Multiple Sclerosis

Definition / Symptoms

Multiple sclerosis (MS) is an auto-immune condition. The body’s immune system attacks the myelin that is essential for the proper functioning of the nervous system. When the attack dies down, it leaves behind scarring of the myelin sheath, this is known as sclerosis. Multiple attacks can damage the underlying nerve fibre. This causes interference between the brain and parts of the body affected.

It is the most common neurological condition affecting young adults. Around 100,000 people in the UK have MS and it is twice as common in women as men.

It can be characterised by periods of relapse and remission, or it can follow a progressive pattern.

Symptoms/causes

There is no one reason for someone to develop MS, but it is known to be caused by a combination of genetic and environmental factors.

 

Consultation

Given the wide range of physical effects that MS can have on an individual, the initial consultation must be particularly in-depth. We need to establish a person’s goals and expectations from the treatment we can provide. During our detailed assessment, we will explain the different orthotic prescription options to you, and how they can ameliorate your particular symptoms.

 

Orthotic Treatments

Orthotic treatments for MS have to manage a wide range of complex problems, including spasticity, weakness and joint instabilities. Depending on the exact symptoms presented we can offer a range of orthotic prescriptions, from neurological insoles to functional electronic stimulation (FES) and knee ankle foot orthoses (KAFOs) to aid muscle weakness in the leg. More and more we have been prescribing the Neuro Swing snkle system because it provides us with the means to continually fine-tune our prescription to respond to changes in a patient’s symptoms.

All of our orthotics are bespoke/made-to-measure. We can also design hybrid FES orthotic systems. These combine the mechanical advantage of a plastic orthotic with electronic stimulation which can improve function using the body’s own musculature. There is published research about the beneficial effects of FES for MS sufferers.

Further information / Reading / Links

For support and more information on MS please visit www.mssociety.org.uk

 

FAQs:

We have the following facilities and amenities at our Kingston Upon Thames location:

  • Free parking
  • Wheelchair ramp
  • Disabled toilet
  • Baby changing facilities

We also have the Gait Laboratory for orthotics patients and Onsite Manufacturing for speedy turnarounds and adjustments whilst you wait.

We have the following facilities and amenities at our Cambridge location:

  • Free parking directly outside the clinic
  • Large Waiting Room
  • No Toys (Due to Health & Safety Requirements of the clinic)
  • Baby changing space (In clinic room)

For more information about The Beechwood Complementary Medical Practice, please visit The Beechwood Practice.

We have the following facilities and amenities at our Bristol location:

  • Free parking directly outside the clinic
  • Large Waiting Room
  • Free tea, coffee and water
  • No Toys (Due to Health & Safety Requirements of the clinic)
  • Baby changing space (In clinic room)
  • Fully wheelchair accessible
  • Short walk to Clifton Village centre for shops, restaurants & cafes

For more information, visit Litfield House Medical Centre.

LOC’s clinic is based in the University of Salford’s Podiatry Department and provides treatments for orthotics, scoliosis, pectus deformities, positional plagiocephaly and club foot.

It is also the base for LOC’s northern OSKAR clinic which is run by Sam Walmsley, clinical director of LOC, in conjunction with Elaine Owen MBE MSc SRP MCSP.

Due to COVID-19, we have had to temporarily close the Salford clinic and are operating out of another clinic in Bolton. 

508 Blackburn Rd,

Astley Bridge,

Bolton

BL1 8NW

 

For more information, please visit The Good Health Centre 

An insole is a contoured orthotic device which alters the characteristics and biomechanics of the foot and ankle area. Biomechanics are concerned with mechanical laws and how they affect the living body, especially the musculoskeletal system.

They are removable devices, often made from plastic, that are designed to fit inside a shoe to provide additional support for your feet. As well as offering shock absorption, an insole can help distribute the weight of your body more effectively across the foot and can be made bespoke to cover a range of biomechanical conditions.

If you have symptoms in your feet, ankles, hips or your lower back that are intermittent or were not there to start with in early life, and have started to cause you pain over a period of time, bespoke orthotic insoles could be an excellent option.

If you have already tried rest, icing, compression and elevation and your feet have not recovered, we recommend a biomechanical assessment to consider the possibility of insoles. They are a non-invasive approach to treatment and in many cases, are a great option for symptoms that are not severe enough to warrant surgical intervention. Alternatively, they can be considered as an option prior to surgery.

We will send patients away when an insole is not appropriate, if a patient is suffering with iliotibial band syndrome for example, the problem can be helped with physiotherapy and a stretching programme. That’s what our biomechanical assessment is all about; determining whether there would be any benefit from altering the alignment of your feet.

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