Multiple Sclerosis FAQs

Multiple sclerosis occurs when the immune system attacks myelin, the nerve fibers’ protective covering. It causes damage (lesions) that interferes with the brain’s ability to communicate with the rest of the body.

Catching the condition in earlier stages enables you to start treatments that slow disease progression. Fellowship-trained MS neurologists, such as the ones at Virginia Mason Franciscan Health, ensure a prompt, comprehensive assessment and accurate diagnosis.

To get the most out of your first appointment at our multiple sclerosis (MS) center, please bring:

• Previous MRI scans: If you’ve already undergone an MRI, bringing the scan with you can reduce the need for additional testing. This information also helps you get a prompt diagnosis.
• List of questions you may have: No topic is off-limits. Our specialists want to address your concerns and provide information so you can take an active role in your care. Writing down questions ensures we cover everything that’s important to you.

We develop a first-year action plan that teaches you about the disease and how our team can help. The plan is tailored to your needs and covers: 

• Disease information and whether current symptoms may be temporary or ongoing
• Treatment recommendations and how they work
• How to recognize signs of an MS relapse 
• Frequency of clinic visits and MRI scans to monitor treatment response  
• Clinical trial opportunities, if you are interested in participating

Established patients may be eligible for virtual visits. Using a videoconferencing platform, you meet with an MS-trained neurologist from the comfort of your home. Issues we can address through video visits include making changes to medications and filling out paperwork.

Relapses occur when you experience new symptoms or worsening of old ones that last more than 24 hours. An MS relapse is more severe than fluctuations of daily symptoms.

Not all relapses require treatment. Symptoms of severe exacerbations may go away faster with steroids. Our team developed easy-to-use guidelines for assessing signs of a relapse and determining next steps. Learn more about our multiple sclerosis relapse action plan.

We make it easy for you to access our team. Here are a few options:

• Send a message: One of the easiest ways to reach us is through our patient portals, MyChart and MyVirginiaMason.
• Call us: At our Seattle location, we have MS-certified nurses available during the day and a neurologist on call 24/7 for emergencies. They review your symptoms and relay information to our specialists when necessary. Call 206-341-0420 if you’re having an MS-related emergency.  
• Make an appointment: Same-day appointments may be available for urgent concerns.

Some people have no lesions and severe symptoms. Others have numerous lesions but few symptoms. There may be long periods where symptoms do not impact your daily life. Or, you may suddenly need assistance with once-simple tasks.

The majority of people with multiple sclerosis do not experience severe disability. If you have severe mobility issues, occupational and physical therapists deliver services that optimize your abilities and enable you to get around safely.

Pregnant people often experience fewer relapses. However, symptoms like fatigue, bladder leaks and balance issues worsen in some people. We work with your maternity care team to coordinate safe treatments for you and your growing baby.