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TORONTO CHIROPODIST, D.Ch., B.Sc., PODIATRIC MEDICINE

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Multiple sclerosis is an upper motor neuron lesion in which the myelin around neurons is degenerated with relative preservation of the axon. The usual onset of MS is individuals between the age of 20 – 50 with a higher preference for females. MS is the leading cause of neurological disability in early adulthood. The pathophysiology of MS is believed to have a genetic predisposition and an environmental risk and is believed to be due to immune mediated or inflammatory response that occurs in individuals that are genetically susceptible. Demyelination of the nerve fibres in the white matter of the brain, spinal cord and optic nerve leads to reduce conduction velocity and blocks.

There are two types of MS the spinal type and cerebellar type. The spinal type affects the spinal tracts and dorsal column and can lead to weakness or numbness in one or more extremity. Indication that it may be the spinal type could be that the lower extremities are more affected, in some cases patients may be wheel-chair bound. Individuals with this type of MS would have difficulty with discriminatory tests including: two-point discrimination, vibration and proprioception testing as that occurs through the dorsal column.

The second type of MS is the cerebellar type in which patients usually have involvement of all 4 extremities leading to motor ataxia and hypotonia – decreased tendon reflex and muscle strength. Upon examination, the patient’s muscle strength and reflexes were intact however, her neurological examination was proven to be significant indicating she may have a spinal type of MS.

MS can have major impacts on the feet. In some instances, patients may have difficulty walking, acquire a drop foot, experience tight muscles, weak muscles and be prone to ankle sprains. It is important for individuals with MS to have their feet and gait analyzed by a specialist such as a Chiropodist. Book an appointment today if you or a loved one has multiple sclerosis to have their feet assessed and treated!

Brought to you by Doctor John A. Hardy, owner of Toronto's foot clinic, Academy Foot and Orthotic Clinics. 

 

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Academy Clinics has a special interest in high quality custom orthotics.

 

416-465-8737

Toronto, ON Chiropodist
Academy Foot and Orthotic

752 BROADVIEW AVENUE
Toronto, ON M4K 2P1 

Across from the Broadview Subway
Professional  Family  Foot  Care

PROFESSIONAL
FOOT CLINIC

CHIROPODIST / FOOT SPECIALIST,  B.Sc. PODIATRIC MEDICINE / ACADEMY FOOT & ORTHOTIC CLINICS, 752 Broadview Ave , Toronto ON, M4K 2P1 416-465-8737