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Nerve fibers are protected by a coating of a substance called myelin. In multiple sclerosis (MS), the myelin coating of nerve fibers in the brain and spinal cord is destroyed by the immune system. This process is called demyelination.
Myelin insulates and surrounds the core of a nerve fiber known as the axon. When the axon is damaged, it hinders the transmission of signals along nerves. Damage to the nerve itself can also occur and is often referred to as axonal injury.
Fast facts on multiple sclerosis prognosis
- The presence of symptoms depends on the type of MS that a person has
- People with MS may not show any symptoms of the disease from time to time
- MS is not itself fatal, although patients can experience severe complications that are fatal
- The symptoms of MS can impact all aspects of life
- Reduced quality of life can lead to depression in people with MS
Multiple sclerosis can leave people constantly feeling tired.
It is common for people with MS to feel constantly tired. This tiredness can impact all aspects of life, including the ability to go out and do things and the ability to use the brain effectively.
The symptoms of MS can give rise to constant discomfort and disability that limits the ability to do everyday things many people take for granted.
People with MS may have to attend lots of medical appointments. They must also live with the uncertainty of when the next attack of symptoms may happen.
Together, these reduce a person's quality of life. The ongoing frustration of such restrictions results in some people with MS developing depression.
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There are many occupational therapy and relaxation programs that can help people with MS to manage their symptoms. These programs can help people with MS improve their performance of daily activities despite the limitations imposed by the condition. A range of patient groups is also available to offer support to people living with MS.
Recent research suggests that a protein-rich diet may improve the outlook for MS by reducing inflammation. MS is not itself fatal, but the mortality rate among people with MS is higher than in the general population. The increased number of deaths is due to complications of MS, such as infection, diseases affecting the lungs or heart, or suicide.