lumbar puncture shows no OCB since I am probably early in the disease course. Do I have to wait until my spinal cord shows lesions ( which means I will have irreparable walking/ balance issues) or positive OCB ( 10% MS patients have no OCB) before I can get diagnosis and treatment for MS? Answer: Excellent question. Establishing a diagnosis of MS is not always easy. You are correct that some individuals do not have oligoclonal bands in the CSF and this may be associated with a type II or III pathological subtype by Claudia Lucchinetti's criteria. I would suggest another opinion with an MS specialist. The amount of information provided in your email is not sufficient to provide more information Good luck Revere P (Rip) Kinkel, MDProfessor of Neurosciences Director of the Multiple Sclerosis Program University of California San Diego #multiplesclerosis #MS |
PLEASE NOTE: This information/opinions on this site should be used as an information source only. This information does not create any patient-HCP relationship, and should not be used as a substitute for professional diagnosis and treatment. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition.
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