Treat and Prevent a Multiple Sclerosis Flare-Up
How to Prevent a Flare
Nothing can completely prevent relapses of MS. However, starting medicine right after you're diagnosed with MS helps reduce how many flare-ups you have.
In addition to taking your medicine as directed, these steps may help.
- Closely track your symptoms. "If you notice subtle breakthrough events, it may mean that your medication isn’t working for you, and we need to make a change," says Cohen.
- Stop smoking. "Smoking is extremely bad for MS," says Fox. Smokers lose brain tissue much faster than those who don't smoke, he says. Ask your doctor about nicotine patches, gums, or lozenges. They don't seem to cause the same damage as tobacco and can help you kick the habit.
- Live healthy. Eat a balanced diet. Exercise most days of the week. Try to lower the stress in your life. You'll be healthier, which may make it easier to manage MS. Working out and relaxation may also help control your symptoms.
Ask your neurologist how quickly you should call when you notice new symptoms. Some may require more than simply getting extra rest or using other coping strategies on your own.
These are the ways your doctor will usually treat a flare-up.
- Steroids. If you've lost some vision or suddenly can't walk, your doctor may suggest this type of drug. "Steroids [help] make the patient better faster," says Mark Keegan, MD, of the Mayo Clinic. You'll need an IV for three to five days, or a lot of pills over a few days.
- Physical therapy. These precise exercises help you recover the use of a hand or leg. Fox says PT works especially well while you're taking steroids. The combination helps you get back to your normal strength and motion.
- Plasma exchange. This may help treat a severe flare-up -- for example, you were walking fine and now you can’t walk at all -- when high-dose steroids aren’t working.
With plasma exchange, some of the blood is removed from your body. Your blood cells are separated from your plasma. The blood cells are then mixed with another fluid that replaces the plasma and transfused back into your body. Doctors think it helps some people because it removes antibodies in the plasma that may cause problems in MS.
- Watchful waiting. When symptoms are annoying but not severe, like a little numbness in your hand, you may choose to just watch them closely and see if they get better.
Talk with your doctor about what's right for you. You both may decide to avoid the hassle and side effects of steroids and just wait for the flare-up to go away.
"Steroids speed the healing of a relapse, but they don’t create healing that wouldn’t have occurred otherwise," Fox says. So you’ll recover just as much -- or as little -- without the steroids as you would with them.
Take care of yourself during a flare-up. "If it feels like you need more sleep, get more sleep," Fox says. But don't remain completely still. While the flare may limit your activities, you can -- and should -- still go about your daily business as much as possible. Maintain a healthy lifestyle, and pay attention to the signals your body is sending.