MULTIPLE SCLEROSIS (MS) (Guidelines)

Warning

Diagnosis and management of multiple sclerosis

Established multiple sclerosis

Fitness to Drive
  1. Refer to optometrist – visual acuity and fields and glasses
  2. Refer to DVLA medical standards www.dvla.gov.uk
  3. Refer to Driving Centre – assessment

Relapse of multiple sclerosis

Patient with confirmed MS presents to GP with either
  • An acute or sub-acute deterioration of pre-existing symptoms
  • Onset of new neurological symptoms compatible with MS

GP to check

  • Patient history
  • Physical examination
  • MSSU, FBC, CRP to exclude infection (pseudo relapse)
MS Nurse Contact Details

Northern NHS Highland - MS Nurses, 01463 705879
Argyll & Bute - MS Nurse, 0141 232 7757

Patient Information

To support the self management of patients go to LGOWIT

Brain and Spine Foundation information can be accessed here

Steroid treatment for patients with possible MS relapsepatient information

Further information for healthcare providers

Chronic pain
Cognitive dysfunction - in development
Fatigue
Neuropathic bladder and bowel - in development
Neuropalliation - in development
Spasticity - in development

Editorial Information

Last reviewed: 30/05/2018

Next review date: 30/05/2022

Author(s): Neurology Department .

Version: 2

Approved By: TAM subgroup of ADTC

Reviewer name(s): MS Specialist Nurses.

Document Id: TAM271