Ask the Expert – Spasticity

Featuring Barry A. Hendin, MD 

MSAA’s Chief Medical Officer  

Headshot of doctor Barry Hendin, chief medical officer for MSAA
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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Embrace the Magic

‘Tis the season to savor moments, embrace traditions, and create lasting memories with loved ones. Explore festive activities, delve into cherished recipes, and discover the magic that makes the holidays truly special. From thoughtful gift ideas to mindful self-practices, there are many ways to maximize the joy and warmth of the holiday season.

Festive Traditions: Dive into the magic of the season by revisiting or creating new traditions. Whether it’s decorating the tree together, baking festive treats, or watching classic holiday movies, traditions strengthen the bonds of family and friends.

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ABC’s Of Holidays

Holidays are so important because they are times when we can take a break from life’s regular hustle and bustle. During these times, we must abandon our usual routines and do something out of the ordinary. It is the best time of the year to indulge in laughter, fun, and delicious treats. Amid all the good things that come with holidays, here are the ABCs of holidays that are reminders for me to value life and not take things for granted.

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Celebrando el éxito y la alegría de la temporada: reflexionando sobre los logros a pesar de los desafíos

Para la mayoría de nosotros reflexionar sobre nuestros logros es algo que no hacemos con tanta frecuencia. El ajetreo de la temporada navideña, el trabajo, la familia y otras responsabilidades suelen tomar el control. ¿Alguna vez te has sentido como si estuvieras viviendo de forma automática? Yo sí. A veces, me dejo llevar tanto por mi rutina, que pierdo la noción de todo lo que he logrado durante el año. Se siente como si parpadeara y, de repente, es diciembre y ha pasado otro año. En estas fiestas, quiero reflexionar sobre los logros y los momentos alegres que tuve en el 2023.

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Making the Most Is Not Doing the Most

The holidays can be a busy and stressful time for most of us. The list includes holiday parties, hosting guests, shopping, gift wrapping, traveling, and cooking. Especially when you have young children, you’re expected to deliver the magic of Christmas with every chance you get. Through my journey living with MS, since I was a young adult, I have learned that doing the most during the holidays is not making the most of the holidays. I have since limited my holiday commitments and traveling to a minimum. This does not mean that I don’t enjoy and love the season; instead, it means I make it manageable, which makes it all the more enjoyable for me.  

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Prioritizing Self-Care

By Stacie Prada

Each year I approach the holiday season with excitedly high hopes and an underlying worry for the season’s demands. I know I need to be even more attentive to my health than usual to best navigate the next couple of months. Yet most years I put commitments and other people ahead of my needs. It leads to overwhelm and exacerbates my MS fatigue.

Self-care is an individual decision and responsibility, and it’s within our control.  So, what makes it so hard? Often, it’s the abundant needs of family, friends, profession, and self-imposed expectations competing with limited time, money, and energy to meet those needs. The demands of us and by us can be more than humanly possible to meet. So where do we draw the line?

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A Guide to Self-Care During the Holiday Season

Ahh…the holiday season! With its dazzling lights and festive cheer, the holidays can often bring a whirlwind of activities and expectations. Although it’s a joyous season, it can also bring forth chaos and stress. That’s why it’s crucial to prioritize self-care and ensure a harmonious and fulfilling celebration. Here are a few strategies to help you navigate the holiday season while keeping your well-being at the forefront:

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Embracing Wellness While Navigating the Holiday Season

The holiday season can be overwhelming. While I enjoy shopping, cooking, decorating, and spending time with loved ones, it can leave me drained and exhausted. The holiday season represents joy and celebration, but life has a way of challenging our plans and intentions. Taking care of ourselves is integral to enjoying this season to the fullest.

Holidays have a significant impact on our lives. Every year, I remind myself to be mindful of my spending. I get so caught up in gift exchanges and not-so-necessary decorations that I lose track of what is truly important. A present is lovely, but the gift of our presence and undivided attention is unmatched. Spending time with loved ones and being present in the moment is priceless. I must remind myself to put the phone down, set aside my worries for another day, and focus on being fully present. If a gift exchange is essential and you have a large family, we can always give a personalized homemade card or a small trinket that symbolizes your appreciation. Seasonal sales are great but be mindful of impulsive spending. Knowing our financial limits and respecting those boundaries is part of our well-being. It allows us to prioritize our expenses and financial goals.

Social expectations can be a source of stress during the holidays. We may feel pressured to participate in events or activities that do not align with our current emotional or physical wellness. I allow myself to leave social events early, take breaks, or excuse myself from them as needed. Your loved ones may be more understanding of your limits than you think. Share your feelings with them, and don’t hesitate to ask questions. Sometimes, it’s essential to know the food or seating options at the event, or it may be essential to know who may attend the gathering if it contributes to an unhealthy dynamic. Don’t be afraid to set boundaries and follow through with them.

For those who experience loneliness or grief during the holiday season, know that you are not alone. The absence of people or any loss in your life can be difficult this time of year. Whatever the cause of our grief is, know that it is okay to acknowledge and express it. One way to deal with these feelings is to rethink our expectations and be flexible with ourselves. These feelings are entirely valid. Seek support from friends, family, and professionals, and practice acceptance. My MSAA Community Online Forum offers a free peer-to-peer online forum for individuals with MS, their families, and their care partners to share information and their experiences with multiple sclerosis. Building connections and finding support this holiday season can be done in various ways.

Self-care has become an essential component of well-being during the holiday season. I have learned that prioritizing my needs and preferences does not have to be an added task on my to-do list. I can make small changes that have a significant impact on my health.

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Priorizando nuestro bienestar durante la época festiva

La época festiva puede ser abrumante. Aunque disfruto de comprar, cocinar, decorar y pasar tiempo con mis seres queridos, esto puede dejarme agotada y exhausta. La temporada festiva representa alegría y celebración, pero la vida tiene una forma de desafiar nuestros planes e intenciones. Cuidarnos es fundamental para disfrutar al máximo de esta temporada.

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Steven Kaiser – November 2023 Artist of the Month

MSAA features the work of many talented artists affected by multiple sclerosis as part of our annual MSAA Art Showcase. Each month we share these artists’ inspiring stories and beautiful artwork with you as our Artist of the Month. This month, we celebrate Steven Kaiser as the November Artist of the Month. Steven is from Greensboro, NC.

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