Symptomatic treatment for progressive multiple sclerosis

Abstract

Given that MS is a complex, multisystem disease which may cause difficult symptoms in many different systems, the approach to symptom control should be led and coordinated by a physician with a specialist interest in MS. Over the course of the disease, a variable degree of input is likely to be required from primary care physicians as well as specialists in a variety of medical specialities, including, although not limited to, neurology, neurorehabilitation, and palliative care. The role of health professionals in disciplines allied to medicine should not be underestimated and careful attention must be given to patient preference. The needs of caregivers should also be respected and facilitated. In the absence of an available cure for MS, research into improved symptom management should be supported and must include systematic, well-designed clinical trials to evaluate treatments as they emerge.