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WBC count is 2300. Hip fracture 8 months ago resulted in 3 pins inserted in bone. I am very thin and my doctor said I might need them removed eventually because they cause pain in thin people. I am having MS symptoms - pseudo exacerbation. Could this be the cause? Answer: If I understand you correctly, you are experiencing pain at the hip fracture site and a pseudo exacerbation related to the pain. This is certainly possible since hip pain or any lower limb pain can dramatically increase spasticity and spasms and worsen mobility. If this is the case, see the orthopedic surgeon to determine the source of the pain. Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego
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Here is My Question:
RRMS diagnosed age 14 immediately following onset. Treated with Rituxan x 3.5 yrs, full health, then switched to Ocrevus age 18 yrs in 8/21. Soon began chronic infections for months, advanced severe bacterial and COVID pneumonia. Now completing IVIG and recovering. 1) How now to manage MS? 2) lower dose/Rituxan/Kemsimpta, other DMT? 3) can I consider no DMT for at least a period of time to restore my immune system? 4) any suggested dietary plan- Best Bet? Thank you! Answer: Not knowing the details of your case, let me provide some information so you can ask your neurologist (MS specialist) some important questions.
Good luck . See what your doctors think and work with them to find a good solution. Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego 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. Here is My Question:
I'm taking Tecfidera and have no issues so far but I'm expecting supply disruption that can take up to 1 week, now my question is am I going to experience any issues when I get on the tablets again? Thank you Answer: It is possible that some of the initial side-effects you experienced when first starting Tecfidera may reappear after restarting Tecfidera a week later, but these should be minimal and resolve quickly if you are not having problems now. Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego Here is My Question:
Can chronic inactive lesions still cause problems and can these problems get worse? My balance is getting worse as are my eyes. Thanks Answer: There is no sure way at present to differentiate chronic inactive from chronic active MS lesions during life with a tissue biopsy. These terms are pathological descriptions without a definite correlate on MR imaging. That said, there are many ways for MS to progressively worsen in those individuals who do not appear to show any changes on MR imaging over many years. Examples of ways in which MS can worsen over time despite no change on standard MR imaging of the brain or spinal cord include the following:
Good luck Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego Here is My Question:
I stopped using Butrans patches for scoliosis pain 3 weeks ago. My leg strength and mobility have really deteriorated. Will this pass? Is there a connection? Thanks. Answer: You should direct this question to your neurologist. He will know the strength of your prior Butrans patch, other medications that may be contributing to your sense of weakness and the reason you needed such a strong narcotic for pain. This will go a long way to answering your question. Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego Here is My Question:
Recently been smelling strong cigarette smoke, pain and weakness in left arm and leg, neck and shoulder pain and shooting pain in head. Rectal spasms when the weird smell occurs. I have Crohn's Disease and convinced I have MS. Being referred to neurologist. Alongside depression and memory lapses. I’ve had this in episodes for past few years on and off. Hip pain etc. can’t find anything on MRI. Docs says not stroke but I know this is nervous system. Could this be start of MS flare? Answer: I suppose your symptoms could be related to any number of things including MS. Your upcoming neurological evaluation should provide you with the necessary answers to your question. Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego |
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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