MEER | Multiple Sclerosis
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Multiple Sclerosis


Multiple Sclerosis

Introduction to Multiple Sclerosis Multiple Sclerosis (MS) is a disease affecting the brain and spinal cord. It causes weakness and spasms throughout the muscles in the body and feelings of tiredness.
The majority of individuals with MS greatly benefit from the input of a specialist physiotherapist.
Following a neurological assessment, physiotherapy can maximize your potential recovery by stretching and strengthening tight and weak muscle groups and retraining normal patterns of movement.
Physiotherapy can also increase your energy levels following an exacerbation of MS. What is Multiple Sclerosis? Multiple sclerosis (MS) is a disease of the central nervous system (the brain and the spinal cord).
In MS the conductive outer coating of many of the nerve fibers is damaged. The body can repair the damage to some extent but oftensmall scars are left and the nerves do not function quite as they did before. As MS affects different areas within the central nervous system it is described as multiple, and the small scars which arise can be described as areas of sclerosis. This is how the name multiple sclerosis arises.

The cause of MS is unknown. It is thought that it may be due to a small defect in the body’s immune system. MS is a relatively common disease and affects about one in 750 of the British population. It most often affects young adults; over 70 per cent of affected people experience their first symptoms between the ages of 20 and 40.

Once diagnosed, MS stays with you for life, but your symptoms can be well managed by specialists.

Effects of Multiple Sclerosis

Multiple sclerosis (MS) can cause a variety of symptoms. These include;

sensation changes
muscle weakness
muscle spasms
movement difficulties
reduced coordination and balance
speech or swallowing problems
visual disturbances
acute or chronic pain syndromes
bladder and bowel difficulties
cognitive impairment


Diagnosis of Multiple Sclerosis

Due to the variety and complexity of the symptoms, MS is not easy to diagnose. There are special criteria that medical professionals use to diagnose MS. You will normally be referred to a neurologist who will perform a number of tests to determine if you have MS. These tests include:

Neurological examination
Magnetic Resonance Imaging (MRI) of your brain and spinal cord.
Evoked potentials
Lumbar puncture
Blood tests

Types of Multiple Sclerosis


Relapse remitting MS is characterized by unpredictable attacks followed by periods of months or years with no new signs of disease activity. The effects of the attacks may be permanent or may resolve. When deficits always resolve between attacks, this is known as benign MS.

Secondary progressive

This is the most common type of MS. Secondary progressive MS refers to symptoms of initial relapsing-remitting MS, who have a gradual neurologic decline between attacks without any definite periods of resolution of symptoms.

Primary progressive

Primary progressive MS is characterized when no resolution of symptoms is seen following an initial attack. A gradual decline occurs continuously without clear attacks.

Progressive relapsing

Progressive relapsing MS is characterized by a steady neurologic decline but also suffer attacks.

Multiple Sclerosis Physiotherapy

Physiotherapy treatment for MS is mostly exercise based combined with ‘hands on’ physiotherapy. Our experienced physiotherapists understand that MS affects everyone differently and your goals will be unique to you.
Physiotherapy should commence as soon as possible following an initial attack to allow you to reach your full potential and limit the progression of your symptoms.
During your initial assessment you and your physiotherapist will discuss realistic long and short term goals. These goals will be at the center of your rehabilitation.
The physiotherapists at Meer PT will usually teach you (and your family members / caregivers if appropriate) exercises to be continued between appointments.

As well as improving your general health, physiotherapy can help:

improve balance and walking difficulties
reduce muscle spasms and stiffness
increase strength
retrain normal patterns of movement
increase energy levels
reduced bladder or bowel problems
increase mood
educate about MS and your symptoms
reduce risk of falls

Meer PT can also give advice regarding walking aids and equipment to make your home or working life easier.
Our specialist neurological physiotherapists can maximize your recovery and help you achieve your goals.


Why Meer PT

Motivated, caring staff
Unique treatment programs tailored to suit each individual
No waiting lists
Be seen in our center, at your home or in your care home
Patients can be seen by more than one physiotherapist at once, if required
Dedicated, patient centered approach
Specialist falls prevention program available
Hydrotherapy treatment available
Case management
Proven track record

Meer PT provide private MS physiotherapy services throughout Erbil Governorate. MS physiotherapy treatment can be provided at home, care homes and in our physiotherapy center.
Meer PT understands the difficulties experienced following MS and the impact it has on those close to you. Our dedicated, specialized staff can maximize your potential by working closely with you, your family and caregivers.
Following an initial assessment Meer PT will liaise with your GP, consultant and other medical professionals
Meer PT has helped many people following an MS and their families. See our testimonials to read about the experiences of our patients.