Table of Contents

 

 

 

 

Preface

xi

PART I

MULTIPLE SCLEROSIS: CAUSES, RISK FACTORS, AND DISEASE COURSE

 

Chapter 1

Multiple Sclerosis (MS) Overview

3

Chapter 2

Autoimmune Disease

23

Chapter 3

The Central Nervous System

33

Section 3.1

Central Nervous System Overview

34

Section 3.2

Myelin and Nerve Structures

42

Chapter 4

Cellular Processes Involved with MS

49

Chapter 5

Understanding the Genetics of MS

57

Chapter 6

Male Experience with MS

61

Chapter 7

African Americans and MS

67

Chapter 8

Pediatric MS

73

Chapter 9

Possible Triggers and Risk Factors of MS

79

Section 9.1

Toxic Agents

80

Section 9.2

Nutritional Factors

98

Section 9.3

Infectious Diseases

123

Chapter 10

MS Exacerbation: Attack, Relapse, or Flare

137

Chapter 11

Disease Progression in MS

139

Chapter 12

Diseases that Mimic MS

147

Chapter 13

Other Demyelinating Disorders

155

PART II

SYMPTOMS OF MULTIPLE SCLEROSIS

 

Chapter 14

Overview of MS Symptoms

165

Chapter 15

Movement Disorders

171

Section 15.1

Uncoordinated Movement

172

Section 15.2

Gait (Walking) Problems

175

Chapter 16

Tremor

183

Chapter 17

Pain in MS Patients

193

Chapter 18

Fatigue in People with MS

199

Chapter 19

Speech Problems Associated with MS

203

Chapter 20

Swallowing Disorders Associated with MS

215

Chapter 21

Vision Problems and MS

223

Section 21.1

Optic Neuritis

224

Section 21.2

Nystagmus (Uncontrollable Eye Movement)

226

Chapter 22

Pulmonary and Respiratory Complications in MS Patients

229

Chapter 23

Nerve Disease and Bladder Control Problems

233

Chapter 24

Cognitive Deficits in People with MS

243

Chapter 25

Depression in People with MS

251

Chapter 26

Pregnancy Concerns for Women with MS

255

PART III

DIAGNOSTIC TESTS, TREATMENTS, AND THERAPIES FOR MULTIPLE SCLEROSIS

 

Chapter 27

Neurological Diagnostic Tests and Procedures

263

Chapter 28

The MS Health Care Team

271

Chapter 29

Benign MS Treatment: Taking a Wait-and-See Approach

277

Chapter 30

Drug Treatments and Therapies for MS

281

Section 30.1

Treating Exacerbations and Relapses

282

Section 30.2

Long-Term Treatment for Disease Progression

290

Section 30.3

Tysabri (Natalizumab) for Relapsing Forms of MS

299

Chapter 31

MS Pain Management

303

Chapter 32

Treating Involuntary Movement

309

Section 32.1

Controlling Spasticity in MS

310

Section 32.2

Deep Brain Stimulation for MS

319

Chapter 33

Rehabilitation for MS

325

Section 33.1

Physical Therapy

326

Section 33.2

Occupational Therapy

329

Section 33.3

Counseling Therapy

332

Chapter 34

Complementary and Alternative Medicine in MS

335

Chapter 35

Plasmapheresis: A Controversial Treatment for MS

343

Chapter 36

Cooling Therapy for MS

347

Chapter 37

Clinical Studies of MS

351

PART IV

LIVING WITH MULTIPLE SCLEROSIS

 

Chapter 38

Telling Family, Friends, and Employers that You have MS

359

Chapter 39

Can Disability, Chronic Conditions, Health, and Wellness Coexist?

363

Chapter 40

MS and Nutrition

369

Chapter 41

Exercise Guidelines for People with MS

375

Chapter 42

Managing Fatigue

381

Chapter 43

Stress and MS

387

Chapter 44

Maintaining Intimacy and Sexuality If You have MS

395

Chapter 45

Developing a Support Group If You have MS

403

Chapter 46

Tips and Tools for MS Caregivers

409

Chapter 47

Features of Home Accessibility

421

Chapter 48

Equipment that Promotes Self-Care, Mobility, and Independence

427

Section 48.1

Assistive Technology

428

Section 48.2

Tips for Dressing When Mobility is Limited

434

Section 48.3

Medicare Coverage of Durable Medical Equipment

437

PART V

MULTIPLE SCLEROSIS AND WORK, FINANCIAL, AND LEGAL ISSUES

 

Chapter 49

Navigating the Workplace with MS

445

Section 49.1

Identifying and Managing the Challenges

446

Section 49.2

Asking for Accommodations or Different Job Duties

452

Section 49.3

Regaining Power in the Workplace with Chronic Illness

458

Section 49.4

Employment Support and Opportunities for People with Disabilities

460

Chapter 50

Social Security Disability Benefits

469

Chapter 51

Financial Planning: Security for the Years Ahead

479

Chapter 52

Health Care Options: Home Care, Assisted Living, Skilled Nursing Care

491

Chapter 53

Put it in Writing: Questions and Answers on Advance Directives

503

PART VI

ADDITIONAL HELP AND INFORMATION

 

Chapter 54

Glossary of Terms Related to MS

513

Chapter 55

Organizations with Additional Information About MS

519

 

Index

529