TY - JOUR
T1 - Approach to Symptom Management in Multiple Sclerosis with a Focus on Wellness
AU - Goldman, Myla D.
AU - Spain, Rebecca
N1 - Funding Information:
RELATIONSHIP DISCLOSURE: Dr Spain has received personal compensation in the range of $500 to $4999 for serving as a consultant for Gerson Lehrman Group, Inc. The institution of Dr Spain has received research support from the Department of Veterans Affairs, the MS Society of Canada, and The National Multiple Sclerosis Society.
Publisher Copyright:
© Lippincott Williams & Wilkins.
PY - 2022/8/1
Y1 - 2022/8/1
N2 - PURPOSE OF REVIEW This article describes an approach to symptom management in people with multiple sclerosis (MS), emphasizing healthy lifestyles and evidence-based treatments. RECENT FINDINGS Growing evidence supports healthy nutrition, exercise, and emotional well-being (wellness) as foundational for MS symptom management. A stepped approach starts with healthy lifestyle practices and adds nonpharmacologic, pharmacologic, and procedural-based therapies balancing levels of evidence, risks, and potential benefits. The growing availability of cannabis and widespread use of dietary supplements in self-management of MS symptoms raise both therapeutic promises and challenges. SUMMARY Wellness approaches for MS symptom management foster self-reliance and should be reinforced early and often. Recognition of symptom clusters and medical comorbidities helps limit polypharmacy.
AB - PURPOSE OF REVIEW This article describes an approach to symptom management in people with multiple sclerosis (MS), emphasizing healthy lifestyles and evidence-based treatments. RECENT FINDINGS Growing evidence supports healthy nutrition, exercise, and emotional well-being (wellness) as foundational for MS symptom management. A stepped approach starts with healthy lifestyle practices and adds nonpharmacologic, pharmacologic, and procedural-based therapies balancing levels of evidence, risks, and potential benefits. The growing availability of cannabis and widespread use of dietary supplements in self-management of MS symptoms raise both therapeutic promises and challenges. SUMMARY Wellness approaches for MS symptom management foster self-reliance and should be reinforced early and often. Recognition of symptom clusters and medical comorbidities helps limit polypharmacy.
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U2 - 10.1212/CON.0000000000001140
DO - 10.1212/CON.0000000000001140
M3 - Article
C2 - 35938657
AN - SCOPUS:85135548128
VL - 28
SP - 1052
EP - 1082
JO - CONTINUUM Lifelong Learning in Neurology
JF - CONTINUUM Lifelong Learning in Neurology
SN - 1080-2371
IS - 4
ER -