- RAG rating
- n/a
- Document type
- Clinical pathways
- Place
- Hertfordshire and West Essex ICB
- Output type
- Clinical Pathways
- Pathway
- Multiple Sclerosis (MS) Suspected Pathway | V4 2026Multiple Sclerosis (MS) Relapse Pathway
Multiple Sclerosis (MS)
Multiple sclerosis is a disease that causes breakdown of the protective covering of nerves. Multiple sclerosis can cause numbness, weakness, trouble walking, vision changes and other symptoms. It's also known as MS.
Common symptoms include:
- Numbness or tingling.
- Electric-shock sensations that happen with certain neck movements, especially bending the neck forward. This sensation is called Lhermitte sign.
- Lack of coordination.
- Trouble with walking or not being able to walk at all.
- Weakness.
- Partial or complete loss of vision, usually in one eye at a time. Vision loss often happens with pain during eye movement.
- Double vision.
- Blurry vision.
- Dizziness and a false sense that you or your surroundings are moving, known as vertigo.
- Trouble with sexual, bowel and bladder function.
- Fatigue.
- Slurred speech.
- Troubles with memory, thinking and understanding information.
- Mood changes.
Diagnose MS using a combination of history, examination, MRI and laboratory findings.
Establishing progressive neurological deterioration over 1 year or more for a diagnosis of primary progressive MS
Please see pathway attached for further information.