Multiple Sclerosis patients can have symptoms that are attributable to any part of the nervous system. These symptoms are managed during an office visit by your primary neurologist. At times, however, certain symptoms become particularly difficult to treat and require additional management that cannot be addressed in a routine office visit. Under these circumstances, patients are referred to a variety of specialty clinics, which are conducted at the center by visiting subspecialty physicians with experience treating MS patients.
Effectively, managing pain and spasticity are essential to proper rehabilitation and optimizing a patient's level of disability. Our center is a pioneer in this field, especially in the use of intrathecal mechanical devices to administer medication directly around the spinal cord. The IMSMP is a certified training site for Medtronic, the leading manufacturer of intrathecal pumps. Patients experiencing severe pain or muscle spasms are selected by their doctor to participate in our monthly Pain and Spasticity Clinic. The multidisciplinary clinic is run by the patient's neurologist and includes consultation with a pain management doctor and a neurosurgeon.
In addition, Dr. Tamer Elbaz is a board-certified interventional Pain Medicine and Anesthesiology specialist. He is currently an Assistant Clinical Professor of Anesthesiology and Pain Medicine at Columbia University College of Physicians and Surgeons Dr. Elbaz holds a weekly pain clinic at the center and assists with the diagnosis and management of various pain syndromes as well as performs procedures for pain relief.
Botulinum Toxin Type A injections may be beneficial for certain MS patients with spasticity that is limited to (or significantly worse at) one region of the body. Dr.'s Sylvester, Williams and Stark can evaluate and administer Botox at the IMSMP. The injections are tailored to each specific patient but generally require several small injections at 3 month intervals.
Lisa Dabney, M.D. is a gynecologist with sub-specialty training in urology and special experience in MS. She is on staff at the IMSMP and sees patients weekly. Her work here includes assessment and treatment of bladder, gynecological and sexual issues in MS patients.