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Last surgery (gallbladder) left me with both hands fingers curled inward. Extensive Physical Therapy and playing piano brought then back to full use. My PCP thinks any surgery is a potential exacerbation risk for her MS patient.
My left hip has arthritis, posible replacement. The orthopedic surgeon says it isn't bad enough to operate yet. I am controlling the pain through exercise and ibuprofen. I am allergic to acetaminophen. This was part of the gnarled hands issue discussed in the previous… read more
Sorry to hear that Lawrence. That is elective and necessary surgery. Talk with your neurologist and ask they coordinate with the surgeon or anesthesiologist so you get the best anesthesia possible. Someone sent me an excellent article. May I send it to you?
I haven't had any experience with surgeries, but when I go to the dentist and I have to have work done that requires Novocaine, it really flares up this disease to a frightening level.
I hope this helps.
MSF 131 Surgery and MS
Neurology
Since the two go hand in hand, it is difficult for researchers to distinguish the effects of surgery from the effects of anesthesia. But it is fairly common for surgery to be followed by a new attack within one or two weeks. The cause is usually thought to be stress on the immune system, but other factors such as emotional stress may also play a part. In one study 8 out of 40 multiple sclerosis (MS) patients gradually deteriorated after a hysterectomy. The results are inconclusive because of the small size of the study, and investigators believe some hormonal or psychological factors might also be involved.
Although it has never been proved that surgery affects the course of the disease, avoiding unnecessary operations is a good principle for everyone to follow. When surgery is necessary, be sure the surgeon and anesthesiologist consult with the neurologist. They will need to discuss precautions such as preventing the fever that is very common after surgical procedures.
Spinal anesthesia should be avoided; this may precipitate an MS relapse. General or local anesthesia is a better choice. Local anesthesia is especially well tolerated by people with MS. In a 1978 study of 98 patients who had more than 1,000 local anesthetics for minor operations and dental work, only 4 noticed deterioration during the following month.
@A MyMSTeam Member Discuss Medication interferences? I think its just the stress and physical mouth trauma of the dental work that pushes our limits
You bet our bodies are diffferent. You arem't the first to mention dental procedures. Soon I need to plan for some crown replacements. What kind of things should we discuss besides the usual 'allergies, past surgeries'?
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