Fatigue in Multiple Sclerosis: A Guide to Diagnosis and Management

Differential diagnosis and management of fatigue in multiple sclerosis: and fatigue assessments can guide effective management, which includes education, .
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Multiple Sclerosis and Related Disorders

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Joint Accredited with multiple accreditations, including:. Get helpful advice on your cases from a community of physicians. Gain Essential Business Knowledge. Some people with MS say they can feel tired even after a good night's sleep. You might notice them as you warm up during exercise. You could feel tired and weak or have trouble controlling certain body parts, like your foot or leg. As you rest and cool down, these symptoms are likely to go away. They usually affect your leg muscles. They also affect people with progressive MS. You might feel mild stiffness or strong, painful spasms.

These include vaginal dryness in women and erection problems in men. Both men and women may be less responsive to touch, have a lower sex drive , or have trouble reaching orgasm.

Early Signs & Common Symptoms of Multiple Sclerosis (MS)

MS could cause long pauses between your words and slurred or nasal speech. You might have swallowing problems as the disease advances. It might be hard to focus from time to time. This will probably mean slowed thinking, poor attention, or fuzzy memory. About half of people with MS have them.

Multiple Sclerosis - Gary L. Birnbaum - Oxford University Press

MS can cause muscle weakness or spasms, which make it tough to walk. Balance problems, numb feet, and fatigue can also happen. You could feel a tightness around your ribs or upper belly known as the MS hug.


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Doctors call these uncomfortable symptoms dysesthesia. Doctors can treat secondary symptoms, but the goal is to avoid them by treating the primary symptoms. Because MS varies so much, it's best not to compare yourself with other people who have it. Your experience is likely to be different. Most people learn to manage their symptoms and can keep leading full, active lives.

Early Signs of MS

There are two types of CIS: You have one symptom. You have more than one symptom. The most common symptoms in CIS are: An electric shock-like feeling when you move your head or neck.


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  4. It may travel down your spine or into your arms or legs. The most common symptoms are: Trouble walking A hard time keeping your balance Changes in your gait Dizziness: Secondary Symptoms These are problems created by your primary MS symptoms, not by damaged myelin. Not being able to empty your bladder can lead to a bladder infection. That can take a toll on your muscle tone, make your breathing shallow, and even affect your bone density.