Dr David Choluj is a Consultant Neurologist with a further extensive experience in Stroke Medicine and Neurological Rehabilitation, based in London.
The symptoms of MS vary widely from person to person and can affect any part of the body. The main symptoms include fatigue, difficulty walking, vision problems, such as blurred vision, problems controlling the bladder, numbness or tingling in different parts of the body, muscle stiffness and spasms, problems with balance and coordination, problems with thinking, learning and planning. Depending on the type of MS, symptoms may come and go in phases, or get steadily worse over time.
The diagnosis is based on clinical presentation, magnetic resonance imaging, lumbar puncture, blood tests and evoked potentials. The diagnosis is made by the consultant neurologist, specialised in MS.
Treatment for MS depends on the specific symptoms and difficulties the person has. It may include the treatment of relapses of MS symptoms (with steroid medication), treatment of specific MS symptoms, or for example treatment to reduce the number of relapses (disease-modifying therapies). In the cases of increasing neurological disability, it is essential to sufficiently support the patients in their rehabilitation and disability management needs. In every case, the patient is supported by a team of different healthcare professionals working together.