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Multiple Sclerosis Centers of Excellence

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Multiple Sclerosis Symptom Management


MS is associated with a large variety of symptoms. Few people experience all of the possible changes that can occur. These symptoms can come and go and are not the same in every person. Some of the MS symptoms people experience include fatigue, mood disorders, changes in thinking or memory, sensory changes (numbness, pain, vibrations), motor changes (loss of balance, poor coordination, muscle weakness or stiffness), vision changes (double vision, blurry vision, loss of vision), or bladder and bowel dysfunction. There are treatments available that can help minimize the symptoms an individual may experience. Specialists in Physical Medicine and Rehabilitation, Neurology, Urology, Pain Medicine, Physical and Occupational Therapy, Speech and Recreational Therapy, and Social Work can help manage the symptoms associated with MS, and are available to Veterans through the VA.


Balance and Falls

Balance and Falls in MS
Carolyn Bacon, Junior majoring in neuroscience
Pomona College, Claremont, CA
Michelle Cameron, MD, PT - Neurologist
Portland, Oregon

Bladder and Bowel

Bowel Dysfunction in Multiple Sclerosis
Lynne Walker, BSN, CRRN, MSCN
Snohomish, Washington

Provider’s Approach to Bladder Management in Multiple Sclerosis
Claire C. Yang, MD, Urologist
VA Puget Sound Health Care System - Seattle, Washington


Fatigue and MS – A Medical Perspective
Lauren Krupp MD, Professor of Neurology and Psychology
State University of New York at Stony Brook
James Hunziker, MSN, ARNP
VA Puget Sound Health Care System - Seattle, Washington

Heating and Cooling

Keep Cool: Multiple Sclerosis and Heat Tolerance
Jacqueline A. Hall, MS, OTR/L, MSCS
James Hunziker, MSN, ARNP, CRRN
VA Puget Sound Health Care System - Seattle, Washington


Multiple Sclerosis Pain
Heidi Maloni, PhD, ANP-BC
Washington, DC VA Medical Center

Sex and Intimacy

Sexual Dysfunction and Multiple Sclerosis
Barbara (Bobbie) J. Severson, MSCN, MSN, ARNP
Swedish MS Center, Seattle, Washington


Multiple Sclerosis and Spasticity
Rachael L. Palmieri, MS, RN-C/ANP
Albany VA Medical Center - New York

Managing Spasticity with an Intrathecal Baclofen Pump
Nahid Veit, RN, MSN, CRRN
Tampa VA Medical Center - Florida

Spasticity: Take Control
Cinda Hugos, MS, PT
Portland VA Medical Center, Oregon


Provider’s Approach to Swallowing Problems in Multiple Sclerosis
Katherine Walker, M.A., CCC-SLP, Denver VA Medical Center - Colorado
Marilyn Selinger, Ph.D., CCC-SLP, Section Chief Audiology/Speech Pathology
Denver VA Medical Center - Colorado


Visual Dysfunction in Multiple Sclerosis
Robert Shin, MD
Baltimore VA Medical Center - Maryland