Progressive Multiple Sclerosis – A focus on three therapies
April 16, 2026
1. BTK InhibitorsBruton tyrosine kinase (BTK) is an enzyme that plays a crucial role in the survival and function of B-cells. B-cells or B lymphocytes play a critical role in the pathogenesis of multiple sclerosis. By blocking BTK , these medications work by preventing their multiplication and actions. BTK is also associated with other immune cells like macrophages and microglia present in the brain which can play a role in worsening disability in progressive MS. Several BTK inhibitors were...
Understanding MS Relapse Versus Pseudo-Relapse – and When to Call Your MS Care Team
March 16, 2026
Experiencing a sudden change in symptoms can be unsettling, but it’s important to know that not every worsening of symptoms represents a true MS relapse. A true relapse reflects new inflammatory activity in the central nervous system and causes new neurologic symptoms or a clear worsening of previous ones that persist for at least 24–48 hours, without another explanation such as infection or fever. These relapses often correspond with new lesions seen on MRI and may sometimes require treatment...
Have You Tried Yoga?
March 16, 2026
At some point in your MS journey you will be asked, gently, often by a well-intentioned friend or family member, if you’ve “tried yoga?” And from what I see when I scroll the MS support groups on social media, it’s not always welcome advice. Reactions range from basic eye roll emojis to more slightly defensive comments, often about mobility and a perceived inability to participate in what we think yoga is.Set that thought aside for a moment while I reveal I’m a NYC-trained yoga teacher with 25...
