How is multiple sclerosis managed in elderly women?

Question

Hello doctor,

My grandmother has multiple sclerosis (MS) and uses a wheelchair. Lately, her symptoms of MS have gotten worse. She has more stiffness, leg spasms, fatigue, and sometimes feels numbness or tingling in her upper body.

Are there any new MS treatments or MS medications that might help with these symptoms?
Could more physical therapy or simple exercises help? She’s also worried about long-term problems like pressure sores and weak muscles from sitting too much.
What can she do to improve her quality of life and stay as independent as possible? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

It’s best for your grandmother to see both a neurologist and a rehab specialist. They can check her condition and suggest changes in her MS treatment to better manage symptoms like stiffness, spasms, fatigue, and numbness or tingling.

Physical therapy and exercise can help improve strength and movement. Good options include:

Physical therapy: Exercises to boost flexibility, balance, and motion.
Occupational therapy: Helps with daily tasks and adjusting to wheelchair use.
Yoga or tai chi: Gentle moves for balance, flexibility, and relaxation.
Aquatic therapy: Easy water exercises that support the joints.

To support her mental health:

Counseling: Talking to a therapist can help with stress, anxiety, or loneliness.
Support groups: Meeting others with MS can give comfort and shared advice.

To avoid problems from long-term wheelchair use:

Use a water or air bed to prevent pressure sores.
DVT (deep vein thrombosis) stockings may reduce the risk of embolism and improve circulation.

These steps can contribute to improving her quality of life and maintaining independence. Regular doctor visits and ongoing therapy can help her stay healthy and independent.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.