Multiple sclerosis affects about 2.5 million people worldwide, with symptoms ranging from mild to severe. As a leading neurology and pain management practice on Long Island, NY, and in Manhattan’s Upper East Side, Upper West Side and Downtown neighborhoods, New York Neurology Associates is a top-ranked provider of MS treatment options custom-tailored for each patient’s unique and evolving needs.
Multiple sclerosis, or MS, is a chronic and degenerative condition that occurs when the body’s immune system attacks the protective myelin sheath that covers nerves. As the myelin is damaged, signaling between nerves and along the nerve pathways gradually becomes more and more disrupted, resulting in problems with movement and motion and interfering with other functions. The progression of multiple sclerosis can vary from one person to another, and often, symptoms can “flare up” or become worse for a period of time, then lessen in severity during a period of remission. In others, the disease steadily and progressively becomes worse over time.
It’s unclear what triggers multiple sclerosis, but researchers believe it’s caused by a genetic mutation or possibly stems from childhood infections that cause an abnormal development in the body’s immune system. Women are two times as likely to develop multiple sclerosis as men, and it also occurs more commonly among people with a family history of the disease as well as those of Northern European descent.
To date, there is no specific test that can definitively diagnose multiple sclerosis. Instead, the disease is diagnosed based on a careful review of symptoms, an in-depth personal and family medical history, a physical examination and medical testing to rule out other possible diseases or conditions that cause similar symptoms. Blood tests, diagnostic imaging studies, nerve conduction tests and other evaluations may be ordered to aid in diagnosis. In a few cases, a small sample of cerebrospinal fluid (the protective fluid that surrounds the central nervous system) may be extracted for evaluation in a lab.
Although there is no cure for multiple sclerosis, there are many treatments that can be used to lessen the severity of symptoms and even help slow the progression of the disease. Corticosteroid injections can be very helpful in managing some symptoms, and immune-suppressant drugs can help slow the progression of the disease by preventing the immune system from attacking the protective myelin sheath. Other medications can help prevent or reduce the frequency of relapsing symptoms following periods of remission. Patients with MS will need ongoing care customized for their evolving needs to help manage symptoms over time.
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"I really enjoy theses guys, they are great. I'm glad i found them when i did. There treatment has helped me a lot."
"Amazing experience this practice. No one was able to treat my migraines until I went to see Dr. Starkman. Highly recommend!"
" I would recommend this practice for anyone who needs pain management."
"Dr. Jadoo is very professional and friendly. I have a very serious neurological disease and she is very knowledgeable and honest about treatment options."
"Very Good Doctor! Dr. Jadoo was very nice, very professional and very helpful with my problem. I felt very comfortable with her and she explains things really well."
"Dr. Jadoo was very knowledgeable about my disease and was able to provide answers to all my questions. I would recommend her to anyone with a neuromuscular disorder."
"Dr. Iones is friendly, thorough, and takes the time to explain what patients need to know. Dr. Iones has an excellent bedside manner."
"The office was very nice and professional. I felt comfortable and cared for. I would definitely recommend Dr. Iones to friends and will be returning..."
"Dr. Iones really takes time with each patient and listens to your concerns -- I feel like this one one of the most comprehensive doctor's visits I have ever had."
"Excellent. Dr.Mohen restored my confidence in personalized patient-centered treatment.she was courteous, friendly and she is very in sync with current options.."
" Dr. Mohen has been thorough and inviting. She regularly keeps in contact with checking on my progress. Most importantly she has given me hope."
"Dr. Mohen took the time to listen to me and asked lots of questions so as to determine the proper diagnosis and treatment. She was welcoming, friendly & knowledgeable.."
"Dr. Ioffee is a great listener and suggests other specialists when needed. Very clean and bright office space and very pleasant receptionist."
"Dr. Saremsky did a great job of listening to our concerns, and interacted with our son in a pleasant and caring way."
"I felt so well listened to by Dr. Saremsky. He was kind, compassionate, and very good at explaining ASD. I would recommend him without reservations."
"I love Dr. Saremsky. I have two sons that see him and he is patient and thorough. I have sent many other families to see him and always receive a thank you."