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Real members of MyMSTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
June 21
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MyMSTeam

It's frustrating when something that used to help stops doing its job! Many MyMSTeam members have explored Functional Electrical Stimulation (FES) devices as an alternative when a traditional ankle-foot orthosis (AFO) brace isn't cutting it anymore.

FES works by sending small electrical impulses to the nerves that control Show Full Answer

It's frustrating when something that used to help stops doing its job! Many MyMSTeam members have explored Functional Electrical Stimulation (FES) devices as an alternative when a traditional ankle-foot orthosis (AFO) brace isn't cutting it anymore.

FES works by sending small electrical impulses to the nerves that control foot lifting, helping the foot rise naturally during each step. It's worn just below the knee and activates during the swing phase of walking, then switches off when the foot lands. Here are some of the benefits people with MS have experienced with FES:

- Restored walking pattern
- Increased walking speed and distance
- Reduced fall risk
- Improved muscle strength
- Increased range of motion
- Potentially reduced spasticity
- Greater independence in daily activities

There are some things to be aware of though. Some people experience skin irritation where the electrodes touch the skin, or a tingling sensation while getting used to the device. Cost is also a significant consideration. FES devices typically range between $5,000 and $6,000, and insurance often doesn't cover them. The National Multiple Sclerosis Society does offer some financial resources that may help.

Two commonly used devices are the Bioness L300 Go and the WalkAide, both worn below the knee.

A neurologist or physical therapist can evaluate whether FES is a good fit and will usually do a walk test with the device before committing.

June 21

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