It is usually tolerated well, although some patients may complain of insomnia or change in mood. Some patients may notice a change even after one dose. It is often given with a tapering dose of the oral steroid prednisone to follow. Some patients may be hospitalized during the treatment, while others can remain home with nursing services. In addition to using corticosteroids in the acute setting, other modalities can be helpful.
Physical therapy can be beneficial for some patients.
This can help with strengthening muscles and extremities, helping with pain and spasticity, and stabilizing balance and walking. Using assisitive devices, such as canes or walkers, and equipment in the home can help the patient be as independent as possible. In addition to physical therapy, medication is often needed to control painfully rigid extremities. These can be taken either on a regular schedule or on an as-needed basis. Fatigue - The fatigue associated with MS can be difficult to treat.