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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. Some of these management strategies include cognitive adaptations, rehabilitative aids and prosthetics, and using Smartphone apps.


Smartphone Apps

VA MS Smartphone App for iPhone + Android + Blackberry Torch
Download the free Multiple Sclerosis
Smartphone App



The Best MS iPhone and Android Apps for People with MS. As shared on It seems these days there’s an app for nearly everything. MS is no exception. Here are 10 apps designed to educate you about the disease, keep track of your symptoms, and help you remember your medications. selected MS apps based on their potential to aid people with MS and their loved ones in a number of ways. Additional factors considered in selecting these apps include: user ratings, affordability, accessibility, format, functionality, and relevance to MS and the needs of its community. Their collection represents the gamut of helpful iPhone and Android apps that are useful in making life with MS more manageable. Story on Top 10 MS Apps for People with MS

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

MS Self-Report Questionnaires: Fatigue and Sexual Function
Marsha Tarver, PhD

Heating and Cooling

How to Beat the Heat: Tips to Cool Off
Lynda Hillman, DNP, ARNP
Seattle, WA

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

various articles listed on Living with MS page


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

The Ouch of MS
Heidi Maloni, PhD, ANP-BC
Washington, DC VA Medical Center

Relapses (attacks, flares, exacerbations)
MS Treatments for Acute Attacks (Relapses)
Marsha Tarver, PhD, MA
Seattle, WA

Sex and Intimacy

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

MS Self-Report Questionnaires: Fatigue and Sexual Function
Marsha Tarver, PhD


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