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Sarah K., 34
I finally understand my therapy. The app reminds me, answers my questions — and I don't feel alone with it anymore.
At a glance
Multiple sclerosis (MS for short) is a chronic disease of the central nervous system, that is of the brain, spinal cord and optic nerves. In MS, the body's own immune system turns against the protective sheath of the nerve fibres (the myelin layer) and against the fibres themselves. This disrupts nerve signals. Small areas of inflammation form in various places, which gives the disease its name: multiple (many) sclerosis (scarring).
MS is the most common chronic inflammatory disease of the nervous system in young adults. One important point up front: MS is treatable today. The options have improved greatly in recent years, and the long-term course is considerably better than the old, often fear-laden image of the disease.
Keep your therapy and symptoms in view.
Whether a tablet, an injection or an infusion: brite reminds you of your therapy, helps you record symptoms and checks for interactions. So you are well prepared for your next appointment.
Sign up for freeBecause the areas of inflammation can lie in different places, MS is very individual. Which symptoms occur depends on which areas are affected. Common ones are:
These symptoms do not all occur together, and not every one of them means MS. Many of these symptoms have harmless causes.
MS does not run the same way in everyone. Several disease courses are distinguished, which matters for treatment:
A modern view also asks whether the MS is currently inflammatory active (new relapses or new lesions on the MRI) or not. This influences which therapy makes sense.
Why someone develops MS is not fully understood. It is an autoimmune disease in which several factors act together:
Important: MS is not contagious, and no one is to blame for the disease.
The diagnosis is made by a neurologist. As there is no single test, several building blocks are brought together according to defined criteria:
The aim is to show that the areas of inflammation are spread out in space and have occurred at different times, and to rule out other causes.
A relapse means that new symptoms occur or existing ones clearly worsen, over more than 24 hours and without another cause such as a fever behind it. Relapses often recede fully or partly.
One point is often confused:
What helps during a relapse:
A relapse is therefore not a reason to panic, but a reason to seek medical advice and act in a targeted way.
Besides treating acute relapses, there is the disease-modifying therapy, often called immunotherapy. It is used on an ongoing basis and has a clear aim: to make relapses less frequent, to prevent new areas of inflammation and to slow progression.
Today there are many different active substances. Simplified, they can be grouped by how strongly they act:
They are used in quite different ways: as a tablet, as an injection under the skin or as an infusion at fixed intervals. Which agent fits is decided together with the neurology team, depending on the disease course, the disease activity and your life situation.
Stay on track with your therapy.
An MS therapy works best when it runs regularly. brite reminds you of a tablet, an injection or your next infusion appointment, checks for interactions and helps you record relapses and symptoms for your appointment.
Get started for freeAn MS diagnosis is a shock at first. It helps to know: most people with MS lead an active, self-determined life. The old image that MS inevitably leads to a wheelchair is outdated. Things that can favourably influence the course:
Mental health is part of this too. Low mood and exhaustion are common with MS and can be treated well. You do not have to cope with this alone.
See a doctor promptly, ideally a neurologist, when new neurological symptoms occur and last longer than a day, for example:
Whether a tablet, an injection or an infusion: brite helps you keep your therapy running regularly and keep an eye on symptoms.
MS cannot be fully cured so far. But it is treatable well: modern therapies can clearly reduce relapses, prevent new areas of inflammation and slow progression.
No. This old image is outdated. Most people with MS stay mobile and lead an active life, above all with an early, effective treatment.
New or clearly intensified symptoms over more than 24 hours, without another cause such as a fever. A true relapse is based on new inflammatory activity and often recedes fully or partly.
With a pseudo-relapse, existing symptoms intensify temporarily, for example through heat or a fever, without a new inflammation. With heat, this is called the Uhthoff phenomenon. As soon as the cause is gone, it improves again.
The most common at the start is the relapsing form (RRMS). After years, this can turn into a secondary progressive form. More rarely, MS progresses slowly from the start (primary progressive).
A pronounced relapse is usually treated with high-dose corticosteroids, often as an infusion over a few days. If a severe relapse does not respond sufficiently, there are further options such as plasma exchange.
It makes relapses less frequent, prevents new areas of inflammation and slows progression. The earlier an effective therapy begins, the better the long-term course tends to be.
MS is not contagious and is only rarely directly inherited. There is a certain clustering in families, but the risk for relatives overall remains low.