Expert Insights on Managing Multiple Sclerosis: A Clinical Perspective [PART 2 of 4]

Welcome to "Expert Insights on Managing Multiple Sclerosis: A Clinical Approach"! In this video (part 2 of 4 in series on MS management), we bring you best practices from a leading clinician in the field of Multiple Sclerosis (MS) care.

In this video, we delve into HOW to execute on clinical goals of MS care, including relapse management, symptom management, and slowing disease progression. I hope this video provides valuable insights and information for anyone seeking to better understand and manage their MS. Thank you for watching!

The Boster Center for Multiple Sclerosis accepts all major insurance carriers and accepts consults from around the globe, both in office and via telemedicine. www.BosterMS.com or call 614-304-3444 to schedule!

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COMMENT with your thoughts and questions below! I look forward to reading and responding!

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5 for 5 series Videos:

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NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS to help educate others. These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. They are just to help educate you about the condition guys!

[joeh]

Dr Boster, I am a 64 year old white male and was diagnosed in 2020 at 62 years old. Originally though I pinched a nerve or pulled a muscle lifting weights. Weakness in legs and numbness in hands lead to MRI and lesion was found on spine(C6). Admitted to hospital for three days of steroids and walked out after three days on own power. After a week or so leg weakness returned with balance issues. Admitted to hospital again and MRI showed another lesion (C2 active). Five days of steroids this time and left with aid of walker. Continued to get weaker and back in hospital for Plasmapheresis.Physical Therapy for 2 weeks and left hospital in wheelchair. Have been in wheelchair since with no use of my legs. I have been on Ocrevus for two years and no flair ups. Last MRI showed no lesions. Prior to being diagnosed I was healthy active non smoker and in good shape.

[teresahargett]

Thank you, Dr. Boster. Thank you so much for being a light in the darkness for those of us who are in rural areas, no one to turn to, and have sub-par neurologists. I drive over an hour to see mine, and the visit lasts about 15 minutes. I have yet to view any of my MRI'S, and I was diagnosed 2 years ago. What I wouldn't do to live in Ohio! I am very grateful for your videos.

[SabrinaSchoenmaker]

Hi Dr. Boster, what you said about telling you what’s wrong so you can help is exactly what I spoke about with my physio today. Because I choose to suffer in stead of share because I’ve had so many doctors say I was just imagining things. So now the fingers of my good hand have started getting stiffer 3 weeks ago and it feels perfectly safe to tell you this here, but I’ve not told my neurologist yet. Even though I trust him completely. So, the point I’m telling you this is, that it sounds so easy to just pick up the phone and ring your neurologist. But to some it’s not that easy, and I know quite a lot of people with MS who have had traumatic experiences with doctors not believing them a/o getting send to a psychologist. I think that might be something to address in a video. In a positive way, telling what the options are if you have or have had a doctor who doesn’t treat you seriously. Ps. Your videos helped me after my diagnosis, you have truly made a difference in my life. Thank you.

[opalsmith]

Dr. B, I've said many times.. you are fantastic!! .. you explain MS concerns that is easy to understand.. ...your example about UTI made so much sense after your explanation!!👍🏽💕

[BlissfullyBetsy]

Dr Boster, You are such an inspiration to me as an acute care RN AND M.S. patient! Can you speak to why increasing Ocrevus infusion rate might create far more post infusion side I have done great post infusion all other times (headache/fatigue) but recently my infusion was expedited to 3 hrs and I felt like I was hit by a train for days!?

[gusvrontos]

I want to thank you for all the wonderful videos you have provided, you have truly educated me and many others. I saw the video regarding "red flags" for the Neurologist, and I took your advice and changed neurologist.

I want to ask if you can provide us all with a video, what are the expectations of your new MRI once you have started your first DMT. When you do the new MRI, and what to expect

[susanfabian]

I love your colorful scarf and sweatshirt! Your dog is so cute! Thank you for the video, very informative.

[suzannemanser]

Thank you for including bedroom in your 'down theres'. It's a part of many people's lives, including mine and hubby's. I was somewhat traumatised when I had a relapse and went numb from the waist down. Luckily it wasn't permanent but it worried me almost as much as not being able to walk did! Be honest with your neuro folks. Our lives aren't just can you eat, sleep, pee and poop but can you enjoy life and reproduce if you want to.

[jillpartain]

I think I've said this before but your videos have taught me more about My MS & MS in general than I've learned in the almost 13yrs of being diagnosed!

I do have a question about pseudo relapses--How long can they last?

[desiredecove]

Being five for five is something that we can all do or strive for to benefit ourselves. Thank you for giving us these great tools that enable us to live our best life! #Sharingiscaring #strongertogether
#mavencladmilf

[donnamoore]

I hear you talk about the brain and MS, do you have insight into spinal damage? My damage is at T11 and T12..

[Ixdeus]

Hi Dr Boster. Really great videos. Thank you for all the help you are providing. How to reach out to you by email? I wrote to clinic but without any response. Tnx in advance.

[dougtagg]

Thank you for the Monday morning video. Always helpful. Doug coffee in hand from Lyndhurst.

[EveMosher]

I wish every neurologist was "a weirdo" like you 😁 your videos are so helpful and I just wish you could train more to be like you. I have a lovely neurologist but she dismisses everything that isn't obvious MS as not being something she can help with.
I also appreciate your firefly fandom 🎇

[r-jproductions]

Hello Doctor, I had covid in Jan& again in July of 2022 recovered without any issues. Then in Sept I started having extreme fatigue, insomnia for abt 7 weeks along with 1 episode of low blood sugar which I was hospitalized and did all the work up and everything came back normal. In the meantime I developed tachycardia, numbness and tingling in my hands feet, tingling in the face and also tremor and occasional dizziness. I also feel like I am having these vibrating sensations. Also bugs crawling sensations some times. I was really weak in the beginning of all these and seems to be getting better with that, but nothing like prior to all these happened. My pcp said its probably post covid complications. I was totally a healthy person prior to all this.But I am really concerned. What do you think ? Are you seeing pts that has post covid complications like these or could it be something else? Hope to hear from you. By the way I am one of your newest follower. Thank you for your time.

[donnaberrios]

I m faced with that right now if I should go on a modifying medicine or just ride it out n see what happens is this a good idea I’m afraid to take the medicine 😢

[pmooremoore]

Great info, you're so awesome! Question: If someone has a pseudo attack due to an old symptom flaring, would there likely be a new or enhanced lesion seen on mri? Always wondered about this.

[karlapaquin]

Will smoking a cigar every other months affect MS or is it cigarette smoking what is damaging?

[safaeelh]

Hi doc! Your videos have been so helpful, but I have a specific question about medication and managing chronic symptoms.
Since ms symptoms onset: 2016: NO
Start medication end of 2017(BC of complaints other eye), copaxone(3mo), aubagio (6mo) and then at start of 2018 Asclepios trial. (Ofatumumab)
Ever since I had COVID in February this year, my energy level and ms haven't been as calm as they were before (smouldering ms, not active in brain). I've been on kesimpta for over 3 years and my MRI hasn't changed in years. Obviously, not having new lesions is great news. nowadays you'll always read that starting off with a highly effective DMT rightaway leads to less disability longterm, but my neuro says my body could use a break from Kesimpta. I've noticed that docs here in the NLs aren't as progressive as you are over there. Would you recommend I'd stop? I have no side effects from Kesimpta and my b-cells and other blood test results are good. I saw your video on when to stop with medication, but I don't recall you saying stop it if it's going well. I've had a second opinion, but neuros keep saying that I should just use a first line treatment since my ms isn't active.

[darrinburnette]

I. Personally feel like I need 10 years of physical therapy to the government has to pay for it.
The biggest problem with the MS is spasms in my legs not A muscle twitch but full on my legs spasms are full on kick enough to make my whole body jump. Then after that happens I get alot of pain in the back of my neck it feels like a person is grabbing the back of my head neck