Great informative video! Understandable education is powerful. You do an excellent job with providing this type of pertinent education. Congratulations on your MS clinic opening. You have changed the lives of many patients and village members so they are at the top of their game. Your life goals are a strong motivator and I am very proud of your accomplishments and especially that you are my son. Love you, Dad
Charles Boster , how are you? I hope you guys are doing great! I as well am so proud of your son. He is my doctor, has been for 5 years , and literally changed my world. I was actually supposed to be the 3rd patient on the original opening day, March 23rd. Obviously, things have changed. Thank you for being the young man who helped raise such an understanding and passionate son. Congratulations to your entire family. You all deserve credit for The Boster Center for Multiple Sclerosis!! 🙏😊♥️
Dr.B THANKS Giving information that is easy to understand that empowers people so they can ask their neuro questions with confidence. I will have "intelligent" questions at my next appointment. You're the best.
Good morning Dr. Boster. Great video and all makes perfectly good sense. A big thank you and your team for my appointment and Ocrevus infusion thursday. I've been moving and working nonstop since my return.
Very interesting! I can only imagine what it took to determine the functions of the spinal cord and how it communicates with the brain. This is literally mind boggling.
Excellent topic so much focus on the brain anatomy. I'm glad you did this one. Very important part of MS as well. Good old babinski test. At a later date I'd do a video on what sections do what and control.
This is fascinating, a really exceptional video.... Astonishing level of complex information, shared in such a short time frame, and articulated so clearly. The MS community are incredibly fortunate to have your effort and insight shared, thank you on behalf of everyone with MS
Thank you so much!! This really helps me get a better understanding of what my neurologist is looking for when they ask the questions they ask during the exam. Thank you.
Thank you for your videos :-) newly diagnosed in the UK feb 5th waiting to see my ms specialist for the first time April 1st Got a cold 2 weeks after having my 3 days of steroids in hospital, the symptoms came back when I got a cold. Understand why. Thank you for making me understand why while I wait to see my specialist. ❤️
Thankyou for the this video Dr Aaron. My last MRI showed an enhanced lesion on my thoracic spine. I believe that's part of the reason for the mobility issues along with the lesions and scarring in my brain. I'm very much looking forward to coming to meet you and everyone at Boster Center this year.
@@AaronBosterMD I just wanted to let you know how much I appreciate all of the time you give. us through your videos. I'm scheduled to visit your center at the end of August. Hopefully the situation we're in right now has improved by then. Thankyou again.
I really enjoy your videos. I have MS and don’t feel like I have been informed well from my neurologist regards to my lesions and the effects etc. I am very grateful for you and your passion for MS. Thank you
Just discovered this channel and I'm loving it! Getting info that's not 20+ years old.....im binge watching lol. I see an MS specialist in mpls and he's amazing but he's always so busy as he's the only actual M.D. in the clinic. So I'm always thinking of ?s that I can't ask him. I will be surprising him w new knowledge at my next MRI review thanks to you! I've gone through rebound from tysabri leaving me with a black hole. Since then my brain has been a scramble. I feel like I'm getting worse but no one brings up disease progression to me. I technically have RRMS but I've been told that's more for insurance reasons to keep options more open to dmt's. Always have felt like I've never actually been in a remission. I'll be maxed out on time for tysabri soon as well so I don't wanna mess w my "status". Medicare sucks lol. What is the process for determining MS progression? Thanks again for the great content!
The last time I learned about the CNS was when I learned Psychology in university and before that in high school. This helped make my husband understand. Thanks!
Hey Doc just got my thoracic mri disc to take to my doc, so interesting to look at and now it makes even more sence . thank you for the great info. Untill next time....
Very fascinating! First time I had an MRI it was in a stand up open machine. The radiologist stated I had broke my back at some point. This was before going to a neurologist and shortly before my dx. I’m pretty sure I’d remember breaking my back... After my dx my neuro told me I had a lesion on my spine. I would love to go back and see the images. I still have numbness and tingling in my feet.
Hey Dr B! Thanks for this video. I’m trying to understand it all so have paused snapped screenshots and watched several times. I’m still confused about reflexes. Can you tell me what you mean by “brisk reflexes” and what about reflexes when tapped on my knee or elbow effects other parts of my body? I more or less overreact throughout all of my joints at once. Needless to say, Dr English taps different reflexes from as far away from me as he can get! BTW, I appreciate the short videos you make. It’s difficult to process what’s being said even in these, but much easier to ‘rewind’ and listen again and again. Thank You for Always teaching us!!! 🤗🧡🧡❤️
Hi Patty, By being "brisk", your reflexes are very quick and intense. I have the same problem, especially with new or student clinicians. I feel that they sit/stand to close when they check my knees..someone is going get kicked one day!😧
@@fedwards2023 Let them check mine, they would definitely get kicked. Lol Started at a new physio, I said that my reflexes were brisk as noted by the neurologist almost a year ago. I think he was a bit surprised on their "performance". I asked him to show me his reflexes, he did and I could really see the difference! His comment was that his were even a tiny bit fast.
Crazy! That just blew my mind. I had no idea- on most of it! Never had a spine MRI or spinal tap, but might be ordered one @ my new nuero appointment. This is VERY enlightening. I just thought that any MS symptom that WASN’T motor related originated from the brain, where motor symptoms originate from the spine. If I understand this video “lesson” correctly, that’s not true- right? Makes all kind of sense now - the terrible saddle numbness and pressure I have, numbness @ various places, etc. I also did not know about the skin patches, in relation to specific parts of the spinal cord! Thank You so much for another great video, Dr B. ~ 🙏🏼
Thank you so much . I have come to understand some of my existing symptoms. My MRI shows white spots and on my spine as well . Just had my spinal tap and it went fine but after i got home got so much pain and tingling and burning sensation on my right leg .. I hope to find answers soon ..
Hello Dr Boster a great video. Thank you for sharing your knowledge and empowering PwMS with easy to understand education. Question: How can prints of the diagrams be found? Take it easy during the chaos✌🏻 #MSCOVID19 #WashYourHands
Hi Even So It is Well, This depends on if you are talking about the brain or spinal cord. The brain controls opposite sides of the body, so a lesion in the right side of your brain may show on the left. Before, the nerve pathways leave the brain, most cross over before they go down the spinal cord. Thus, left sided spinal damage may manifest as symptoms on the left side. Ufortunately, for people with MS, and multiple lesions, the left and right sided symptoms may not be specific to one location. This is why your symptom profile and how it affects your day to day activities is more important than a lesion's location. It is also important to speak with your doctor, if you are experiencing new symptoms. I hope this helps😊
Neuro found prediabetic A1C level and said that was the reason. He told me to start checking my feet every day and to lose 10 to 20 lbs. He basically washed his hands of me; this was in May 2019. I lowered the A1C into normal range and have kept it there for the last 8 months with lifestyle changes and have lost 45 lbs in the process. My symptoms have not decreased, they have actually become more bothersome and increased in intensity. My new GP requested another visit in Oct 2019, he wouldn't see me before July 2019. That is in 26 days from now. I want to be prepared...
That is sooo helpful and clear!! I understand now that a lesion in the front on C6-C7 is causing the sensory problems in the arm! Does that mean it shouldn't affect motor activity?
QUESTION: Is it possible for spinal MRI with & without contrast not to show the lesion(s) that should be associated with spine symptoms of acute ongoing (not pseudo) attack? Thank you for your amazing videos, Dr. Boster!
so in terms of the spinal cord if you have increased tone say stiff fingers that don't move well and numbness in some but not all of the hand that could mean dorsal and ventral involvement somewhere at the C spine?
My podiatrist had sent me for an EMG. The results...polyneuropathy from the lower back to my feet. He keeps asking me if I have ever injured my back. I experience numbness from head to toe. I have never had any spinal cord lesions on MRI. I am due my annual MRI next month. I wonder how COVID-19 will effect the timing.
Hi Brenda, I thought of you today when I had my annual MRI. I had both brain and spine, so this was one I did not want to miss. My MRI clinic bought forward my appointment by one day and gave me a choice of a 6AM or a 5PM arrival. So, be prepared to negotiate appointment times and report ASAP if you have new symptoms. My clinic had my temp. checked on arrival and the waiting room seating arranged for social distancing. I also washed my hands and used hand gel multiple times during my appointment. Stay Safe! Fingers crossed you have no new spots!😊
Low back pain with legs going numb! Just had c5,c6,c7 fusion! Have stable brain lesions diagnosis of MS after all tests were good now on fence about MS diagnosis! Next scan with contrast in June to check lesions? Help!
Hello! I’m infatuated with learning about MS , my disease. I firmly believe that the best way to associate with this is to be educated! On my MRIs there were lesions on the C5-6 area. However, it’s my legs that I have 85% of my issues. Some Cognitive as well. My question is, based on the information I see here, why do I have the issues (Acute weakness, topical palpitation and standing for any length of time ) when the MRIs of my cervical spine show lesions and my lumbar spinal cord is clear?
Hi Ron, I also a C5-C6 lesions with similar leg problems to yours. My neurologist blames them on my "scar"/lesion. In effect, I get a peak hour traffic jam at C5-C6 with prolonged or intense activity. Thus messages to/from my legs don't get through. It doesn't matter how clear the lumbar spine part of my super highway is and/or its exits...if that makes sense.
Fiona Edwards My lesions are anterior on my spinal cord therefore affecting my legs. They’re always tired like I rode a bike uphill for 5 miles through quicksand. Morning are better but from about 5pm on they very weak.
G E L A T O , how are you? Dr B wishes he could answer individual questions, but with hundreds of questions it would take all day. That being said, I know for a fact he reads every comment and takes notes, of all questions. Maybe he has a video where he’s covered this 🤔.
WHY am I being told that the Lumbar region cannot and is not impacted by lesions when in fact I'm looking over my scans and seeing thick white/grey build-up on my lower LUMBAR spine?!
I have had MS for 15 years, in 2014 lesions were found in my spine C5-C7. There were 3 total, when I was living in New Orleans, LA, I changed Neurologist. When the other hospital did MRI the lesions were not there??? I have extensive pain in my neck , especially through my right shoulder down my arm. If you could please help me how lesions just disappear I would greatly appreciate it!!
Hello Dr.Boster! Thanks for this video it is very helpful. I have some questions for you 🙂 I've always heard that the lower the spinal cord damage then the more aggressive the MS tends to be. Lower down into mid to lower T-Spine vs upper C-spine. That the lower it goes the more uncommon it. 1- in general do you agree? 2- Do some people just get more spinal cord damage compared to the brain? 3- Does anyone know why MS may affect the cord more than the brain or vice versa. Is it still part of the regular disease process or is it perhaps different in some way? * I understand the literature of definitions of RRMS, SPMS or PPMS but honestly it's still confusing trying to fully understand it in a personal real life kind of way. * I'm also confused because some people's doctors take a lot of the patients symptoms into consideration while trying to figure out a possible relapse while other doctors just heavily rely on MRI. What's the best approach in your opinion?
At what point can it be determined if symptoms are from a lesion vs disc protrusion flattening the spine when these are in close proximity. Are outcomes better for Ms pts that have discs issues treated or less successful in improvement?
I want to ask about that I have bladder issues and spasm in the lumbar. Does that mean that I have a lesion in this section? Should I take MRI for my lumbar and sacral Sections? because I took MRI for cervical spine and I don't have any lesions in that section
Hello and THANKS AGAIN ! I have ( as last seen on MRI ) only two lesions and those are at C3-4 and C4-5 to C6 found in August. I had only hands being affected then .. but now am noticing feelings of having to lug my legs when I walk up stairs or go for a hike up hill. Can those lesions on my Cervical spine now be causing the feeling of heaviness and slowness in the reaction to my legs ? Or does it indicate a lower lesion developing ?
My only question is who do I sue for sending me home from the ER with tingling in my arms and legs up to my chest (T4-5) without an MRI back in 2009. I comfort myself with the assumption that God did not want me to know what I had till Ocravus came out to stop it. Wishing everyone a pleasant vacation at home (only I was looking forward to spending Pesach with the family, and I have a new grandson that I haven't seen yet, sniff sniff) and a happy and kosher Passover from Jerusalem!!
My very first lesion, over twenty years ago, was on my spine. The neurologists that were trying to find out why my legs were totally numb and I couldn't walk, never found the lesion. I don't think they even scanned my spine. A year or so later, I had more problems, but with my arms and hands. I went to a different neurologist, and he did find the old lesion, as well as new ones. Much better doctor!!
Thanks for this information. Next time, when I visit my neuro, I will ask her to show me the MRI results and let her point out where my leasions are.
Right on Ann-Marie. Way to self advocate! #StrongerTogether
That i was thinking to ask as well!!!Good to know!!!😊
Everyone should up their game right now 👊
Great informative video! Understandable education is powerful. You do an excellent job with providing this type of pertinent education. Congratulations on your MS clinic opening. You have changed the lives of many patients and village members so they are at the top of their game. Your life goals are a strong motivator and I am very proud of your accomplishments and especially that you are my son. Love you, Dad
Charles Boster , how are you? I hope you guys are doing great! I as well am so proud of your son. He is my doctor, has been for 5 years , and literally changed my world. I was actually supposed to be the 3rd patient on the original opening day, March 23rd. Obviously, things have changed. Thank you for being the young man who helped raise such an understanding and passionate son. Congratulations to your entire family. You all deserve credit for The Boster Center for Multiple Sclerosis!! 🙏😊♥️
Thanks Dad. I love you.
Thanks for all the information. 👍
Dr.B THANKS
Giving information that is easy to understand that empowers people so they can ask their neuro questions with confidence. I will have "intelligent" questions at my next appointment.
You're the best.
Excellent information which is always described in laymen terms. Thanks Dr.B!
Most welcome!
Sharing . Thank you Doc. Stay well ❤️
Thank you! You too!
Good morning Dr. Boster. Great video and all makes perfectly good sense. A big thank you and your team for my appointment and Ocrevus infusion thursday. I've been moving and working nonstop since my return.
Wonderful!
Very interesting! I can only imagine what it took to determine the functions of the spinal cord and how it communicates with the brain. This is literally mind boggling.
Excellent topic so much focus on the brain anatomy. I'm glad you did this one. Very important part of MS as well. Good old babinski test. At a later date I'd do a video on what sections do what and control.
Yes! Thank you!
This is one of my favorite of your vids!
wow TY Spencer!
This is fascinating, a really exceptional video.... Astonishing level of complex information, shared in such a short time frame, and articulated so clearly. The MS community are incredibly fortunate to have your effort and insight shared, thank you on behalf of everyone with MS
Wow, thank you!
Great video, very informative. My question is why do we only have a C and T spine MRI?. Why not mri the whole spinal cord? Thank you
I have had a full spine one once
Thank you so much!! This really helps me get a better understanding of what my neurologist is looking for when they ask the questions they ask during the exam. Thank you.
Glad it was helpful!
Hi Dr B you’ve taught me something I didn’t know today. Take with this virus don’t want anything happening to you . Love from the UK
Thank you, I will
Thank you for your videos :-) newly diagnosed in the UK feb 5th waiting to see my ms specialist for the first time April 1st Got a cold 2 weeks after having my 3 days of steroids in hospital, the symptoms came back when I got a cold. Understand why. Thank you for making me understand why while I wait to see my specialist. ❤️
Very informative! Thank you for this. Stay well!
Glad it was helpful!
Very nice video. I was thinking about doing a video about classic localizing symptoms in neurology.
TY good sir! I'd love to see a video on classic localization and I suspect folks following our channels would really enjoy the topic as well!
Extremely helpful. Thank you so much!
Thankyou for the this video Dr Aaron. My last MRI showed an enhanced lesion on my thoracic spine. I believe that's part of the reason for the mobility issues along with the lesions and scarring in my brain. I'm very much looking forward to coming to meet you and everyone at Boster Center this year.
Glad it was helpful!
@@AaronBosterMD I just wanted to let you know how much I appreciate all of the time you give. us through your videos. I'm scheduled to visit your center at the end of August. Hopefully the situation we're in right now has improved by then. Thankyou again.
Awesome video Doc! Great info for a better understanding. Thank you Dr Boster!
Glad it was helpful!
So helpful thanks for your support and time to make this video
You are so welcome!
Thank you for the information on the spinal cord. Doug coffee in hand from lyndhurst.
Glad it was helpful!
I really enjoy your videos.
I have MS and don’t feel like I have been informed well from my neurologist regards to my lesions and the effects etc.
I am very grateful for you and your passion for MS.
Thank you
Just discovered this channel and I'm loving it! Getting info that's not 20+ years old.....im binge watching lol. I see an MS specialist in mpls and he's amazing but he's always so busy as he's the only actual M.D. in the clinic. So I'm always thinking of ?s that I can't ask him. I will be surprising him w new knowledge at my next MRI review thanks to you! I've gone through rebound from tysabri leaving me with a black hole. Since then my brain has been a scramble. I feel like I'm getting worse but no one brings up disease progression to me. I technically have RRMS but I've been told that's more for insurance reasons to keep options more open to dmt's. Always have felt like I've never actually been in a remission. I'll be maxed out on time for tysabri soon as well so I don't wanna mess w my "status". Medicare sucks lol. What is the process for determining MS progression? Thanks again for the great content!
You’re so fun to watch and I appreciate so much your efforts in explaining things so thoroughly 👍🏻🙏💗
You are so welcome!
The last time I learned about the CNS was when I learned Psychology in university and before that in high school. This helped make my husband understand. Thanks!
Hey Doc just got my thoracic mri disc to take to my doc, so interesting to look at and now it makes even more sence . thank you for the great info. Untill next time....
Great to hear!
Very fascinating! First time I had an MRI it was in a stand up open machine. The radiologist stated I had broke my back at some point. This was before going to a neurologist and shortly before my dx. I’m pretty sure I’d remember breaking my back... After my dx my neuro told me I had a lesion on my spine. I would love to go back and see the images. I still have numbness and tingling in my feet.
Hey Dr B! Thanks for this video. I’m trying to understand it all so have paused snapped screenshots and watched several times. I’m still confused about reflexes. Can you tell me what you mean by “brisk reflexes” and what about reflexes when tapped on my knee or elbow effects other parts of my body? I more or less overreact throughout all of my joints at once. Needless to say, Dr English taps different reflexes from as far away from me as he can get!
BTW, I appreciate the short videos you make. It’s difficult to process what’s being said even in these, but much easier to ‘rewind’ and listen again and again. Thank You for Always teaching us!!! 🤗🧡🧡❤️
Hi Patty,
By being "brisk", your reflexes are very quick and intense. I have the same problem, especially with new or student clinicians. I feel that they sit/stand to close when they check my knees..someone is going get kicked one day!😧
@@fedwards2023
Let them check mine, they would definitely get kicked. Lol
Started at a new physio, I said that my reflexes were brisk as noted by the neurologist almost a year ago.
I think he was a bit surprised on their "performance". I asked him to show me his reflexes, he did and I could really see the difference! His comment was that his were even a tiny bit fast.
Cool video, thanks for the info!
You bet!
I learned about dermatomes in paramedic school, but you taught me something new with the myotomes. Thank you! Informative, as usual.
You are so welcome!
Crazy! That just blew my mind. I had no idea- on most of it! Never had a spine MRI or spinal tap, but might be ordered one @ my new nuero appointment. This is VERY enlightening. I just thought that any MS symptom that WASN’T motor related originated from the brain, where motor symptoms originate from the spine. If I understand this video “lesson” correctly, that’s not true- right? Makes all kind of sense now - the terrible saddle numbness and pressure I have, numbness @ various places, etc. I also did not know about the skin patches, in relation to specific parts of the spinal cord! Thank You so much for another great video, Dr B. ~ 🙏🏼
Thank you so much . I have come to understand some of my existing symptoms. My MRI shows white spots and on my spine as well . Just had my spinal tap and it went fine but after i got home got so much pain and tingling and burning sensation on my right leg .. I hope to find answers soon ..
Thanks Dr that’s answered so many curiosities!
So can we get lesions lower than the thoracic Level? And why do we never seem to scan that low?
Hello Dr Boster a great video. Thank you for sharing your knowledge and empowering PwMS with easy to understand education. Question: How can prints of the diagrams be found? Take it easy during the chaos✌🏻 #MSCOVID19 #WashYourHands
Thanks Dr. B! Question. Can you do a deep dive into how the lesion affect only one side of the body?
Hi Even So It is Well,
This depends on if you are talking about the brain or spinal cord.
The brain controls opposite sides of the body, so a lesion in the right side of your brain may show on the left.
Before, the nerve pathways leave the brain, most cross over before they go down the spinal cord. Thus, left sided spinal damage may manifest as symptoms on the left side.
Ufortunately, for people with MS, and multiple lesions, the left and right sided symptoms may not be specific to one location. This is why your symptom profile and how it affects your day to day activities is more important than a lesion's location. It is also important to speak with your doctor, if you are experiencing new symptoms.
I hope this helps😊
Thank you.
You're welcome!
Great information. Anything on what happens when a new lesion ends up in the Medulla area?
Ive one attack two years ago and i always think if the anatomy of my brain and spinal cord became different 😳
How can I have numbness/neuropathic pain without having any lesions on the spinal cord?
I'm the same, interested in answer.
Neuro found prediabetic A1C level and said that was the reason. He told me to start checking my feet every day and to lose 10 to 20 lbs. He basically washed his hands of me; this was in May 2019. I lowered the A1C into normal range and have kept it there for the last 8 months with lifestyle changes and have lost 45 lbs in the process. My symptoms have not decreased, they have actually become more bothersome and increased in intensity. My new GP requested another visit in Oct 2019, he wouldn't see me before July 2019. That is in 26 days from now. I want to be prepared...
That is sooo helpful and clear!! I understand now that a lesion in the front on C6-C7 is causing the sensory problems in the arm! Does that mean it shouldn't affect motor activity?
Wow .... again!! 👍
Thanks again!
QUESTION: Is it possible for spinal MRI with & without contrast not to show the lesion(s) that should be associated with spine symptoms of acute ongoing (not pseudo) attack?
Thank you for your amazing videos, Dr. Boster!
so in terms of the spinal cord if you have increased tone say stiff fingers that don't move well and numbness in some but not all of the hand that could mean dorsal and ventral involvement somewhere at the C spine?
My podiatrist had sent me for an EMG. The results...polyneuropathy from the lower back to my feet. He keeps asking me if I have ever injured my back. I experience numbness from head to toe. I have never had any spinal cord lesions on MRI. I am due my annual MRI next month. I wonder how COVID-19 will effect the timing.
Hi Brenda,
I thought of you today when I had my annual MRI. I had both brain and spine, so this was one I did not want to miss.
My MRI clinic bought forward my appointment by one day and gave me a choice of a 6AM or a 5PM arrival. So, be prepared to negotiate appointment times and report ASAP if you have new symptoms.
My clinic had my temp. checked on arrival and the waiting room seating arranged for social distancing. I also washed my hands and used hand gel multiple times during my appointment.
Stay Safe! Fingers crossed you have no new spots!😊
It’s very painful
Low back pain with legs going numb! Just had c5,c6,c7 fusion! Have stable brain lesions diagnosis of MS after all tests were good now on fence about MS diagnosis! Next scan with contrast in June to check lesions? Help!
This is an eye opener. Can there be ms lesions only on the thoracic spine with none in cervical or the brain? Have you seen this in your clinic??
Hello! I’m infatuated with learning about MS , my disease. I firmly believe that the best way to associate with this is to be educated! On my MRIs there were lesions on the C5-6 area. However, it’s my legs that I have 85% of my issues. Some Cognitive as well. My question is, based on the information I see here, why do I have the issues (Acute weakness, topical palpitation and standing for any length of time ) when the MRIs of my cervical spine show lesions and my lumbar spinal cord is clear?
Hi Ron, I also a C5-C6 lesions with similar leg problems to yours. My neurologist blames them on my "scar"/lesion.
In effect, I get a peak hour traffic jam at C5-C6 with prolonged or intense activity. Thus messages to/from my legs don't get through. It doesn't matter how clear the lumbar spine part of my super highway is and/or its exits...if that makes sense.
Fiona Edwards My lesions are anterior on my spinal cord therefore affecting my legs. They’re always tired like I rode a bike uphill for 5 miles through quicksand. Morning are better but from about 5pm on they very weak.
Hi I have secondary progressive MS is tecfidera an adequate treatment for secondary Progressive?, or in your opinion should be on something else?
How does inflammation affect the spinal cord?
G E L A T O , how are you? Dr B wishes he could answer individual questions, but with hundreds of questions it would take all day. That being said, I know for a fact he reads every comment and takes notes, of all questions. Maybe he has a video where he’s covered this 🤔.
WHY am I being told that the Lumbar region cannot and is not impacted by lesions when in fact I'm looking over my scans and seeing thick white/grey build-up on my lower LUMBAR spine?!
I have had MS for 15 years, in 2014 lesions were found in my spine C5-C7. There were 3 total, when I was living in New Orleans, LA, I changed Neurologist. When the other hospital did MRI the lesions were not there??? I have extensive pain in my neck , especially through my right shoulder down my arm. If you could please help me how lesions just disappear I would greatly appreciate it!!
Hello Dr.Boster! Thanks for this video it is very helpful. I have some questions for you 🙂 I've always heard that the lower the spinal cord damage then the more aggressive the MS tends to be. Lower down into mid to lower T-Spine vs upper C-spine. That the lower it goes the more uncommon it.
1- in general do you agree?
2- Do some people just get more spinal cord damage compared to the brain?
3- Does anyone know why MS may affect the cord more than the brain or vice versa. Is it still part of the regular disease process or is it perhaps different in some way?
* I understand the literature of definitions of RRMS, SPMS or PPMS but honestly it's still confusing trying to fully understand it in a personal real life kind of way.
* I'm also confused because some people's doctors take a lot of the patients symptoms into consideration while trying to figure out a possible relapse while other doctors just heavily rely on MRI. What's the best approach in your opinion?
👍👍👍
At what point can it be determined if symptoms are from a lesion vs disc protrusion flattening the spine when these are in close proximity. Are outcomes better for Ms pts that have discs issues treated or less successful in improvement?
I want to ask about that I have bladder issues and spasm in the lumbar. Does that mean that I have a lesion in this section? Should I take MRI for my lumbar and sacral Sections? because I took MRI for cervical spine and I don't have any lesions in that section
Hello i got hernia disk which is in pain all the time causeing numbs though my body
So on the MRI Demyelinating Plaque is simply a white area inside the spine? How do we know the white area isn't some other kind of lesion?
Size, Shape, Location, change after administration of contrast to name a few factors we look at.
Is it uncommon with MS to only have lesions on the brain (compared with MS lesions on spine, brain and/or optic nerves)?
Can you post the spinal picture from 5:06 minutes in - as it own- so is can use it in teaching- it’s hard to see and I need to enlarge it. Ty ❤️
Hello and THANKS AGAIN ! I have ( as last seen on MRI ) only two lesions and those are at C3-4 and C4-5 to C6 found in August. I had only hands being affected then .. but now am noticing feelings of having to lug my legs when I walk up stairs or go for a hike up hill. Can those lesions on my Cervical spine now be causing the feeling of heaviness and slowness in the reaction to my legs ? Or does it indicate a lower lesion developing ?
Does the spine lesions go through “remittances”?
Yes. My first one was on my spine, over 20 years ago. I could hardly walk for a while. That did heal up, & I am still up & moving now!
🙂🙋♀️
The right half of my upper body numb
And I'd love for you to look at my mri
My only question is who do I sue for sending me home from the ER with tingling in my arms and legs up to my chest (T4-5) without an MRI back in 2009. I comfort myself with the assumption that God did not want me to know what I had till Ocravus came out to stop it. Wishing everyone a pleasant vacation at home (only I was looking forward to spending Pesach with the family, and I have a new grandson that I haven't seen yet, sniff sniff) and a happy and kosher Passover from Jerusalem!!
My very first lesion, over twenty years ago, was on my spine. The neurologists that were trying to find out why my legs were totally numb and I couldn't walk, never found the lesion. I don't think they even scanned my spine. A year or so later, I had more problems, but with my arms and hands. I went to a different neurologist, and he did find the old lesion, as well as new ones. Much better doctor!!
Love the clickbait