Contents
Multiple Sclerosis
Overview
Multiple Sclerosis is an autoimmune condition where the immune system attacks the myelin coating around nerves in the brain and spinal cord. This disrupts signal flow, leading to symptoms such as vision loss, numbness, weakness, imbalance and overwhelming fatigue. MS often follows a relapsing–remitting pattern, though some people experience gradual progression over time.
At The New Foscote Hospital, Banbury you’ll receive consultant‑led assessment, on‑site MRI scanning, modern disease‑modifying therapies (DMTs) and a tailored outpatient rehabilitation programme to keep you active and independent.
Why Early Diagnosis Matters
- Enables prompt DMT initiation, which can reduce relapses and slow disability
- Helps you plan work, driving and family life with accurate information
- Identifies reversible contributors (vitamin D deficiency, smoking) that fuel inflammation
- Provides early access to physiotherapy and fatigue‑management strategies before habits decline
Symptoms You Might Notice
- Blurred or double vision, eye pain or washed‑out colours (optic neuritis)
- Numbness, pins and needles or “electric shock” sensations (Lhermitte’s sign)
- Limb weakness, foot drop or heavy legs when walking
- Poor balance, dizziness or vertigo
- Bladder urgency, hesitancy or constipation
- Extreme fatigue not relieved by rest
- Memory lapses, slowed thinking or word‑finding problems
- Mood swings, anxiety or low mood when coping with uncertainty
Common Triggers And Risk Factors
- Female sex and age 20–40 at first symptoms
- Family history of MS or other autoimmune disease
- Northern European ancestry and low sunlight exposure
- Smoking and previous Epstein–Barr virus infection
- Low vitamin D levels and adolescent obesity
When To Seek Medical Advice
Call 01295 252 281 if you experience:
- New numbness, weakness or vision loss lasting more than 24 hours
- Worsening balance, bladder issues or unexplained fatigue over days to weeks
- A relapse while on treatment, or troublesome side effects from your current therapy
Severe sudden vision loss or inability to walk warrants urgent assessment via A&E.
How We Diagnose And Monitor MS
- Consultant Neurology Assessment – detailed history, neurological examination and symptom timeline in our Neurology Service (/departments/neurology/).
- On‑Site MRI Brain And Spine – high‑resolution imaging in the Imaging Centre (/departments/imaging/) to identify characteristic plaques and active inflammation.
- Laboratory Tests – blood work to exclude mimics (B₁₂ deficiency, thyroid disease) and to check vitamin D and infection markers.
- Lumbar Puncture (If Needed) – arranged as a day case to look for oligoclonal bands in cerebrospinal fluid.
- Multidisciplinary Review – neurologist, radiologist, physiotherapist and neuropsychologist design a personalised plan.
- Scheduled Follow‑Up – MRI and clinic review at least annually (more often if disease is active) to fine‑tune therapy.
Treatment And Ongoing Support
Relapse Management
- Short courses of high‑dose steroids (oral or IV) to speed recovery from acute attacks.
Disease‑Modifying Therapies
- Injectable, oral or infusion DMTs (e.g., interferons, glatiramer acetate, teriflunomide, dimethyl fumarate, fingolimod, ocrelizumab). Infusions are delivered in our comfortable day‑case suite with close monitoring.
Symptom Control
- Medications for spasticity, neuropathic pain, bladder urgency, tremor or mood
- Sleep and fatigue management strategies with occupational therapy and psychology
Rehabilitation & Lifestyle
- Physiotherapy: strength, balance and gait re‑education in our outpatient gym
- Occupational Therapy: pacing, energy conservation, workplace adaptations and driving assessments
- Speech & Language Therapy: communication support and safe‑swallowing techniques if needed
- Dietetic Advice: Mediterranean‑style eating, vitamin D optimisation and weight management
- Smoking cessation, graded exercise and stress‑reduction coaching through our wider services
Why Choose The New Foscote Hospital
- Consultant‑delivered neurology clinics, usually available within one week
- MRI on site for convenient, repeatable imaging
- Dedicated outpatient neuro‑rehab facilities—no hospital admission required
- Small, consistent team offering continuity and flexible appointment times
- Free parking, tranquil surroundings and easy access from Oxford, Warwick and Northampton
Frequently Asked Questions
Can MS Be Cured?
There is no cure yet, but modern DMTs significantly reduce relapse rates and slow disability progression.
Will I Need A Wheelchair?
Many people with relapsing MS remain mobile for decades, especially with early treatment and regular exercise.
Can I Get Pregnant Safely?
Most women have successful pregnancies. Some DMTs need pausing or switching—your neurologist will coordinate care with obstetric teams.
Take Charge Of Your MS Journey
Call 01295 252 281 or enquire online to arrange your Multiple Sclerosis assessment and personalised treatment plan.
24 July 2025