Multiple Sclerosis

Multiple sclerosis impacts 1 out of 1,000 individuals in the United States. 
Signs and Symptoms

Patients with Multiple Sclerosis (MS) often suffer from symptoms including changes in movement, rigidity, balance problems, gait problems and visual changes. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks. Typically, symptoms begin on one side of the body and migrate over time to the other side. Other symptoms commonly reported by MS patients are constipation, depression, difficulty swallowing, difficulty thinking and understanding, flare, headache, heavy legs, numbness of face, rapid involuntary eye movement, sleep deprivation, tongue numbness, or difficulty raising the foot.
 
 
What is Multiple Sclerosis

Multiple sclerosis is an autoimmune disorder of the central nervous system. The immune system becomes confused and attacks myelin, which is the covering of nerves and axons that allows for faster communication. Another way to think about this is a highway. Imagine there is road work that has dropped the speed limit 20 mph. This will prevent you from getting to your destination on time and getting your tasks completed. The same thing happens within the brain and the spinal cord, which is why the symptoms are seen.

Ultimately the inflammatory response is believed to trigger autoimmunity, which is where the bodies immune system becomes confused and attacks self-tissue. There are varied cofactors such as infection, genetics, and environmental interactions that lead to an inflammatory response.  It’s important to evaluate factors that can influence progression, symptoms, and flare-ups to develop an appropriate treatment plan.


Our Approach to Diagnostics and Testing
 
Revive utilizes research-based diagnostics to evaluate function in specific areas of the brain. Looking at eye movements, motor function, sensory function, cranial nerves, cognitive function, balance, and gait. This information allows us to better understand what areas are affected so we can develop a treatment plan that targets those regions and networks to make them stronger and more efficient. These tests include eye movements, motor function analysis, physical exam, cognitive ability and balance.  
 
  • The VGN or testing of eye movement gives us a representation of the function of eye muscles, cranial nerves, brainstem nuclei, cerebellum and cortical regions. By measuring things like gaze stabilization,  smooth pursuits, saccades, and optogenetics it helps us to differentiate the areas of weakness.

  • Motor function analysis enables us to see the strength, tone, and coordination of the movement of muscle groups so we can better understand the regions and networks of involvement. Networks that are utilized in a movement are the coordination of movement involve the frontal lobes, parietal lobes, and the cerebellum.   

  • In our office, the physical examination is focused on not only finding definitive signs of functional deficits but also catching the subtle changes which give us greater insight into the physiology and function (these findings are often considered irrelevant or ‘within normal limits’ in most conventional clinical settings).  

  • Cognitive testing is utilized as a baseline marker to measure and monitor patient outcomes. These quantifiable tests validate results in many different avenues. Our testing encompasses depression screening, anxiety screening, verbal memory, psychomotor speed, processing speed, simple attention, and motor speed.  

  • Balance test or vestibular testing gives us an insight into the function of networks that are needed for standing, walking, even riding in a car. We look at the three main factors of balance (Vestibular, proprioception, and vision) both together and individually to isolate the areas of involvement.  
 
Our clinicians not only have an understanding of the brain but have extensive knowledge of the immune system.  They understand how the immune system and brain interact.  This understanding necessitates not only examining your immune health but to assess brain function as well.  It is only when both of these systems are functioning optimally that the best results can occur.  
 
How We Evaluate Immune Health:
  • Genetic Testing
  • Food Sensitivity Testing to both cooked and uncooked foods
  • Inflammatory Marker Testing
  • Autoimmune Markers
  • Viral load Testing
 

Our Approach to Care
 

At Revive we specialize in providing treatment to the neurological regions affected by Multiple Sclerosis. Your treatment can include balance, gait, and eye training; as well as hand-eye coordination, repetitive transcranial magnetic stimulation (rTMS), hyperbaric oxygen, diet, and supplements.

We offer a unique process that is built to maximize time and results. To reach your personal healthcare goals, it is imperative that your physicians and care providers precisely know your individual story and desires. Your individual goals are the focal point of the comprehensive treatment plan which is based off your exam, diagnostics, and lab results.  

Beyond the neurological system, there are many factors that can impact the presentation of Multiple Sclerosis: the immune system, diet, sleep, and stress (to list a few). By integrating knowledge of the brain and influence of these factors, we are able to be very specific with targeted therapies which create lasting neurological changes. Your treatment plan is designed specifically for you and is not a protocol.

This plan is executed over 5-10 days. Patients see measurable improvement during their time in our office and continue to make gains once they leave. To help ensure success on your journey of healing, we create and define a plan for you when you go home. This plan may include sourcing local specialist for a safe and effective continuum of care. Our goal is to see each patient continue to build upon the initial results they achieved in our office. 



Research on our Treatments

Eye training drives brain activation and growth. Research has shown that the utilization of eye movements activate multiple brain regions. Combining specific eye movements with visual stimulation allows us to strengthen targeted brain regions.
Function Movement exercises and Whole body vibration have shown tremendous results in increasing strength and self-awareness while decreasing spasticity.


                



Hyperbaric Oxygen therapy has shown to increase oxygen saturation to tissues and increase the amount of stem cell production and circulation. This allows for the greatest potential for healing in the brain.






Rapid Transcranial Magnetic Stimulation (rTMS) sends a magnetic waveform through the skull that depolarizes the brain cells.  rTMS can be directed at specific regions of the cortex to cause activation of the neurons in the area.

The word of virtual reality has grown rapidly in recent years. Currently, research is looking at the affect of VR on gait and movement. We may incorporate different types of VR to help patients with their perception of space and self.






We utilize E-stim in many different waveforms to increase strength, increase self-awareness, decrease spasticity. The following studies are studies of individual waveforms and how they can affect strength, spasticity and awareness.








Cold Laser Therapy has shown increases mitochondria production in cells, helping to decrease inflammation and increase healthy cellular activity. When the cold laser is utilized as a transcranial (through the skull) therapy we see an increase in brain activation to the targeted areas.





Vestibular therapy is a very powerful tool in the world of neurological rehabilitation. When we look at brain development we see that movement drive brain growth and one of the most important areas for sensing movement is the vestibular system. When we utilize rotational therapy to active the vestibular system we see an increase in activation in several cortical regions.



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