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.

Pain and Spasticity Clinic

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.  In fact, the IMSMP is one of only eight centers nationwide, who are certified training sites for Medtronic, the leading manufacturer of intrathecal pump. 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. Various pain management issues are addressed including evaluation for intrathecal Baclofen pumps.

Botox 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.'s Sylvester, Williams and Stark evaluate and administer Botox at the IMSMP on the second Tuesday of every month. The injections are tailored to each specific patient but generally require several small injections at 3 month intervals.

Urology/Urogynecology Clinic

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. Mantu Gupta, M.D. is a urologist with specialty experience in multiple sclerosis. During this monthly clinic, he treats patients with bladder and sexual issues at the center.

Orthopedic Clinic

Orthopedic clinic is held once a month with Allan E. Inglis, Jr., M.D., an orthopedist who assesses MS patients at the center with joint or bone pain and manages their orthopedic treatment.

Tremor Clinic

Tremor clinic is held monthly with Robert R. Goodman, M.D., Ph.D., a neurosurgeon affiliated with New York Presbyterian/Columbia.  Dr. Goodman specializes in the use of Deep Brain Stimulation (DBS) to treat severe tremor.

Symptom Management Clinic

Held on a monthly basis by our nurse practitioner, symptom management clinic focuses attention on patients' most troublesome and treatment-resistant symptoms. This clinic offers expert input to determine optimal solutions to symptoms such as fatigue, bladder and bowel dysfunction, sexual dysfunction and other problems.

Yoga

Yoga classes have been established in the infusion suite of the center. These classes are conducted by trained Yoga instructors who specifically design the exercise to meet the unique needs of patients with multiple sclerosis. Please call the center for more information and registration.