The Link Between Cold Sensitivities & Multiple Sclerosis

The Link Between Cold Sensitivities & Multiple Sclerosis

While heat sensitivity in people with multiple sclerosis (MS) has been widely studied, the question of how cold weather affects patients still looms large. It was back in 1890 when optical issues (a common issue associated with MS) were linked to a rise in body temperature. More than a century later, MS patients still struggle to stay cool in the summer. As cooler weather approaches, however, the impending chill presents its own set of challenges.

Of course, winter introduces health issues even in people who aren’t affected by MS. Shorter days and increased darkness impact sleep patterns, which can ultimately lead to fatigue. Seasonal depression is also a common issue that emerges once the winter months descend.

Unfortunately, it appears that cold weather exacerbates MS symptoms. Specifically, pain, mobility challenges, fatigue, and depression seem to worsen. For one, the nerve damage caused by MS may be impacted by the winter weather, leading to spasticity and stiffness. Icy surfaces can also increase the risk of falls, making mobility challenges even more of a concern.

The “MS hug,” a feeling of pressure around the torso, becomes more pronounced for many patients in colder temperatures. Numbness and tingling may also worsen. Patients who experience Reynaud’s phenomenon, in which the blood vessels in the extremities narrow and cause discomfort, also report increased intensity in the winter.

Although there is still limited research on how cold weather impacts MS and why patients can still take certain measures to control symptoms throughout the winter months. Dressing in plenty of warm layers, eating warm foods, minimizing trips outdoors, and maintaining a moderate indoor temperature to reduce the shock when you do have to trek outside may help.

You might also consider discussing a supplement regimen with your specialist. Vitamin D levels often drop with decreased exposure to sunlight, so taking a daily vitamin could help to boost overall health and provide some relief for cold-related MS symptoms. Call a Stemedix Care Coordinator at 800-531-0831 and learn how our practitioner-grade supplements through Metagenics may help you and receive 10% off your first order!

Five Tips for Coping with a Multiple Sclerosis Diagnosis

Five Tips for Coping with a Multiple Sclerosis Diagnosis

Receiving a multiple sclerosis diagnosis can be overwhelming. It will inevitably lead to changes in your life, and there will be some days that are more difficult than others. Yet, you’re not alone in your diagnosis: roughly one million Americans are believed to have MS. 

Fortunately, the condition and its symptoms can often be managed successfully. Treatments have come a long way since MS was first discovered, and they continue to evolve through developments such as regenerative medicine. 

If you’ve recently received a multiple sclerosis diagnosis, here are some things you can do to begin taking control. 

Familiarize Yourself with MS. 

Oftentimes, it’s the unknown that can be particularly scary when it comes to a new diagnosis. By arming yourself with facts, you’ll have a better understanding of the characteristics of MS and what to expect. Sources like the National MS Society offer comprehensive guides for newly diagnosed patients to learn about symptoms, treatment options, and other need-to-know information. 

Be Ready for Any Symptoms. 

One particularly frustrating aspect of MS is that no two people experience the same symptoms in the same ways – which means that, even if you know what the condition can cause, you won’t know when to expect which symptoms, or how severe they may be. The unpredictable nature of the disease means that MS patients have to build some degree of flexibility into their routines. You may experience pain, numbness, fatigue, and vision changes which can come and go, seemingly without any pattern. 

With that being said, keeping a journal may help you track your symptoms. It can shed light on whether treatments are working, and if there could be any triggers that you may want to avoid, such as going out during particularly cold weather. Becoming overheated, drinking alcohol, and stress are also common triggers. 

Explore Treatment Options

Promptly beginning treatment for MS could help you delay the disease’s progression. There are a number of medications which can modify the course of the disease, help you manage symptoms, and control relapses. 

You may also want to explore lifestyle management techniques, such as physical therapy and stress management. Some patients also use complementary and alternative medicine techniques, such as yoga, dietary modifications, and massage therapy. Additionally, you might explore emerging options for regenerative medicine, including stem cell therapy, which could improve symptoms and potentially even aid in rebuilding myelin sheath tissue.

Partner With The Right Healthcare Professional. 

Because MS is a chronic illness, you’ll want to find the right doctor for your needs. The original neurologist who established your diagnosis isn’t the medical professional you have to stick with; in fact, you should find a doctor who specializes in the treatment of MS. Consider looking for someone who is fellowship-trained, is actively involved in clinical trials and ongoing research, makes you feel comfortable and heard, and has an office atmosphere that puts you at ease. The Consortium of MS Centers is a comprehensive online database where you may want to begin your search. 

Exploring functional medicine is also another alternative therapy option to help manage symptoms. Home comprehensive test kits help to find diet and vitamin deficiencies and insufficiencies you may have to help correct the causes of certain symptoms experienced. Stemedix offers these home tests provided by Genova Diagnostics. 

Don’t Give Up. 

A chronic illness diagnosis is major news to process, and it will affect you emotionally. Give yourself time to go through this emotional process and experience feelings like frustration and sadness. Yet, try not to give up hope. Know that MS research is constantly evolving, and that while existing treatments can delay the disease’s progression, as further treatments are approved, results will likely only improve in the future.  Contact a Care Coordinator today for a free assessment!

Can Stem Cells Treat Neural Damage Caused by Multiple Sclerosis?

Can Stem Cells Treat Neural Damage Caused by Multiple Sclerosis?

Multiple sclerosis (MS) is a chronic illness that damages nerves in the brain and spinal cord. In this disease, the body’s immune system mistakenly targets and attacks the myelin in the central nervous system, or the layer of insulation around the nerves. As the autoantibodies target healthy myelin tissue, neurological disabilities ensue. While there is currently no cure for MS nor any means of repairing myelin damage to improve disease progression, results from clinical trials suggest mesenchymal stem cells (MSCs) could be effective in treating nerve damage caused by the condition. So many may be wondering “Can Stem Cells treat neural damage caused by Multiple Sclerosis”.

According to researchers, MSCs can help to control the immune response in people with Multiple Sclerosis. These cells have powerful self-renewal capabilities, in addition to immunomodulatory and neuroregenerative properties. While the precise cellular mechanisms of stem cells in treating Multiple Sclerosis are still being studied, researchers are encouraged by the results of several clinical trials thus far. 

For instance, MSCs can be targeted to the brain tissues to reach the sites of damage, including brain lesions, to help improve the survival rate of brain cells. Also administered systemically, these cells have the potential to improve one’s quality of life and severity of symptoms.

Stem cells can be retrieved from various sources, including fat tissue, umbilical cord-derived tissue, and bone marrow aspirate. The mesenchymal stem cells derived from these tissues provide the potential power in improving cognitive function and decreasing disease severity, which is likely due to the cells’ anti-inflammatory and neuroprotective characteristics. The source of cells is determined by a few factors including age, medical history, and patient preference. Results can vary from patient to patient. Their environment factors, diet, and lifestyle choices can play an important part in the outcome. However, studies have shown that stem cell therapy for those whose immune systems have been compromised has the potential to prohibit the progression of MS for up to five years in 70% to 80% of patients. This and other stem cell treatments have the potential to significantly improve treatment outcomes for people with MS. Contact a Care Coordinator today for a free assessment!

Stem Cells Restore Function of Regulatory T Cells from Multiple Sclerosis Patients

Stem Cells Restore Function of Regulatory T Cells from Multiple Sclerosis Patients

Scientists have long realized that multiple sclerosis is an inflammatory disease, and that the immune system, in a manner, attacks the brain and spinal cord. These inflammatory lesions cause patients to have severe neurological symptoms. Therefore, treatments for multiple sclerosis have focused on controlling the immune system.

There are current treatments of care for MS patients to manage their symptoms. They can help minimize the severity of the disease, but they may cause serious side effects. Consequently, researchers are constantly looker for newer, safer, less expensive alternatives.

While the precise cause of MS is still unknown, multiple sclerosis lesions contain high levels of an immune cell, specifically CD4+ T cells. These T cells become active in the central nervous system and interfere with the function of other T cells (regulatory T cells). Simply put, whatever causes MS creates abnormal regulatory T cells; healthy regulatory T cells are important for maintaining a balance between helpful and harmful immune system functions.

In the scientific research journal Oncotarget, Yang and co-authors showed experimentally for the first time that umbilical cord-derived mesenchymal stem cells could repair defective regulatory T cells in patients with MS.

The scientists collected mesenchymal stem cells from umbilical cord tissue (the tissue that is usually thrown away as medical waste after live birth). They also collected peripheral blood mononuclear cells (i.e. T cells, B cells, natural killer cells, and monocytes) from patients with MS and healthy volunteers. Stem cells and peripheral blood mononuclear cells were combined in the lab for 3 days. After incubation, samples with stem cells had a higher proportion of regulatory T cells, and those regulatory T cells had greatly improved their function. In fact, stem cell treatment made the defective regulatory T cells function much like regulatory T cells from healthy volunteers.

More work must be done to take this technology from the lab and into the clinic, but the proof of concept is remarkable. Stem cell treatment has been shown to be safe in scores of clinical trials. Thus, if umbilical cord-derived mesenchymal stem cells can improve regulatory T cell function in patients with MS, the impact could be beneficial to help improve multiple sclerosis symptoms.

Reference: Yang, H., et al. (2016). Umbilical cord-derived mesenchymal stem cells reversed the suppressive deficiency of T regulatory cells from peripheral blood of patients with multiple sclerosis in a co-culture – a preliminary study. Oncotarget 2016; 7:72537-72545.

Stem Cell Therapy More Effective Than Disease-Modifying Therapy for Patients with Relapsing-Remitting Multiple Sclerosis

Stem Cell Therapy More Effective Than Disease-Modifying Therapy for Patients with Relapsing-Remitting Multiple Sclerosis

The most common form of multiple sclerosis is a relapsing-remitting MS. In relapsing-remitting multiple sclerosis, patients have relatively quiet, healthy times interrupted by disease flares. MS flares can cause many different neurological symptoms. The disease can interfere with any number of bodily processes, from walking to seeing, to urinating.

For many years, the only treatments available for relapsing-remitting MS were steroids or other powerful medications that had troubling side effects. Recently, disease-modifying drugs have become available that extend the times in between flares. Steroids are still used to treat disease flares, but disease-modifying drugs seem to make those flares occur less often.

One way that scientists judge the value of disease-modifying therapy for relapsing-remitting MS is to see how long it can prevent relapse. For example, researchers divide a group of patients into two groups, give each group a different treatment, and track to see the time until a relapse occurs.

Researchers took this same scientific approach to compare disease-modifying therapy to nonmyeloablative hematopoietic stem cell transplantation which is the infusion of stem cells without destroying the patient’s existing bone marrow and stem cells with chemotherapy. The results were published in the prestigious Journal of the American Medical Association (JAMA).

The scientists from hospitals and institutions around the world followed about 100 women with relapsing-remitting multiple sclerosis. Half received disease-modifying therapy, which is the current standard of care, while the other half received stem cell therapy.

During the first year of the study, the symptoms were more severe in patients who received disease-modifying therapy. This was expected since patients with this form of MS tend to get worse over time. Impressively, the group who received stem cell treatment had less severe symptoms than when they started a year earlier.

Three patients who received stem cell therapy experienced disease progression; however, a staggering 34 patients in the disease-modifying group had disease progression. In other words, far fewer RRMS patients in the stem cell therapy group had disease progression than those receiving standard disease-modifying treatments.

The authors of this groundbreaking study mention that “further research is needed to replicate these findings,” presumably in a double-blind trial. Nevertheless, this is not a small study (~100 patients) and patients were followed for a very long time (5 years). As such, the results provide strong, preliminary evidence that stem cell therapy was more effective than disease-modifying therapy for patients with

Reference: Burt, R., et al. (2019). Effect of Nonmyeloablative Hematopoietic Stem Cell Transplantation vs Continued Disease-Modifying Therapy on Disease Progression in Patients With Relapsing-Remitting Multiple Sclerosis. JAMA. 2019;321(2):165-174.

Using Stem Cells to Treat Nerve Damage in Multiple Sclerosis

Using Stem Cells to Treat Nerve Damage in Multiple Sclerosis

Multiple sclerosis is an inflammatory disease of the brain and spinal cord.  The immune system mistakenly attacks the covering of nerve axons called the myelin sheath. Just as an electrical cord that has lost its insulation cannot work properly, so too is it with nerve cells that have been destroyed by MS. Unfortunately, when electrical signals (action potentials) cannot move through axons, it causes neurological problems and disability. People with MS may lose the sense of touch, the sense of sight, the ability to move or walk, and the ability to control bowel or bladder function.

While treatments for MS are intended to reduce inflammation, no treatment has been developed that can repair damaged nerve cells. Scientists recently reviewed the status of stem cell clinical trials to treat multiple sclerosis. The results are encouraging.

No fewer than 8 clinical trials have shown that mesenchymal stem cells can be safely used in patients with MS. Moreover, the phase 2 clinical trials within this group showed that various stem cell treatments reduced the severity of MS. This is especially important because mesenchymal stem cells actually reduced the number of lesions (areas of inflammation and injury) in patients with MS compared to placebo.

Importantly the review determined stem cells were able to improve MS disease and nerve destruction regardless of whether the stem cells were collected from fat tissue, umbilical cord, or bone marrow. Stem cells retrieved from fat (i.e. adipose) reduced MS relapses and delayed the progression of the disease. Likewise, fat-derived stem cells improved sexual satisfaction and improved bowel control 12 months after treatment.

Why are the results of fat-derived stem cells so exciting? Because bone marrow can be difficult to access and umbilical cord tissue must be collected from donors. On the other hand, virtually everyone has excess fat on their bodies. This fat can be safely and easily removed with a simple extraction such as liposuction. A patient’s own fat cells can be removed, processed, and re-infused as stem cell treatment. When someone uses their own stem cells, there is no risk that the body will reject the infusion (as could theoretically happen to donor stem cells).

These results are exciting and welcome information for those who suffer from multiple sclerosis. As larger clinical trials are performed and previous results are replicated, we may see an increase in stem cell treatment options to help manage the symptoms of multiple sclerosis.

Reference: Bejargafshe, M., et al. (2019). Safety and efficacy of stem cell therapy for treatment of neural damage in patients with multiple sclerosis. Stem Cell Investigation. 2019; 6:44.

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