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Dr. Timothy L. Vollmer
Chairman, Division of Barrow Neurology

Director, Barrow NeuroImmunology Program

Barrow Neurological Institute
St. Joseph's Hospital and Medical Center
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Timothy L. Vollmer M.D.
Director, Barrow NeuroImmunology Program
Barrow Neurological Institute
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Saturday

 

TIPS FROM THE HARVARD MEDICAL SCHOOL: Non-medicinal treatments for MS...

....The good news is that certain types of exercise can help people with MS. In addition to easing fatigue, exercise makes day-to-day living easier. It's also a mood booster, which can make quality of life a little better.....But exercise can be challenging for people with MS. That's because MS damages the nervous system, interrupting the messages sent between the brain and the rest of the body (see illustration). As a result, people with MS sometimes have problems with feeling, moving, seeing and even thinking. So, not all types of exercise are possible -- or beneficial.

Yoga has been shown to reduce fatigue in MS. And certain strength-training exercises can help boost mobility and muscle strength. The National Multiple Sclerosis Society also recommends tai chi (a gentle exercise consisting of slow, rhythmic body movements) and aquatic exercises. People with MS have a wide range of physical limitations, from mild to severe. That's why it's a good idea to work with a physical therapist or exercise specialist to develop a personal exercise regimen.

In addition to exercise, relaxation and stress reduction may also be helpful. A 2004 analysis that pooled results from 14 studies found a link between stressful life events and higher risk for MS relapses.

Other research has shown a higher risk of developing MS after a life-threatening event or a tragedy like the death of a child. The mechanism isn't fully understood. But one study found that reducing stress in people with MS lowered levels of gamma-interferon, a molecule that may contribute to relapses.

Many people wonder if diet can affect MS symptoms. Interestingly, MS is more common in people who live farther from the equator. The reason may be lack of sunlight. In the northern United States and other areas far from the equator, people get less ultraviolet radiation, which the body needs to make vitamin D. The Nurses' Health Study at Harvard found a link between MS and a lack of vitamin D. Women with the highest vitamin D intake from supplements (400 IU or more daily) were 40 percent less likely to develop MS than women who took no supplements. Although some doctors now recommend vitamin D supplements for people prone to MS, there's no proof that this will prevent the illness or influence its course.

Finally, researchers have found another habit that affects MS: smoking. Research from the Harvard School of Public Health suggests that quitting smoking may help limit or delay the progression of MS. In a study of 179 patients initially diagnosed with an early form of MS, investigators found that those who were current or past smokers were almost four times as likely as those who had never smoked to develop a more serious form of the disease.

In essence, the advice for people with MS is similar to that for many chronic diseases: exercise regularly, manage stress, eat a healthy diet and don't smoke.