Ask the Expert: Sleep Issues

Posted on October 28, 2024 by MSAA

Featuring Barry A. Hendin, MD

MSAA’s Chief Medical Officer

Barry Hendin, MD

Question: What types of problems most often interfere with sleep for individuals with MS?

Answer: High quality sleep is generally recognized as an important health benefit for everyone, and this is especially true for people with MS. Poor quality sleep can increase MS symptoms such as fatigue, pain, daytime sleepiness, anxiety, and depression, as well as difficulties with memory and concentration. Unfortunately, more than half of those with MS have some kind of a sleep disorder or sleep dysfunction, which is a higher proportion than for those in the general population.

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Ask the Expert: Swallowing Disorders

Posted on August 27, 2024 by MSAA

Featuring Barry A. Hendin, MD

MSAA’s Chief Medical Officer

Barry Hendin, MD

Question: How can MS affect the ability to swallow and what treatments are available?

Answer: Dysphagia refers to any problem swallowing. This issue is common in a number of neurological disorders, including MS. It’s estimated that approximately one-third of people living with MS will experience difficulty swallowing or dysphagia at some point in their lifetime.

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Ask the Expert: Urinary Tract Infections

Posted on June 27, 2024 by MSAA

Featuring Barry A. Hendin, MD

MSAA’s Chief Medical Officer

Barry Hendin, MD

Question: Are urinary tract infections (UTIs) more common in MS, and what are the symptoms and treatments?

Answer: Yes, urinary tract infections are more common in people with MS. Multiple sclerosis is often associated with bladder dysfunction and bladder dysfunction is often associated with urinary tract infections. The most common bladder problem associated with infections is urinary retention, which is incomplete emptying of the bladder. This creates an ideal incubator for bacteria to grow. Patients who catheterize may also be at an increased risk, particularly if not careful with their bladder technique.

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Ask the Expert – Fatigue

Posted on April 30, 2024 by MSAA

Featuring Barry A. Hendin, MD

MSAA’s Chief Medical Officer

Barry Hendin, MD

Question: What symptom affects up to 80% of people with MS and can worsen as the day goes on?

Answer: Fatigue.

Question: What are your recommendations for people with MS who are experiencing fatigue?

Answer: Fatigue is the most common symptom of multiple sclerosis. Although fatigue occurs in the general population, it’s more common and often more problematic in people with multiple sclerosis. The first approach should be to investigate the cause of fatigue with your clinician or neurologist. When MS is the only cause for the fatigue, it is labeled primary fatigue.

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Ask the Expert – Mobility

Posted on February 29, 2024 by MSAA

Featuring Barry A. Hendin, MD

MSAA’s Chief Medical Officer

Barry Hendin, MD

Question: What types of exercises are best to help with mobility and walking issues in MS?

Answer: A number of different exercises can improve and maintain walking and mobility skills along with safety. Many of these exercises can be learned through formal physical therapy or through online programs. They can include exercises focused on range of motion and flexibility. Alternatively, they may focus on strengthening through resistance training. Some exercises are directed toward general cardiovascular health and others focus primarily on balance. Although any of these forms of exercise may be useful, specific exercise for an individual should focus on an individual’s exact needs.

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Ask the Expert – Spasticity

Posted on January 4, 2024 by MSAA

Featuring Barry A. Hendin, MD

MSAA’s Chief Medical Officer

Barry Hendin, MD

Question: Does spasticity in MS ever improve on its own and what are the best treatments for this symptom?

Answer: First, it may help to define spasticity in simple terms. Spasticity is an increase in muscle tone due to an imbalance between excitatory and inhibitory influences on nerve flow along the motor pathways of the brain and spinal cord. Symptoms can vary from mild discomfort to severe pain and disability. Activities of daily living, quality of life, upper extremity function, and gait, can all be affected.

As with all MS symptomatology, spasticity can vary in intensity. It can improve or worsen, depending upon MS relapses, progression, or outside influences – including events, such as urinary tract infections. Fortunately, many interventions can help to reduce spasticity and improve comfort and function.

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Ask the Expert – Pain

Posted on November 1, 2023 by MSAA

Featuring Barry A. Hendin, MD

MSAA’s Chief Medical Officer

Barry Hendin, MD

Question: What types of medications are prescribed for pain in MS and what types of

complementary and alternative medicine (CAM) may be helpful?

Answer: Management of pain includes but is not limited to prescription medications. Our initial goal is to assess the cause of the pain and then to try to manage the pain itself. Pain in multiple sclerosis (MS) can come from lesions in the central nervous system (CNS), which produce very specific symptoms of intermittent facial pain (called trigeminal neuralgia) or burning and itching discomfort in various parts of the body.

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Ask the Expert – Pseudobulbar Affect (PBA)

Posted on August 31, 2023 by MSAA

Featuring Barry A. Hendin, MD

Barry Hendin, MD

Question: Both pseudobulbar affect and bipolar disorder can have emotional highs and lows. Can you discuss the differences between the two conditions?

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Ask the Expert – Speech Difficulties

Posted on June 29, 2023 by MSAA

Featuring Barry A. Hendin, MD

Barry Hendin, MD

Question: What types of speech problems may be caused by MS and what can be done to improve these issues?

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Ask the Expert – Anxiety

Posted on April 28, 2023 by MSAA

Featuring Barry A. Hendin, MD

Barry Hendin, MD

Question: Is anxiety a common symptom of MS, and if so, what are the signs and symptoms?

Answer: Anxiety is, indeed, a common symptom of MS. It is estimated to occur in almost half of the MS population, at some point. It often coexists with depression but can occur independently of depression. Unfortunately, anxiety is under-recognized and undertreated due to the clinical emphasis on depression alone.

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