Multiple sclerosis relapses may occur unpredictably, and sometimes, persons with MS aren’t sure whether they are having one. Generally, a relapse is defined as new or worsening MS symptoms that last for more than 24 hours that are not associated with any other illness or infection. It is important to report new symptoms to your health care provider so that the appropriate treatment can be initiated. Depending on the severity, not every relapse requires treatment with steroids, but treating early provides a better chance for quick recovery.

Some symptoms in MS such as changes in mood and cognition seem to be more challenging than other symptoms for individuals with MS and the people who care about them. There are several factors that likely contribute to the challenging nature of these symptoms. The good news is that there is much that can be done to reduce the severity of the symptoms and their negative impact and improve function.

Sometimes information communicated to you by your health care providers can be difficult to understand. When you don’t fully understand or are unable to act on information about your health care, you are more likely to develop poorer health. Developing a positive relationship with your doctor or nurse, and improving communication, are two keys which will empower you to live well with your MS. Communication is a two-way street. Learning how best to use your time, what to say, how to say it, and when to listen are important when you have a limited amount of time to spend with your doctor or nurse.

Healthy productive communication abilities are not inherent. They are learned and developed. Our life experiences frame the foundation for how we perceive each other and form relationships. Healthy relationships depend on good communication, mutual respect and trust. Communication is far more than the words we speak. The way we say the words and how they are received impact the success of the message. When we are able to communicate effectively, we connect, and these connections establish and strengthen our relationships.

Multiple sclerosis (MS) is a chronic disease, which affects the function of the brain, spinal cord and/or the nerves to the eyes. Many patients who suffer from MS look for ways to improve and increase their quality of lives. Good nutrition is among the cornerstones of health-promotion activities. Maintaining a balanced diet and exercising regularly are essential for promoting wellness and well-being and enhancing quality of life. Diet recommendations for the treatment of MS have shown mixed results and specific dietary guidelines for people with MS have not been established. The same recommendations concerning a well-balanced diet apply equally as they do for the general population. Although there is no direct evidence that nutrition is involved in the etiology of MS, healthy eating can decrease the risk of developing other chronic diseases and secondary conditions, for example: diets high in calcium and vitamin D may reduce the risk of osteoporosis and the risk of MS, diets low in saturated and trans fat may reduce the risk of cardiovascular disease, and maintaining an appropriate intake of calories reduces the risk of obesity.