Multiple sclerosis is often difficult to diagnose because there is no single test or finding on an exam that makes the diagnosis and because the disorder varies from person to person. In most cases, there is a history of neurological symptoms that come and go over years.
Diagnosing MS is complicated because no single test can positively diagnose it. Other possible causes of your symptoms may need to be ruled out first. It may also not be possible to confirm a diagnosis if you have had only 1 attack of MS-like symptoms.
The process of diagnosis can take months, in some cases years, and is often referred to as 'limboland'. In this factsheet we look at the early symptoms of MS and hope to answer some of the common questions that you might have at this time.
Unfortunately, it takes as long as 15 years after an initial diagnosis to know if this type of MS is benign. Neurologists use the Expanded Disability Status Scale (EDSS) to assess physical impairment. According to the scale, MS is considered benign if there is: no evidence of worsening body functions.
There are no specific tests for MS . Instead, a diagnosis of multiple sclerosis often relies on ruling out other conditions that might produce similar signs and symptoms, known as a differential diagnosis. Your doctor is likely to start with a thorough medical history and examination.
While there is no definitive blood test for MS, blood tests can rule out other conditions that cause symptoms similar to those of MS, including lupus erythematosis, Sjogren's, vitamin and mineral deficiencies, some infections, and rare hereditary diseases.
Those symptoms include loss of vision in an eye, loss of power in an arm or leg or a rising sense of numbness in the legs. Other common symptoms associated with MS include spasms, fatigue, depression, incontinence issues, sexual dysfunction, and walking difficulties.
MRI scans are an important way to help health care providers figure out if a person has MS or not, but MRI scans cannot diagnose MS by themselves. While it is true that almost all people with MS will have lesions on MRI, not all people with MRI lesions have MS.
MS can be difficult to diagnose early on, partly because there is no single test for it. "MS symptoms are sometimes subtle and spontaneously remit without any treatment," Hemmer said. "Often these patients are not referred to a neurologist, or they cancel the appointment because the symptoms have disappeared." Dr.
And if left untreated, MS can result in more nerve damage and an increase in symptoms. Starting treatment soon after you're diagnosed and sticking with it may also help delay the potential progression from relapsing-remitting MS (RRMS) to secondary-progressive MS (SPMS).
Numbness of the face, body, or extremities (arms and legs) is often the first symptom experienced by those eventually diagnosed as having MS.
Over 25,600 people in Australia are living with multiple sclerosis, including 3,700 Queenslanders, and it affects each person differently. On average more than 10 Australians are diagnosed with MS every week.
The average risk of developing MS in the United States is roughly 3.5 in 1,000, or less than half of one percent. For first-degree relatives (such as a child or sibling), the risk increases to three or four percent.
The study found that people with MS lived to be 75.9 years old, on average, compared to 83.4 years old for those without. That 7.5-year difference is similar to what other researchers have found recently.
Early symptoms can include vision problems, trouble walking, and tingling feelings. MS affects people differently. But common problems are trouble with movement and thinking, and bowel and bladder incontinence. Medicines and rehabilitation can help to keep or restore functioning.
MS patients are all at higher risk for dental issues because of the complications of MS. The disease itself affects the teeth and gums on a biochemical level. The medicine that is used to treat MS can also lead to problems.
Normal brain MRI is found in only 5% of MS patients using modern techniques. Half of such patients in one series consisted of patients with primary progressive disease, the majority of whom were severely disabled. In relapsing remitting disease normal imaging was associated with early or mild disease.
MRI and CT scans are the primary imaging tests used to help diagnose MS. Lesions in the brain and spine appear as lighter or darker spots that appear different from normal tissue. Other types of diagnostic testing, such as a lumbar puncture or blood tests, can also help establish an MS diagnosis.
Early signs and symptoms of MS
tingling and numbness. pains and spasms. weakness or fatigue. balance problems or dizziness.
Magnetic resonance imaging (MRI) is the test of choice for diagnosing MS in combination with initial blood tests. MRIs use radio waves and magnetic fields to evaluate the relative water content in tissues of the body. They can detect normal and abnormal tissues and can spot irregularities.
Diagnosis and early intervention
As optic neuritis is the presenting sign of MS in up to 30 percent of patients, the eye exam can lead to the initial systemic diagnosis.
An accurate diagnosis of MS is based on your medical history and neurological examination using tests of nervous system function. Much depends on the skill of the doctor in asking the right questions to uncover information and to properly evaluate the signs and symptoms of a malfunctioning nervous system.
Multiple Sclerosis (MS) appears in the NDIS List B disabilities. These are permanent conditions where the functioning capabilities of the person diagnosed are variable.