What is an exacerbation and what isn ?
An exacerbation is a rapid onset attack of increasing MS symptoms that is thought to be indicative a new immune attack on myelin. Operationally, an exacerbation is a rapid progressive worsening of symptoms lasting at least a day in a particular area that has not had any new symptoms within the past month. The temporary increase of symptoms that many people experience with heat or overexertion is not an exacerbation. The symptoms decrease and return to previous levels when the problem is corrected with rest or cooling down. • What causes exacerbations? Exacerbations may occur for many reasons or with no recognizable cause, but some general precipitating circumstances can be identified. Often, a highly stressful time at home or work, especially if it lasts for an extended period, will bring on an exacerbation. This stress may take many forms. Emotional stress as well as physical stress may cause trouble. It is widely recommended that a person with MS should reduce the stress level in the
