Patricia Sadler Osteopath

It is with great sadness that I have to let you know that Patricia Sadler, has reluctantly decided to stand down from her position as Osteopath at the Centre.  Patricia has been with us for over 5 years and has also raised a significant amount of funds for the centre through her singing performances.  There are a few reasons she has decided to leave, one of which is the increased demand on her time at her private practice.  Patricia will still be working for us throughout September and is offering the following dates and times for bookings:

7th, 14th, 21st, 28th September

Times: 9.15, 10.15, 11.15, 12.15, 1.15, 2.15, 3.15

Please email sue on ms.therapy@btconnect.com to make a booking.  The Centre will not be manned until Wednesday 2nd September.

I’m sure you will miss Patricia and we all wish her the very best.  Patricia will support us in the search for a replacement as much as she can.  If you know anyone who might be interested please let Sue or Andy know asap.

Staying Healthy: MS and Diet

The government has recently launched a campaign to get everyone to be as healthy as they can be. A big part of this is diet. But for people with MS is following a special diet beneficial? 

This is quite a controversial area. Some people swear by the diet they follow or supplements that they take but others who follow the exact same diet may have no benefits or may have unwanted side-effects. Like with most things in the MS world, different things benefit different people. 

Both the MS Society and the MS Trust agree that diet is a controversial topic and this is largely due to the lack of research due to its complexity. Below we have some of the different pieces of information that are available on the topic. As always we always recommend checking with your healthcare provider before making changes and always question where your information comes from.  

The National MS Society (that’s the American one) has produced information along with an informative short film: https://www.nationalmssociety.org/Living-Well-With-MS/Diet-Exercise-Healthy-Behaviors/Diet-Nutrition 

The MS Society has produced a comprehensive Diet and Nutrition booklet covering many different areas: https://www.mssociety.org.uk/care-and-support/resources-and-publications/publications-search/diet-and-nutrition-booklet

The MS Trust interviews dietitian Dr. Conor Kerley who focuses on the immune system. He discusses red wine, coffee, iron and Vitamin D among other things: https://www.mstrust.org.uk/news/views-and-comments/diet-ask-expert

The MS Society summarises different special diets here: https://www.mssociety.org.uk/care-and-support/everyday-living/eating-and-drinking/special-diets-and-ms

MS research updates

Two interesting pieces of research this week to bring you:

New research, part-funded by the MS Society, shows that an existing drug for diabetes has the potential to boost energy production and protect nerves from damage in MS. New research suggests the diabetes drug pioglitazone could be another piece in the puzzle of stopping MS, through its ability to protect nerves from damage.

An article in The Independent says: 

‘Scientists say they may have discovered a new route to protect nerve cells in mice, which, if it can be replicated in humans, could prevent MS-related disability.

Researchers have already identified an existing, readily available diabetes drug, pioglitazone, which can trigger the natural process in mice cells and could become a potential treatment to halt the progression of the disease.’

(https://www.independent.co.uk/news/health/multiple-sclerosis-ms-nerve-cells-treatment-research-a9653476.html

To read more from the MS Society here: https://www.mssociety.org.uk/research/latest-research/latest-research-news-and-blogs/diabetes-drug-gives-nerves-an-energy-boost-and-protects-them-from-damage

Second research piece for the week:

Why do symptoms get worse in the heat for some? New research shows the movement of sodium into nerves is partially responsible for why some people with MS find that their symptoms get worse when it’s hot. Read more from the MS Society here: https://www.mssociety.org.uk/research/latest-research/latest-research-news-and-blogs/new-research-sheds-light-on-why-ms-symptoms-get-worse-in-hot-weather

July 100 club winners

July 100 club winners:

1st Nandi Ablett

2nd Sue Doran

3rd Chris Webb

Sharing a prize fund of: £72.50

Please help support the centre by joining the 100 club, it’s been a difficult year and it would really help if members would join.  £5 a month, email ms.therapy@btconnect.com for more information.  Many thanks,

Coronavirus Research and MS

The coronavirus pandemic has generated an enormous amount of research, with over 40,000 papers published in the first six months of 2020.

The MS Trust has been sifting through the research up to the end of June to bring you a round-up of the studies that give an idea of what coronavirus means for people with MS.

Click here to read their summary here

Warning: most of the studies so far have reported data on single cases or on small numbers of people. They do give a general indication but we need to interpret them with caution.

This is a rapidly evolving topic. We will share any updates with you but if you want any further news first hand you can sign up for future issues of Research Update straight from the MS Trust: www.mstrust.org.uk/keepintouch.

The centre is planning to open for Oxygen

The centre is planning to open for Oxygen initially to MS members ONLY from Thursday 3rd September.  (The gym will also be open but will need to be booked).  We will only be able to accommodate 3 people per session due to social distancing.  We are still working on the logistics of this, it is likely that the following will happen.  You must be aware and declare that you understand you are coming in at your own risk.  The Committee will be looking at the logistics of opening up for physiotherapy, osteopathy, footcare and massage and I will keep you posted.  I am still furloughed but making a start on things.  If you have any queries please email me for the time being as I am only in the office once a week.
Procedure (still in draft form):

  • Member to arrive at the centre and wait in their car, to be called in
  • Member should confirm that they have no symptoms of Covid19
  • Members should wear a mask that you can either bring with you, or you can make a donation for one at the centre.  The centre masks are CE Certified masks, Type IIR
  • Sue will take your temperature before you enter the building
  • Use hand sanitiser outside the main door before entering the building
  • Bring in your own water and container
  • No socialising at all, so no tea/coffee/biscuits
  • Do not bring anyone else with you unless necessary, if you do they will need to wait in the car.
  • Oxygen masks should be put on as soon as you enter the chamber.  Breathing may require some effort before the tank is pressured.  You need to keep you mask on until the end of depressurisation. 
  • You will need to sanitise your own masks using soap and water at home.
  • The chamber (inc door handles, chair arms, etc) and oxygen pipes will be sanitised by the volunteers after every session.
  • We are looking at going cashless and currently looking into this.
  • If you need the toilet you will need to sanitise it after use, products will be provided
  • There is also a 5 litre hand sanitiser on the main table in the reception area
  • If you feel unwell you should not come in and if you feel unwell within 2 weeks of being at the centre you will need to tell us promptly
  • To use the gym you need to telephone to book, only 2 people allowed at one time.  The equipment needs to be cleaned after each use, which will be done by Sue or a volunteer.

Please bear with us in these testing times.  We will do everything possible to make sure the centre is safe for our members.

Drug Rejected for Secondary Progressive MS patients

NICE* has announced it will not be recommending Siponimod (Mayzent) as an NHS treatment for active Secondary Progressive MS (SPMS) in England and Wales.

NICE acknowledges that there are very limited treatment options for people with SPMS and clinical trials have shown that Siponimod can slow the worsening of disability.

However, NICE has concluded that they are unable to recommend Siponimod as a cost-effective treatment for the NHS for England and Wales without more detailed evidence and analysis of the data.
David Martin, the CEO of the MS Trust, has said:  

We are hugely disappointed by this initial decision. Time and time again, we hear from people with secondary progressive MS struggling at home, feeling like they have been forgotten. Just earlier this month, a new report has highlighted the significant gaps in support and services for people with SPMS. Not everybody will be eligible for siponimod, but we hope that the availability of a new treatment will lead to a renewed focus on the needs of all people with SPMS.

The MS Trust is reviewing NICE’s decision and is continuing to make the strongest possible case for NHS approval.

*  NICE stands for National Institute for Health and Care Excellence (NICE) and they provide clinical guidelines that are used nationally. These are recommendations on how healthcare and other professionals should care for people with specific conditions. The recommendations are based on the best available evidence. 

Source: The MS Trust Website – https://www.mstrust.org.uk/news/siponimod-active-secondary-progressive-ms-rejected-nice

MS and the Menopause

MS and the menopause share some common symptoms including bladder weakness, hot flushes and difficulty sleeping. In fact, there are 20 widely recognised symptoms of menopause are also symptoms of MS. Over the last few weeks both the MS Trust and the MS Society have run articles about the menopause and MS and here we share a round-up of the information.

According to the MS Society, women are three times as likely to have MS than men. (The MS Society have a section on their website dedicated to MS and women’s health including periods, pregnancy and sex which you can find here: https://www.mssociety.org.uk/about-ms/what-is-ms/women-and-ms).

As so many more women are diagnosed with MS than men, hormones have been a key area of research in MS. There have been a few small studies into MS and the menopause and they show that there was a worsening of disability after the menopause which could not be linked to other factors such as lack of vitamin D. However we need to remember that age could play an important part in this and as these studies are so small it is not possible to draw conclusive conclusions.

There is a lot of information on the MS Society and the MS Trust websites below about the research and about managing symptoms:

Click here for the MS Society research spotlight on MS and the menopause

Click here to read about Susans experience of MS and menopause on the MS Society website

Click here for the MS Trust webpage on MS and the menopause

* Susans article speaks about a webinar about MS and menopause led by the MS Society. Sadly the date of this has passed and we didn’t know about it in time to promote it. We are trying to find out if a recording is available which will share. 

The MS Trust has put together some tips on how to manage some of the common menopause/MS symptoms although we would always recommend talking to your GP/MS nurse if you are struggling with any of your symptoms or if you start experiencing new ones. 

  • Hot flushes – Wear layers of light clothing so you can remove some layers if necessary; carry a handheld fan or cooling spray with you in your bag; avoid potential triggers such as caffeine, alcohol, smoking and spicy foods; exercise regularly; and have cold drinks.
  • Night sweats – Keep your room cool and well ventilated; have a cold drink by your bed; have a cool or lukewarm shower; put a towel on your bed if necessary; wear light clothing to bed; try a cooling mattress topper or pillow.
  • Low mood – Make sure you’re getting enough sleep; try to exercise regularly; have a go at some relaxing activities like yoga or meditation; talk to someone about how you’re feeling; do something you enjoy every day.
  • Reduced sex drive – Talk to your partner about how you’re feeling; take it slow and make more time for foreplay; try to relax by doing some breathing exercises or practising mindfulness; and explore your body through a body mapping exercise.