What consultations should be considered in multiple sclerosis (MS), and which specialists are most commonly involved in a multidisciplinary approach to MS management?

Updated: Oct 08, 2019
  • Author: Christopher Luzzio, MD; Chief Editor: Jasvinder Chawla, MD, MBA  more...
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Patients with MS may require multiple consultations to rule out other causes of their symptoms. A significant number of MS patients will need a multidisciplinary approach to their care. For instance, patients with dysphonia may need an evaluation by an otolaryngologist (ie, ear, nose, and throat specialist) to rule out laryngeal lesions unrelated to MS. In addition, having MS does not exclude the possibility of concomitant peripheral neuropathy or other illnesses that may cause pain.

The following are the most common consultation services involved in referrals from an MS clinic:

  • Physical therapy and rehabilitation specialist

  • Speech therapist

  • Ophthalmologist

  • Urologist: Urologic consultation may be warranted to help in the assessment and treatment of incontinence

  • Gastroenterologist

  • Neuropsychologist: Neuropsychologic consultation is advisable so that a baseline assessment for future reference can be obtained; such consultation is especially important in patients with primary cognitive involvement

  • Psychiatrist

  • Otolaryngologist

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