How to manage MS and its related vision problems?

Question

Hello doctor,

I am a 36-year-old graphic designer recently diagnosed with MS after experiencing complete numbness in my face and electric shock sensations down my spine. What is troubling me is my computer work, as I am getting blurry vision and eye pain after just 30 minutes of screen time, and my hands feel clumsy on the mouse. The ophthalmologist mentioned Uhthoff’s phenomenon when my symptoms worsened with heat.

I had to turn down three projects last month due to fatigue. My neurologist suggested Tysabri, but I am terrified after reading about the PML risk. I have been having anxiety attacks thinking about the future, as my dad had MS and was using a wheelchair by age 40. I have also noticed memory issues, like sending the wrong files to clients twice last week.

Is there a connection between stress and MS progression?
Should I switch careers?
What about medical marijuana for muscle spasms?
I am also planning a destination wedding next year; should I avoid tropical locations?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Vision disorders are often the first signs of MS, with the three most common being optic neuritis, diplopia (double vision), and nystagmus. These can cause ocular pain, dysfunction, blurred vision, and shimmering or wavy vision, typically lasting for a few weeks.

The prognosis for recovery is good with treatment, which may include IV (intravenous) methylprednisolone (500 mg/day for five days, then 250 mg/day for two days), followed by oral baclofen and some anticonvulsants.

Tysabri is a highly effective drug, though it has side effects. The risk of developing PML (progressive multifocal leukoencephalopathy) is low, with only 0.5 cases per 1,000 patients, and it typically occurs in those who have previously had PML.

Multiple sclerosis (MS) primarily affects short-term memory rather than long-term memory.

It can also cause

Coordination problems.
Slurred speech.
Brain fog.
Muscle weakness.
Loss of sensation.

Managing stress through relaxation techniques, exercises like swimming, walking, or biking, and seeking support from loved ones is crucial.

Avoid

Sugar.
Sweetened drinks.
Processed meats (like burgers and sausages).
Fried food.
Margarine.

Foods that are beneficial like

Liver.
Shellfish.
Crabs.
Fermented cheese.
Tofu.

You may also benefit from

Physical therapy.
Occupational therapy.
Cognitive rehabilitation programs.

Medical marijuana has shown potential benefits for treating muscle spasms due to its anti-inflammatory properties. It may help reduce inflammation that contributes to increased muscle spasms.

Your wedding could also improve your mood and potentially help with your symptoms.

I hope this helps answer your query.

Please let me know if I can assist you further.