MS Monday: Week of 7/9 – Multiple Sclerosis News

According to an Australian research study, Botox has been found effective in reducing tremors in patients with MS. Yes Botox, the drug that does everything from helping women look younger to curbing excess sweating, can now help MS patients.

In fact, UroMed recently offered a continuing education course for medical professionals about the use of Botox for MS treatment. See the article here.

While that’s all well and good for those who suffer from tremors, what about other symptoms? Fatigue? Bladder issues? Walking and coordination problems?

Let’s have a look at some treatments that are available for these issues.


Fatigue has been noted as the most common symptom of MS. The National MS Society believes that a certain type of fatigue, lassitude, is associated with MS. The symptoms include:

  • Generally occurs on a daily basis
  • May occur early in the morning, even after a restful night’s sleep
  • Tends to worsen as the day progresses
  • Tends to be aggravated by heat and humidity
  • Comes on easily and suddenly
  • Is generally more severe than normal fatigue
  • Is more likely to interfere with daily responsibilities
  • MS-related fatigue does not appear to be directly correlated with either depression or the degree of physical impairment.

(National MS Society)

The treatment for this type of fatigue can include:

  • Occupational therapy to simplify tasks at work and home.
  • Physical therapy to learn energy-saving ways of walking (with or without assistive devices) and performing other daily tasks, and to develop a regular exercise program.
  • Sleep regulation, which might involve treating other MS symptoms that interfere with sleep (e.g., spasticity, urinary problems) and using sleep medications on a short-term basis.
  • Psychological interventions, such as stress management, relaxation training, membership in a support group, or psychotherapy.
  • Heat management—strategies to avoid overheating and to cool down.
  • Medications—amantadine hydrochloride (Symmetrel®) and modafinil (Provigil®) are the most commonly prescribed. While neither is approved specifically by the U.S Food and Drug Administration (FDA) for the treatment of MS-related fatigue, each has demonstrated some benefit in clinical trials.

(National MS Society)

Bladder Dysfunction

Bladder dysfunction occurs in 80% of MS patients and can be successfully controlled with the right treatments. These treatments can include diet changes, medication and catheterization.

Diet Changes

WebMD offers the following suggestions for diet changes:

  • Reduce the amount of fluids you drink if you drink more than 2 quarts (1.89 L) daily
  • Reduce or eliminate caffeine-containing drinks, such as coffee, tea, and soda, from your diet
  • Do not drink more than one alcoholic drink per day


Several prescription medications are available to treat bladder dysfunction. They include:

  • darefenasin (Enablex®)
  • fesoterodine (Toviaz®)
  • oxybutynin (Ditropan®, Ditropan XL®,
  • solifenacin succinate (Vesicare®)
  • tolterodine (Detrol® and Detrol LA®)
  • trospium chloride (Sanctura®)

Be sure to ask your doctor for more information on bladder control medication. 


A catheter is a thin hollow tube that is inserted into the urethra to void the bladder and can help prevent incontinence. Some people think catheterization is taboo and painful (it’s not!), but it can really help you regain your independence. If you are interesting in learning more about catheterization, UroMed can help. Visit our website at or call us at 800-841-1233.


Gait and Coordination

Problems with walking (gait) and coordination are common for those with MS and include weakness, loss of balance and spasticity. To offset these effects, exercise, stretching and using assistive devices such as canes, walkers or braces can help. Physical therapy and medications can also help. In 2010, Ampyra was approved by the FDA to help with walking speed and muscle strength.

Disclaimer: This blog is for informational purposes only and should not be construed as medical advice. Be sure to discuss this information and any medication with your doctor.

Use a treatment we should know about? Let us know!


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Dorland Health Partners with UroMed to Provide Urology Health Continuing Education Series

Clinicians who want to learn more or participate in the program should visit:

Clinicians who want to learn more or participate in the program should visit:

Millions of Americans suffer from urology health-related issues every year. According to the Centers for Disease Control and Prevention, incontinence alone affects up to 25 million Americans, including 11 percent of those aged 65-74 and 16 percent of those over 75. Such prevalence makes urology health concerns a common part of coordinated treatment plans across a wide range of healthcare professionals.

Today, UroMed in partnership with Dorland Health [one of the nation’s leading providers of clinician CEU programs] has launched one of the largest CEU programs on Urologic Health available to medical professionals. Hollister Incorporated has also provided an educational grant to Dorland Health to assist in funding this series.

With this launch, you’ll see a few changes to our website on the home page, clinician education page and our blog. We’ve added links to help clinicians access the program with one click!  See the Clinician Continuing Education RSS feed to the right side of this post for details.

The Urology Health series offers 12 continuing education articles written by clinical experts from a wide range of health care organizations, including Kernan Rehabilitation Hospital, Children’s Hospital of Atlanta, Vanderbilt University Medical Center, Texas Children’s Hospital, Rainbow Babies Hospital, Brooks Rehabilitation Hospital, MUSC Pediatric Oncology, Cincinnati Children’s Hospital, Metropolitan Urology and Penn State Hershey Rehabilitation Hospital.  

Each article is worth up to two hours of continuing education credits. The content, related to urology health, includes topics on:

  • Neurogenic Bladder
  • Spina Bifida
  • Spinal Cord Injury
  • Multiple Sclerosis
  • Caregiving Issues

The Dorland Health continuing education series on urology health is applicable to the following types of healthcare professionals:

  • Case Managers
  • Clinical Nurses
  • Disability Management Specialists
  • Life Care Planners
  • Nurse Practitioners
  • Urology Nurses
  • Rehabilitation Nurses
  • Social Workers
  • Wound Care Nurses

See the press release here:

Clinicians who want to learn more or participate in the program should visit: