MS is different for each person, with a wide range of symptoms, including fatigue, numbness, tingling, muscle weakness, vision problems and cognitive difficulties. The unpredictable nature of MS can make it difficult to manage. This further highlights the importance of seeking expert medical care.

Understanding Multiple Sclerosis and its Treatment

MS occurs when the immune system attacks the myelin sheath, the protective covering of nerve fibres. This damage disrupts nerve signals which leads to the various symptoms associated with MS. While there is currently no cure for MS, a range of treatments are available to manage symptoms, slow disease progression and improve wellbeing.

The treatment approach for MS is tailored to the individual’s specific needs and disease course. It often involves a combination of:

• Disease-Modifying Therapies (DMTs): These medications aim to reduce the frequency and severity of relapses, slow the accumulation of disability, and prevent further damage to the central nervous system.
• Symptom Management: Addressing individual symptoms is essential for improving quality of life. This may involve medication for pain, fatigue, muscle spasms, bladder dysfunction, or other specific concerns. Physiotherapy, occupational therapy and speech therapy can also play a role in managing symptoms.
• Rehabilitation: Rehabilitation programmes can help individuals with MS regain lost function, adapt to physical limitations, and improve their independence.
• Lifestyle Modifications: Making healthy lifestyle choices can positively impact the course of MS. This includes maintaining a balanced diet, engaging in regular exercise, managing stress, and avoiding smoking.

Navigating MS Treatment in London

London offers access to a wealth of resources for individuals living with MS. Specialised MS centres, support groups and experienced neurologists are available to provide comprehensive care and guidance. Choosing the right neurologist will seriously impact your MS management.

Dr Paviour: Expertise and Compassionate Care

Dr Paviour is a highly experienced consultant neurologist in London with a special interest in multiple sclerosis. He understands the challenges the disease can present. Dr Paviour’s approach involves:

• Thorough Assessment and Diagnosis: Dr Paviour conducts a full neurological evaluation to accurately diagnose MS and assess its impact on your health.
• Treatment Plans: Dr Paviour develops bespoke treatment plans for each patient, considering their symptoms, disease course, and personal preferences. He discusses all available treatment options with you, including DMTs, symptom management and lifestyle changes.
• Ongoing Monitoring and Support: Dr Paviour provides monitoring and support to help you manage your condition. Regular follow-ups allow him to track your progress, adjust your treatment plan as needed, and address any concerns.
• Access to Clinical Trials: Dr Paviour is actively involved in research and clinical trials related to MS. He can discuss whether participation in a clinical trial is a suitable option for you.

Multiple Sclerosis Treatment London with Dr Paviour

Living with MS can be challenging, but it doesn’t have to define you. With the right care, you can manage your symptoms, maintain your quality of life and continue to pursue your goals. Dr Paviour and his team provide compassionate and comprehensive care to individuals with MS. Contact us today to book in for a consultation.

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While many patients understand multiple sclerosis, they don’t know how this autoimmune disease affects the body. Let’s look more closely at how MS is impacted by inflammation of the nervous system.

Multiple Sclerosis focuses on the Central Nervous System

Nerve damage can occur anywhere in the spinal cord or brain and result in multiple sclerosis. Therefore, symptoms often vary from person to person. MS attacks the tissues of the brain and spinal cord, that together make up the central nervous system. This system is crucial for the body’s ability to send, receive and interpret information from all over the body. The spinal cord sends messages to the brain via nerve cells or neurons and your brain can then react appropriately dependent on the messages.

Neurons are made up of a cell body, dendrites, and an axon. The axon, or nerve fibre, is coated in a fatty material called myelin. Research shows that multiple sclerosis directly targets and attacks this myelin, breaking it down and interrupting the body’s nerve signals.

MS begins with Inflammation

Most research and neurological scientists point towards multiple sclerosis starting with inflammation. Infection-fighting white blood cells triggered by an unknown force enter the central nervous system and begin to attack the nerve cells. Scientists believe this unknown force may be a latent virus, a genetic trigger, or an immune system malfunction.

When inflammation begins, multiple sclerosis becomes active. The attacking white blood cells break down the myelin protecting your neuron’s nerve fibres (axons). Now damaged, nerve fibres cannot efficiency transmit nerve impulses and patients experience the symptoms of MS. Damaged nerve fibres also begin to repair, with a form of scar tissue replacing the areas of damaged myelin. These areas of damage are technically described as lesions or plaques. Patients with MS often have significant areas of damage, and this is usually a clear indicator of the presence of MS.

What happens after Inflammation?

Periods of inflammation during MS can last anywhere from a few days to several months. Patients with relapsing or remitting types of multiple sclerosis may experience periods of remission with no symptoms once inflammation settles. This also gives the nerves a chance to try and repair. Some patients experience years of remission.

Progressive multiple sclerosis patients often do not experience significant periods of inflammation and unfortunately may not experience remission periods either.

Dr Paviour is an experienced consultant neurologist working with many patients with multiple sclerosis. A neurologist can help treat MS symptoms in various ways, and by arranging a consultation to discuss your symptoms, they can advise on the best steps to take. To find out more or to book an appointment with Dr Dominic Paviour please get in touch

Stephanie021299, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons

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Nerve fibres in the brain and spinal cord are surrounded by a layer of myelin. The myelin protects the nerve and helps electrical signals travel fast and effectively. MS is known as a demyelinating inflammatory disorder because the myelin becomes damaged.

The NHS details MS as a lifelong condition that can sometimes cause serious disability, although it can occasionally be mild. In many cases, it’s possible to treat symptoms. Average life expectancy is slightly reduced for people with MS.

Multiple Sclerosis is most commonly diagnosed in people in their 20s and 30s. However, it can develop at any age. It’s about 2 to 3 times more common in women than men and is one of the most common causes of disability in younger adults.

Symptoms of Multiple Sclerosis

The symptoms of MS do vary widely from person to person. The varying indicators can affect any part of the body.

The main symptoms are highlighted below.

• Fatigue
• Difficulty walking
• Vision problems, such as blurred vision
• Problems controlling the bladder
• Numbness or tingling in different parts of the body
• Muscle stiffness and spasms
• Problems with balance and co-ordination
• Problems with thinking, learning and planning

Around 8 out of 10 people with MS will have the relapsing remitting type of MS. Someone with this type of Multiple Sclerosis will have Remission. This is where someone with this type of MS will have periods of time where symptoms are mild or disappear altogether. The Remission period can last for days, weeks or sometimes months.

Remission can be followed by a sudden flare-up of symptoms, known as a relapse. Relapses can last from a few weeks to few months. Often, after around 10 years, around half of people with relapsing remitting MS will go on to develop secondary progressive MS.

In secondary progressive MS, symptoms gradually worsen and there are fewer or no periods of remission.
The least common form of MS is primary progressive MS. In this type, symptoms gradually get worse over time and there are no periods of remission.

More details on the development of MS and the condition itself can be found here.

Treatment for Multiple Sclerosis

There is currently no cure for MS but there are a number of treatments that can help. This will be dependent on your symptoms and a specific management plan but may include any of the following.

• Short courses of steroid medicine to speed up recovery
• Treatments for specific MS symptoms
• Disease-modifying therapies may also help to slow or reduce the overall worsening of disability

The MS Society provides a wealth of information on its website which will answer many of your questions.

Contact Dr Paviour

Dr Paviour is a Consultant Neurologist in Central and South West London. He has a specialist interest in Parkinson’s disease and other Movement Disorders. He is the clinical lead for Movement Disorders at the Atkinson Morley Regional Neurosciences Centre. Patients are welcome to his clinics to discuss symptoms of Multiple Sclerosis. So simply phone 020 7042 1850 or send a message via our contact us page.

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With clinics in Chelsea, Wimbledon and Harley Street on various days, Dr Paviour able to offer a range of appointments.

If you need to see a Consultant Neurologist, London, it is important to find a doctor who meets your medical needs. It is also crucial to select a consultant that you are comfortable with and that you can talk to. Diagnosing and treating neurological conditions depends on the doctor getting a good understanding of precisely what you are experiencing.

What Does a Consultant Neurologist Do?

Neurologists manage conditions that affect the coverings of the brain (the meninges). They also have a deep understanding of the blood supply of the nervous system. Furthermore, they are highly trained in the muscles as these are controlled by the nervous system.

A Consultant Neurologist, London, such as Dr Paviour will also diagnose and treat all categories of disease that involve the central, peripheral and autonomic nervous systems.

Dr Paviour has many years’ experience in supporting patients with various medical conditions. These include migraines, multiple sclerosis and epilepsy.

He will undertake an initial consultation to understand the nature of the main symptoms you experience. Using your medical notes, he will review any previous medical problems you may have had and enquire about current and past medical treatments. Dr Paviour may discuss any conditions that run in the family. You will have a physical examination that will focus on the functioning of the nervous system so he has a full picture to be able to diagnose.

Book to see a Consultant Neurologist, London

Dr Paviour graduated in 1998 after training in London, winning the Medical School Gold Medal. Following junior medical jobs in London and at the Oxford Radcliffe Hospitals and passing his MRCP examinations, he returned to London and completed a PhD at the Institute of Neurology. He then completed specialist Neurology training in London.

He is highly rated as a Consultant Neurologist in London, not only by his peers but most importantly, by his patients. If you need to see Dr Paviour, then you can make an appointment today to speak to him.

He welcomes NHS and Private Patients to his various clinics.

Private Patients

Parkside Hospital, 53 Parkside, Wimbledon, London SW19 5NX

HCA, Sydney Street, 102 Sydney St, Chelsea, London SW3 6NR, UK

The London Clinic, 22 Devonshire Place, London W1G 6JA

116 Harley Street, London W1G 6AU,

NHS Practice
Atkinson Morley Regional Neurosciences Centre. This is part of St George’s Hospital NHS Foundation Trust in South West London.

Feel free to contact us here, so we can discuss how we can help.

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Multiple sclerosis or MS is a lifelong condition that can sometimes cause serious disability. However, it can be mild. The NHS defines some of the symptoms as problems with vision, arm or leg movement, sensation or balance. In many cases, it is possible to treat symptoms.

The condition is commonly diagnosed in people in their 20s and 30s, although it can develop at any age. The average life expectancy is slightly reduced for people with MS and is one of the most common causes of disability in younger adults.

Guide to Multiple Sclerosis – What is MS?

Each nerve fibre in the brain and spinal cord is surrounded by a layer of myelin. This protects the nerve and helps electrical signals travel fast and effectively. In MS, the myelin becomes damaged, MS is a demyelinating inflammatory disorder.

A clinically isolated syndrome (CIS) is an episode of inflammation in the brain or spinal cord which has not clearly been caused by a new problem. The commonest cause of a clinically isolated syndrome is a demyelinating process. The commonest cause of demyelination is multiple sclerosis (MS). However, having a single “attack” or CIS does not mean that you have MS.

More information about CIS and the links to Multiple Sclerosis can be found here.

MS Facts

Around 8 out of 10 people with MS will have the relapsing remitting type of Multiple Sclerosis. Someone with relapsing remitting MS will have periods of time where symptoms are mild or disappear altogether. This is known as remission because it can last for days, weeks or sometimes months.

Remission may be followed by a sudden flare-up of symptoms, known as a relapse. Relapses can last from a few weeks to few months. Often, after around 10 years, around half of people with relapsing remitting MS will go on to develop secondary progressive MS.

In secondary progressive MS, symptoms gradually worsen and there are fewer or no periods of remission.
The least common form of MS is primary progressive MS. In this type, symptoms gradually get worse over time and there are no periods of remission.

More Information

There is currently no cure for MS but there are a number of treatments that can help. Seeing a neurologist will assist you in your understanding of the condition.

Dr Paviour is a Consultant Neurologist in Central and South West London. He has a specialist interest in Parkinson’s disease and other Movement Disorders.

He can provide extensive detail around this Guide to Multiple Sclerosis. So feel free to make an appointment. Simply phone 020 7042 1850 or send a message via our contact us page.

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Treatment for MS depends on the specific symptoms and difficulties the person has. According to the NHS, there are various treatment options available.

Treating relapses of MS symptoms Treatment for a relapse usually involves a 5-day course of steroid tablets taken at home or injections of steroid medicine given in hospital for 3 to 5 days. Steroids are only given for a short period of time due to potential side effects.

The treating of specific MS symptoms is also an option. Fatigue, mobility issues, visual problems or pain can all be managed through the use of trained professionals, therapies and medications.

In addition, there are treatments to reduce the number of relapses which are known as disease-modifying therapies. Disease-modifying therapies are not suitable for everyone with MS so are only offered to those with relapsing-remitting MS or secondary progressive MS. There are certain criteria that need to be fulfilled, such as the number of relapses they have had.

What is Multiple Sclerosis?

Multiple sclerosis (MS) is a disease affecting nerves in the brain and spinal cord. It causes problems with muscle movement, balance and vision. Each nerve fibre in the brain and spinal cord is surrounded by a layer of myelin. This protects the nerve and helps electrical signals travel fast and effectively. In MS, the myelin becomes damaged, MS is a demyelinating inflammatory disorder.

A clinically isolated syndrome (CIS) is an episode of inflammation in the brain or spinal cord which has not clearly been caused by a new problem. The commonest cause of a clinically isolated syndrome is a demyelinating process. The commonest cause of demyelination is multiple sclerosis (MS). However, having a single “attack” or CIS does not mean that you have MS.

More information about CIS and the links to Multiple Sclerosis can be found here.

The MS Society provides a wealth of information on its website which will answer many of your questions.

When you seek treatments for multiple sclerosis, you will be supported by a team of different healthcare professionals working together. This team will often include a neurologist, a physiotherapist, a speech and language therapist, as well as other highly trained experts.

Contact Dr Paviour

Dr Paviour is a Consultant Neurologist in Central and South West London. He has a specialist interest in Parkinson’s disease and other Movement Disorders. He is the clinical lead for Movement Disorders at the Atkinson Morley Regional Neurosciences Centre.

Patients are welcome to his clinics so you can discuss treatments for Multiple Sclerosis. Simply phone 020 7042 1850 or send a message via our contact us page.

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A clinically isolated syndrome (CIS) is an episode of inflammation in the brain or spinal cord which has not clearly been caused by a new problem. The commonest cause of a clinically isolated syndrome is a demyelinating process. The commonest cause of demyelination is multiple sclerosis (MS). However, having a single “attack” or CIS does not mean that you have MS so it is important to keep details and seek advice.

More information about CIS and the links to Multiple Sclerosis can be found here.

About Multiple Sclerosis

Around 8 out of 10 people with MS will have the relapsing-remitting type of Multiple Sclerosis. Someone with this type of MS will have periods of time where symptoms are mild or disappear altogether. This is known as remission and can last for days, weeks or sometimes months.

Remission may be followed by a sudden flare-up of symptoms, known as a relapse. Relapses can last from a few weeks to a few months. Often, after around 10 years, around half of people with relapsing-remitting MS will go on to develop secondary progressive MS.

In secondary progressive MS, symptoms gradually worsen and there are fewer or no periods of remission.
The least common form of MS is primary progressive MS. In this type, symptoms gradually get worse over time and there are no periods of remission.

Treatment for MS

There is currently no cure for MS but there are a number of treatments that can help. This may include disease-modifying drugs. There is also a wide range of treatments, including steroid injections and physiotherapy.  These can help relieve symptoms and make day-to-day living easier.

The MS Society provides a wealth of information on its website which will answer many of your questions.  You can access this website so you can start to understand the condition in more detail.

Contact Dr Paviour

Dr Paviour is a Consultant Neurologist in Central and South West London. He has a specialist interest in Parkinson’s disease and other Movement Disorders. He is the clinical lead for Movement Disorders at the Atkinson Morley Regional Neurosciences Centre so is an expert in his field.

Patients are welcome to his clinics to discuss symptoms of Multiple Sclerosis. Simply phone 020 7042 1850 or send a message via our contact us page.

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