Welcome to the Virtual MS Center!
Ask any question you want about Multiple Sclerosis and one of our experts will answer it as soon as possible.
|
Here is My Question:
Can I regain mobility? I am completely paralyzed due to MS Answer: The ability to recover useful movement in the legs depends on the duration of paralysis, the cause of paralysis and the extent of irreversible damage to the spinal cord. Without further information and an evaluation, it is difficult to answer your question with more precision. This is a question your neurologist should be able to answer for you. Good luck Revere P (Rip) Kinkel, MD Professor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego
0 Comments
Here is My Question:
Every time I inject Copaxone in my left side I experience left groin pain immediately. Is this normal? Answer: If you are injecting in the lower abdomen (below the bellybutton) this may cause swelling in the superficial inguinal (groin) lymph nodes, which may be painful. Injecting into the upper left leg could potentially do this as well, but typically this region drains into the deep lymph nodes; I wouldn't think these deeper lymph nodes would be as painful, but this is possible. I am not sure of a solution except to inject higher in the abdomen or in the arm 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:
Unorthodox question here... Do I need to notify my life insurance company of my new diagnosis of MS? The internet is great at giving contradicting information. Answer: If you already have an insurance policy, there is no need to notify anyone. This would only be relevant if applying for insurance coverage. Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego #msdiagnosis #multiplesclerosis Here is My Question:
I was had my first clinical symptoms in 2010 had an MRI with active lesions. The symptoms were tingling in the left side of my body, took 5g cortisone the symptoms almost fully subsided. In 2012 i had blurred visions and the diagnosis of MS was affirmed. I started Gilenya and after that my MRI has always been almost stable with little new non-active lesions. The problem is that I have a neurological deficit in the tips of my left fingers and I don't know if they could ever improve or not. I do have cervical lesions. Answer: Thank you for the detailed description of your problem. When you state that, "you have a neurological deficit in the tips of [your] left fingers", I assume you are describing numbness or a loss of discriminative sensation. Some people describe the fingertips feeling larger or the skin as being thicker. If the "neurological deficit" involves all of the finger of your left hand, it is almost certainly related to the spinal cord lesion mentioned in your message. If the deficit involves a more restricted pattern, the cause could be something as simple as carpal tunnel syndrome (thumb and index finger and possibly middle finger) or an ulnar neuropathy (ring finger and little finger), both treatable conditions. If you have this kind of restricted pattern of involvement in your left hand, you need to be evaluated for these non-MS related causes. Let's assume for the purposes of your question that the cause of these symptoms is your MS. Whether this symptom can improve depends on the duration of the symptoms and the extent of damage to the involved region in the spinal cord. Generally speaking, persistent symptoms present for more than 6 months rarely resolve, although they may evolve and become either less or more noticeable; by less noticeable we usually mean more intermittent, less prone to worsening or simply a symptom that you are able to suppress and ignore; by more noticeable we are usually describing abnormal sensations that evolve to develop painful characteristics such as burning, deep aching or stabbing discomfort. If and when people develop symptoms with these painful characteristics, we often offer them treatment with medications (e.g. gabapentin, pregabalin and others) to help block the painful characteristics. Hope this helps. Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego #multiplesclerosis Here is My Question:
What is peripheral white matter of both cerebral hemispheres? "Peripheral white matter" is an inappropriate term. Whoever used the term was either referring to the subcortical white matter or the leukocortical (also called juxtacortical) white matter. We generally use the term leukocortical or juxtacortical when the U fibers are involved, whereas subcortical white matter excludes the U fibers. U fibers are the white matter tracts immediately adjacent to the cortex that supply white connections between one area of the cortex and an adjacent area of the cortex. Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego #multiplesclerosis #peripheralwhitematter Here is My Question:
My eosinophil count has been high for the last 2 years. I just got it tested Friday and it’s 767. Why is it consistently to high? Answer: Eosinophils are a type of white blood cell named for the intense pink staining of their cytoplasmic granules that stain strongly with the acid loving dye eosin. They are commonly associated with allergic responses, atopic conditions (asthma and eczema), parasitic infections, some inflammatory conditions and certain cancers. In medicine we often see a temporary increase in eosinophils associated with an allergic reaction to a drug which subsides after the drug is discontinued. You have a mild and apparently chronic elevation in your eosinophil count. This is usually not a serious issue but one that should be evaluated to determine a likely explanation. A full evaluation in most cases only requires a complete medical history, examination and some basic tests. 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:
Does Ocrevus contribute to weight loss? Answer: Ocrevus should have no affect on weight (either loss or gain). Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego #Ocrevus #multiplsclerosis |
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.
Archives
March 2023
Categories
All
|
RSS Feed
