How to Manage MS Spasticity w/ Dr. Barry Singer

This episode of The MSing Link Podcast marks Dr. Barry Singer’s second appearance on my podcast, and we're eager to dive into his wealth of knowledge. 

Dr. Singer has been a pivotal figure in the field of multiple sclerosis, contributing as an investigator in over 35 MS trials. His role on the board of directors of the Multiple Sclerosis Association of America and the creation of the award-winning MSLivingWell.org in 2007 emphasize his commitment to patient education. With a podcast named MS Living Well and active engagement on social media, Dr. Singer ensures that his expertise reaches far and wide.

In today's episode, Dr. Singer and I explore the intricacies of managing spasticity, discussing its various types and the symptoms that come with it. He generously shares recommendations for therapies and medications, making this episode a must-listen for anyone navigating the challenges of multiple sclerosis.

Understanding Lesions and MRI Results:

One common concern among MS patients is the discrepancy between physical symptoms and MRI results. Dr. Singer sheds light on this issue, emphasizing that the transition to the secondary progressive phase may not always show new lesions on routine MRI scans. He highlights the role of spinal cord disease in driving progressive weakness and balance problems. This information is crucial for patients experiencing frustration when their physical deterioration doesn't align with MRI findings.

BTK Inhibitors and Progressive MS:

Dr. Singer provides a glimpse into ongoing clinical trials, offering hope for a breakthrough in addressing inflammation and progression in the absence of new lesions.

Symptom Management for Spasticity:

A significant portion of this episode centers around spasticity—the formidable foe for many MS patients. Dr. Singer meticulously details traditional approaches, emphasizing the importance of stretching and exercise as initial interventions. Medications like Baclofen and Tizanidine take center stage, with insights into their optimal usage and potential side effects. This topic extends to advanced interventions such as Botox injections and Baclofen pumps for severe cases.

Exploring Newer Approaches:

Our exploration takes an intriguing turn as Dr. Singer delves into the potential use of ketamine and cannabinoid sprays for spasticity. While acknowledging the lack of data on ketamine, he sheds light on promising research regarding cannabinoid sprays in Europe. The conversation unfolds, highlighting the complexities and potential breakthroughs in spasticity management.

Differentiating Tremors and MS Hug:

Dr. Singer's expertise extends to differentiating tremors from spasticity and unravelling the mysteries of the "MS Hug." The complexities of managing the MS Hug are dissected, underlining the importance of individualized strategies.

Managing Spasticity Holistically:

He advocates for a holistic approach to spasticity management. Exercise, stretching, and identifying triggers like stress or poor sleep emerge as integral components. The message is clear—collaboration with healthcare providers is key to finding personalized solutions that elevate overall quality of life.

Stay tuned for more empowering episodes as we continue to bridge gaps and provide support for those navigating the intricate landscape of multiple sclerosis.

Listen to the full podcast episode here: 

https://www.doctorgretchenhawley.com/podcasts/the-msing-link/episodes/2148342017

Additional Resources: https://www.doctorgretchenhawley.com/insider

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