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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 Pain and Spasticity Clinic.
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. 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, MD is an assistant professor of Obstetrics, Gynecology and Reproductive Science at Mt. Sinai Hospital with sub-specialty training in urology and special experience in MS. She is on staff at the IMSMP and sees patients once a month. Her work here includes assessment and treatment of bladder, gynecological and sexual dysfunction in female MS patients. Neil Grafstein, MD is an assistant professor of Urology and an assistant professor of Obstetrics, Gynecology and Reproductive Science at Mt. Sinai Hospital. Dr. Grafstein sees patient with complex urologic issues at the IMSMP every other week.
Mt. Sinai West
Should any IMSMP patient require hospitalization, our hospital affiliation is Mt. Sinai West. The hospital is a 1,076-bed, full-service community and tertiary care facility located conveniently on 10th Avenue between 58th and 59th Streets, just one block from the IMSMP. The close proximity to the center allows rapid, convenient emergency care. Patients admitted for MS-related emergencies will be under the care of their MS physician, not hospital staff with whom they are unfamiliar.