MS help.ky: Cayman Islands Every Step Counts. A support site and community for persons living with multiple sclerosis in the Cayman Islands

treatment options:

As yet there is no cure for MS but there are facets of the disease which have recognised treatments and which can be very effective.

exacerbations:

The standard treatment for significant acute exacerbations is the use of steroids, which exert powerful anti-inflammatory effects. Steroids reduce inflammation at the site of new demyelination, allowing return to normal function to occur more rapidly and reducing the duration of the exacerbation. The current favoured steroid regimen is methyl-prednisolone given intravenously in high doses for 3-5 days with, perhaps, subsequent tapering lower oral doses of prednisone for 1-2 weeks. The use of steroids are not thought to have any effect on the long-term course of the disease.

altering the course of the disease:

A number of new drugs have recently been approved for use in MS which have some effect on the frequency and severity of exacerbations and the number of lesions as seen on MRI, though the effect on progression of disability remains unclear.

The US National MS Society website includes a useful comparison between the disease modifying drugs for MS

symptom specific treatment:

For many of the symptoms that occur in MS, effective treatments are available. It is important, however, that careful diagnosis and repeated symptom evaluation is undertaken together with a competent physician (GP, neurologist or other specialists such as urologists, gynaecologists etc). In "MS: The Guide to Treatment and Management" a great number of such therapies are listed and the evidence concerning their indications, applications and effectiveness are discussed in detail.

MS: The Guide
Alternative Therapies
Advice on new treatments

Talk to your neurologist and primary care physician as there are many options for ongoing preventative treatment available today.  There are also medications available for the symptoms associated with having MS, such as sleep disorders, depression, spasticity, etc.

Exercise and diet are both very important to persons suffering with MS.  This is something that you should discuss with your caregivers and doctors.

exercise:

Physiotherapy and regular exercise can be helpful in keeping as fit as possible. You and your doctor will probably want to discuss what therapy or exercise programme would be of benefit. It might involve having physiotherapy on a fairly regular basis or doing specific exercises at home. Others have found activities such as swimming, yoga and horseback riding to be helpful. Any exercise that you enjoy and are able to do comfortably will be beneficial. Besides maintaining good muscle tone, exercise can be a great way to release tension and to relax. Your local or national MS society may offer recreation or exercise programmes that would be helpful, or recommend facilities or health personnel to provide these activities.

diet:

Over the years, a number of diets for MS have been proposed, which is probably only natural for a disease with no known cause or cure. Whilst some of the suggested diets contradict each other, it does make sense to have a nutritionally balanced diet that will ensure you have all the required vitamins and minerals. Some people find that a diet low in animal fats and high in polyunsaturated fats is helpful to them. Please see the section on Alternative Therapies Used by People with MS from MS The Guide (available to buy - or download as a free PDF) as well. It would be wise to discuss any changes in your own diet with your physician or dietician.

Another well known diet for persons with MS is “The Swank Diet”.