Management schemes

Multiple sclerosis (MS) is the most common neurological disease disabling y oung adults. Patients with MS experience symptoms in an unpredictable patte rn over years or decades. The doctor/patient relationship in MS, beginning with the announcement of the diagnosis has to grow stronger with a clear st ructured information following from the many available studies of the medic al literature. This is all the more welcome since the introduction of a new generation of disease-modifying agents which has a radical effect on the m anagement of the condition. This management of MS must also concentrate on symptom relief, palliative care and complementary therapies including rehab ilitation when a disability occurs. Nowadays, a quality health service for people with MS need to be intimately involved in the long-term care of a di sease which has frequently a social and occupational impact Physicians of s everal disciplines, primary medical care, social service and nurses should work as an integrated medical network model focusing on the patient and his family.