Multiple Sclerosis Specialist

Gables Neurology

Andrew M. Lerman, MD

Adult Neurology & Epilepsy Specialist located in Coral Gables, Coconut Grove, Miami, FL

Multiple sclerosis (MS) is a progressive disease that affects the brain and spinal cord. Though MS may develop at any age, onset most often occurs between ages 20 and 40. At Gables Neurology in Miami, Florida, Andrew Lerman, MD and the team believe one of the most important steps in treating multiple sclerosis is diagnosing it as early as possible. Then, they use the most innovative treatments and therapies to modify the course of the disease and manage symptoms. Call the office or schedule an appointment online today.

Multiple Sclerosis Q & A

What is multiple sclerosis?

Multiple sclerosis (MS) is a disease of the central nervous system, which includes your brain and spinal cord. It occurs when the immune system attacks and destroys the myelin sheath, which is the cover that protects nerve fibers. 

Without the myelin sheath, you have communication problems between your central nervous system and the rest of your body.

It’s not clear why some people develop MS and others don’t, but researchers theorize it may be due to genetic and environmental factors. 

What are the symptoms of multiple sclerosis?

Symptoms of multiple sclerosis vary and may depend on the location of the affected nerve fiber and the course of the disease. Common symptoms include:

  • Double vision
  • Spasticity
  • Electric shock-like sensations
  • Weakness
  • Dizziness and vertigo
  • Tingling or numbness in the hands or feet
  • Urinary incontinence
  • Gait instability

Many people with MS experience a relapsing-remitting disease course. They have periods where they develop new or a relapse in symptoms that last days or weeks. These symptoms may eventually lessen or disappear.

The disease may then go into a period of remission that lasts months or years. Over time, many people with a relapsing-remitting disease course eventually develop symptoms that progressively worsen over time, with no more periods of remission. 

Some people with MS have symptoms that start out gradually and worsen over time. 

No matter your disease course, Dr. Lerman and his team can help. 

How is multiple sclerosis diagnosed?

There’s no single test to diagnose multiple sclerosis. When you come in with symptoms that sound like MS, Dr. Lerman and the team perform a comprehensive evaluation to rule out other conditions that might explain your health issues to diagnose MS.

They review your symptoms, as well as your medical and family history. They also conduct a neurological exam, MRI, and blood testing. 

The team also performs evoked potentials, which record the electrical impulses produced by your nervous system in response to stimuli. 

Getting an early diagnosis is key for treating multiple sclerosis.

How is multiple sclerosis treated?

Once you have a diagnosis, the team at Gables Neurology takes a collaborative approach to care with the services offered at the neurology practice. 

Treatment for multiple sclerosis includes:

  • Oral medications
  • Injectable medications
  • Infusion therapy
  • Physical therapy
  • Plasma exchange

The practice offers both focused and expansive treatment options for multiple sclerosis, including alternative therapies such as medical cannabis. 

For personalized care from a caring and experienced team, call Gables Neurology, or schedule an appointment using the online booking tool today.