The 20 Best Relapsing Multiple Sclerosis (RMS) Doctors Near Me in Galveston, TX

Relapsing multiple sclerosis (RMS) is a form of multiple sclerosis (MS) that causes episodes of new or worsening symptoms, called relapses, followed by recovery periods, called remissions. MS is a chronic condition where the immune system attacks the protective coating around nerves, called myelin, in the brain and spinal cord. This damage disrupts communication between the brain and body. RMS is the most common form of MS. The difference between RMS and MS lies in the disease pattern. RMS includes clear relapses with recovery periods, while other forms of MS, such as primary progressive MS, involve a steady worsening of symptoms without distinct relapses. 

The type and intensity of RMS symptoms vary from person to person. Common symptoms include: 

• Fatigue: Feeling extremely tired even after resting. 

• Numbness or tingling: Often in the face, arms, or legs. 

• Vision problems: Blurred, double vision, or loss of vision in one eye. 

• Muscle weakness or spasms: Difficulty moving certain parts of the body or muscle stiffness. 

• Balance and coordination issues: Trouble walking or maintaining stability. 

• Cognitive changes: Problems with memory, concentration, or processing information. 

• Pain: Sharp or chronic pain in certain areas of the body. 

Symptoms during a relapse can last days to weeks and often improve or disappear during remission. 

People with RMS are typically treated by neurologists, who specialize in the nervous system. Neurologists are experienced in diagnosing and managing MS and can prescribe treatments to reduce relapses and slow disease progression. Rheumatologists, who treat autoimmune diseases like rheumatoid arthritis, do not generally treat MS because MS affects the central nervous system rather than joints or connective tissues. 

Patients with RMS may also work with a care team, including: 

• Physical therapists to improve mobility and strength. 

• Occupational therapists to help with daily activities. 

• Psychologists or counselors to support mental health. 

RMS is treated using a combination of therapies aimed at reducing relapses, managing symptoms, and slowing disease progression. Common treatments include: 

• Disease-modifying therapies: Medications such as interferons, glatiramer acetate, and monoclonal antibodies (e.g., ocrelizumab or natalizumab) reduce relapses and slow the progression of MS. 

• Steroids: High-dose corticosteroids, like methylprednisolone, help reduce inflammation during relapses. 

• Symptom management: Medications for fatigue, muscle spasms, and other symptoms improve quality of life. 

• Rehabilitation therapies: Physical and occupational therapy support mobility and daily functioning. 

• Lifestyle changes: Healthy diet, regular exercise, stress management, and adequate sleep can help manage symptoms. 

RMS is a lifelong condition, but the duration of individual relapses can vary. Most relapses last between a few days to a few weeks, with some lingering up to three months. Recovery times differ for everyone, and while remission periods can last for months or years, relapses may still occur unpredictably. Early treatment with disease-modifying therapies can help reduce the frequency and severity of relapses. 

What is the life expectancy for someone with relapsing multiple sclerosis? 

Life expectancy for people with RMS is typically near normal, especially with early diagnosis and proper treatment. Advances in medications and symptom management have greatly improved outcomes. On average, MS may shorten life expectancy by about 5-10 years, mainly due to complications like severe infections or difficulty with mobility. Most individuals with RMS can live long, fulfilling lives with the right care and support.