One advantage of seeking multiple sclerosis (MS) care at the University of Chicago Medicine is that our specialists have vast experience in treating MS and other diseases that can mimic MS— such as neuromyelitis optica, Sjögren's syndrome, lupus, Guillain-Barré syndrome and myasthenia gravis — that can exhibit similar warning signs and symptoms. They have the experience and depth of knowledge to accurately diagnose multiple sclerosis, which is a key factor in better symptom management and medical outcomes.
There is no single medical test or set of physical findings that conclusively diagnoses multiple sclerosis. Our physicians use a variety of tools to determine whether an individual has MS or another, similar neurological condition. These tools may include:
- Medical history
- A neurological exam
- Blood tests
- Evoked potential (EP) tests that measure electrical activity of the brain in response to stimuli
- Magnetic resonance imaging (MRI), which provides information about brain lesions
- A cerebral spinal fluid analysis, which looks for chemical abnormalities associated with MS
- An optical coherence tomography (OCT) scan, which examines the optic nerve and retinal tissue at the back of the eye. This non-invasive scan is being tested as a "bio-marker" for asymptomatic patients who are at high-risk for developing multiple sclerosis and other neurological disorders.
Although there is currently no cure for multiple sclerosis, the past three decades have brought new treatments that can slow progression of the disease and reduce severity of symptoms. In addition to having access to the latest medications and procedures, UChicago Medicine neurologists have the experience, skills and expertise to help patients manage multiple sclerosis and lead the fullest lives possible. We provide compassionate and personalized care and examine the course of each person's disease before recommending a course of action.
While the progression of multiple sclerosis is different for each patient, individuals experience one of four courses:
- Relapsing-Remitting MS: Clearly defined deterioration of neurologic function (referred to as exacerbations, relapses, attacks, or flare-ups) followed by limited or full recovery
- Primary-Progressive MS: Slowly deteriorating neurologic function from the onset of the disease with no remission or relapses
- Secondary-Progressive MS: Steadily worsening of the disease after initial relapsing-remitting MS
- Progressive-Relapsing MS: Continually progressing disease with worsening symptoms, as well as attacks and remissions
Some of the effective strategies for treating flare-ups and managing symptoms include:
- Steroids to reduce inflammation during exacerbations
- Medications to manage and treat various MS symptoms, such as spasticity, pain, fatigue, numbness, vertigo, vision problems, issues with balance and gait, bladder and bowel dysfunction, cognitive dysfunction, depression and sexual dysfunction
- Botulinum toxin (Botox) injections to reduce spasticity in specific muscles and also in an overactive bladder
- Intrathecal baclofen pump (ITB therapy) to manage spasticity
- Deep brain stimulation (DBS), a neurosurgical treatment to relieve tremors by electrical stimulation of brain areas that control movement
- Rehabilitation therapy to improve mobility, fitness, energy, speech, memory, swallowing, etc.
- Lifestyle adjustments such as healthy eating, vitamin D supplements, exercise and smoking cessation to enhance everyday function
- Radiofrequency lesioning to control facial pain in association with MS. This is a surgical treatment to selectively destroy pain fibers just beneath the skin of the face.