Showing posts with label Sleep Disturbances. Show all posts
Showing posts with label Sleep Disturbances. Show all posts

Friday, September 16, 2016

Multiple Sclerosis and Sleep Problems



People living with multiple sclerosis are at increased risk of sleep disturbances, which can lead to daytime sleepiness and fatigue. The most common sleep problems associated with MS include insomnia, obstructive sleep apnea (OSA), and restless legs syndrome (RLS). Other sleep problems may include periodic limb movement disorder (PLMD), rapid eye movement (REM) sleep behavior disorder (RBD) and narcolepsy.

Fatigue vs. sleepiness

Fatigue and sleepiness are similar, but may have different causes. If you start the day energized, but lose physical or mental energy over time, it’s probably MS-related fatigue. If symptoms are worse during sedentary, monotonous activities, rather than during extended physical or cognitive activity, the excessive sleepiness (hypersomnolence) is more likely caused by sleep disturbances and needs to be assessed with an overnight sleep study.

Insomnia

Insomnia occurs when you have trouble falling asleep or staying asleep. It can contribute to symptoms of fatigue, impaired concentration or memory, mood disturbances, excessive daytime sleepiness, behavioral problems, reduced motivation or energy, impaired social, family, academic, or occupational performance, proneness to errors, and concerns or dissatisfaction with sleep.

Read this post in its entirety:
The Many Ways MS Can Mess With Your Sleep

Wednesday, September 23, 2015

Five Hidden Symptoms of Multiple Sclerosis

Disability progression has an obvious impact of quality of life and is often an outwardly visible sign of MS. But quality of life (QoL) in MS can be influenced by many invisible symptoms. Here are the top hidden issues that may impact quality of life for those diagnosed with multiple sclerosis.

Fatigue.

Fatigue is extremely common affecting 75 to 95 percent of people with MS. It can be one of the most troublesome symptoms regardless of one’s disease course or level of disability. The Social Security Administration recognizes fatigue as a significant cause of unemployment among people with MS. The first step in combating fatigue is working with your doctor to narrow down the cause.

Depression.

One study found that depression was the main factor affecting quality of life in MS patients, more so than disability status, fatigue, or reduced sleep quality. Depression can be caused by neurological damage associated with MS, but may also be caused by the emotional rollercoaster associated with difficult life challenges and the uncertainty of MS. Symptoms of depression may include sadness, irritability, loss of interest, sleeping too much or too little, weight loss or gain, fatigue, physical restlessness, impaired concentration, and thoughts of suicide or death. If you experience any of these symptoms, please talk to your healthcare provider.

Cognitive decline.

Cognitive issues can develop early on in the course of MS and impaired cognition can lead to a vicious cycle of frustration creating a negative impact on QoL. However, it is not always apparent whether cognitive decline is a result of depression, fatigue, neurological impairment, or a combination of factors. Patients should undergo neuropsychological evaluation so that appropriate treatment may be recommended and QoL may be protected.

Research shows that larger brain volume, cognitive reserve gained through life experience (such as years of education), and lifestyle choices (engaging in cognitive leisure activities such as reading) protect against disease-related cognitive impairment in MS patients.

Sexual (dys)function.

Sexual dysfunction, which affects up to 75 percent of women and 90 percent of men with MS, can be distressing for the patient and have a negative impact on family relationships. In fact, sexual dysfunction has been shown to have a greater detrimental effect on mental health aspects of health-related QoL in MS patients than the severity of physical disability. However, patients may be reluctant to discuss sexual dysfunction and doctors may not ask.


Reduced sleep quality.

Sleep disorders, including obstructive sleep apnea (OSA) and insomnia, are common in MS. Reduced sleep quality can lead to fatigue and depression and CPAP therapy can improve these symptoms in patients with sleep apnea. A recent study showed that sleep disorders can reduce QoL of MS patients, especially in areas related to energy and emotion. In patients with OSA, physical abilities can also be negatively affected. Due to the complex relationship between fatigue, depression, and sleep disorders in MS, it can be difficult to detect the root cause in traditional QoL questionnaires.

Read this post in its entirety:
Five Hidden Symptoms of MS

Tuesday, April 29, 2014

April 2014 Round-up of MS News and Research

Highlights of the evidence-based recommendations for complementary and alternative medicine (CAM) in MS issued by American Academy of Neurology (AAN) include possible effectiveness of different forms of cannabis extracts or synthetic cannabinoids for spasticity symptoms, pain, and urinary frequency; magnetic therapy and ginkgo biloba for fatigue; and reflexology for paresthesia.  Cannabinoids are likely ineffective for short-term spasticity, tremor, and urinary incontinence.  Magnetic therapy is probably ineffective for depression and ginko biloba is ineffective for cognition. Fish oil and bee sting therapies are probably ineffective for relapses, disability, fatigue, MRI lesions, and health-related quality of life (QOL).

A recent study shows that, for many individuals with MS, fatigue is associated with poor sleep quality.  Fatigue is among the most common symptoms of MS, affecting up to 80% of those diagnosed with the disease.  Several factors may contribute to the connection between poor sleep quality and fatigue.  Increased levels of inflammatory cytokines or lesions in the brain may disrupt pathways involved with sleep and daytime alertness.  Sleep apnea, which is common in people with MS, may also result in both fatigue and sleep disruption.  The use of MS disease modifying therapies, particularly beta interferons, may contribute to both fatigue and sleep disturbance. Although depression was associated with both sleep disturbance and fatigue in this study, authors note that exclusion of patients with severe depression and the low incidence of depression in the study participants limits their ability to evaluate a possible connection.

Neuromuscular electrical stimulation cycling benefits people with advanced MS according to a recent study.  Eight women with secondary progressive MS (SPMS) participated in a training program utilizing neuromuscular electrical stimulation (nMES) cycling that resulted in several real and perceived benefits.  Electrodes are placed on the quadriceps, hamstrings, and gluteal muscles of each leg which allows persons with paralyzed legs to exercise on a stationary recumbent bicycle.  The goal of this study was to investigate the feasibility of adapting nMES cycling to suit the needs of persons with MS. Adaptations included a slower pedaling cadence (at a speed of 10 revolutions/minute) which produces greater muscle forces and a slow, gradual increase in stimulation intensity (pulse amplitude) during the first 20 minutes of each exercise session as patients adjusted to the uncomfortable stimulation.  Study outcomes included the stimulation intensity tolerated, thigh circumference changes, and power output and cardiorespiratory response during cycling. 

Read this post in its entirety:
Hot Topics and MS Research News for April 2014

Wednesday, September 5, 2012

Carnival of MS Bloggers #122

Welcome to the Carnival of MS Bloggers, a bi-weekly compendium of thoughts and experiences shared by those living with multiple sclerosis.

Sleep Disorders, MS, and Multipurpose Sticks

from Thomas of BiPolar, MS and still as handsome as ever 

Take a look at this picture:

On the left you see a very dilapidated golf club, a one iron of some
ancient make probably used by the Morris clan (golf joke) and left in a garage sale.  The paint wasn't on there originally.  Just an added touch to being stuck in a garage by a guy who found that he could not play golf, but could hit a ball with a stick and follow it around.  I just didn't feel the need to pay some stranger for the use of their land to hit the little ball and follow it around privileges.

The club has a MS use though.  A few times a week I grab the club, stand in the grass, assume the position, and take a good swing.  If I remain standing, its a good day.  If I come down goofy or start to tumble, this is not a good day and I should be careful.  So while my one iron and its friends in the bag sitting in my garage may never see a golf course again, they do remind me of another day when I could freely play a sport I sucked at.

Now as for the stick in the middle of the photo, that's my new walking stick.  On Friday, Jackie and I went to the Southern Vermont Craft Fair in Manchester, Vermont.  This has been a tradition for many years and we'd stay at local B & B's and go to the Craft Fair at the rolling lawns of Hildene, the former home of Robert Todd Lincoln and his family.  Highly recommended. Well, the bed and breakfasts closed.  And this year the Craft Fair moved to the other side of Manchester.  Ch-ch-ch-ch-changes, said Mr. Bowie.

Time to turn and face the strain.  The Craft Fair is in the midst of a field, a Vermont field, meaning rocks and little gullies and tiny holes, and if you have any problem with coordination, and I believe lots of MSers do, here was a challenge.  If I held my wife's hand I could move pretty well, going from booth to booth, but the moment she stopped to look at jewelry or whatever and I continued on my own, any quick turn or "excuse me" step out of the way might send me reeling into any booth anywhere, and I'd find myself staring at a piece of crockery that would only set me back three hundred bucks.  I'd mumble some excuse like - "Astounding work. I must remind the Queen." - and move along, find Jackie and head out.

We got a drink and hit the food tent where free samples were distributed.  My favorite was the rye whiskey (butterscotch in a paper shot cup).  When we left the food tent, we headed out to the tents off to themselves on the other side of the field.  There was the temporary abode of Debi Hitter, purveyor of custom made walking sticks (Eagle Scout sticks a specialty).  I ended up with one of the those sticks, and used it successfully to move around the craft with slightly more balance.  The stick also opens up new possibilities for career options:

1. Religious leader  (i.e. Moses) - see the staff in his right hand - by the way, the statue is in Washington Park in Albany NY, and this shot was taken during the Tulip Festival held each May.  Let's see, I might  ask my former employer to "let my people go", but they would, and then try and run the Department of Social Services with trained monkeys  (a lot easier to pass out bananas than support).  And where would I lead my people anyway? Across the street for lunch? The parking lot?

2. Robin Hood - there's that scene in every Robin Hood movie and parody from Mel Brooks to Daffy Duck where Robin and Little John parry with quarterstaffs, like this. See maybe I could become the local Jedi Knight for the Luther Forest area.  There must be an opening somewhere.  I know my first enemy, the chipmunks in the back yard. 


I figure a swing or two with my new Jedi stick (I can make the noises) and those little buggers will head off into the Endor forests.

3. Join one of those German groups with the leiderhosen, and the sticks with the jingle bells on them, but I'd probably be asleep in my chair by the second song, so never mind.

I'll try to come up with other stick uses (open for suggestions).  Right now I'll use it on tough walking days.  It's better than a wheelchair.  It's a reminder that tough days may be ahead, but I can handle them in style.  The lady who made the stick is also interested in providing others to the MS group.

From the update pile: I've got appointments with both my new psychiatrist and neuro this month, and just need to step away from my old psych (who I noticed in the newspaper today didn't pay his taxes and got slapped by the Feds), and do my paperwork to transfer stuff. Best of luck to my old neuro as she moves to New Jersey.  I found that out through a meeting of the minds of the two people who showed up at the support group Thursday.  I could not have met a more gracious lady, and I hope the group works out.

from The Girl With MS

Why can't we sleep? There is no real reason other than MS as to why I have sleep issues, but it's amazing how I can mess myself up!

Here I am in the beautiful Eastern Sierras listening to Bishop Creek as it riffles by below the cabin. My current view:
  


On vacation but with a few minor projects and tasks to tend. But not enough to keep me awake all morning. The first night I was exhausted and fell asleep at 9pm when my head hit the pillow, awaking at 4am, which did constitute seven hours of sleep. But I didn't want to be awake at 4am.

So last night I aimed to stay up later thinking I could get seven hours and wake at a reasonable time. Now as the day progressed, after some time in the warm Bishop sun, some fly fishing and some creative cooking, I thought to myself, you are at 8,500' altitude, "Go fill up your water glass". Yes, I thought this often, every time I opened another beer.

I even thought of the magnesium supplement, magneleveux, in my bag, as I opened another beer.

Daydreaming, sketching, visualizing, I had a fun night, as I opened another beer.

Exactly what NOT to do with MS!

Sure, I stayed up until midnight, then woke up at 4:38am. Bing! And I'm awake. The need to pee and the incessant leg spasticity kept me squirming all morning long. The 42 degrees winding through the window bringing with it the sound of the creek was my saving grace. Ugh. I know better. I did take 1/2 a klonopin and a melatonin before going to bed. And another half of klonopin in am when couldn't fall back to sleep.

Three glasses of water later, a banana, magnalevure and some Shen Trition, and this Girl with MS is finally feeling a little better.

What I could have done:
  • Enjoyed the great healthy dinner we had (micro greens, salmon, veggies)
  • Dry brushed my legs
  • Took a not to hot bath
  • Read a book
  • Wrote in blog
Etc....

Yes, these are all better choices then the one I made. So, live and learn. Let go and let God as they say.

This all inspired me to do some researching on sleep and MS. Here is some of what I found:

This is a great summary from WebMD of what can cause folks with MS to have restless sleep: Multiple Sclerosis and Sleep

Life aspects that can effect sleep patterns in those with MS:
  • Stress
  • Anxiety
  • Eating
  • Drinking
  • Nutritional health
  • Age
  • Physical activity
  • Mental activity
  • Spasticity
  • Depression
So, how do we deal with this sleep issue?

Time to change our habits!

Food suggestions:

Small bananas are good: (they still contain sugar so small is better before sleep)

"Combining the amino acid tryptophane with carbohydrates as well as calcium and  magnesium can help your brain relax and your body nod off to sleep."

And the magic of oatmeal can make the difference of a more restful sleep pattern:

"Calcium has been proven to help the brain use and process tryptophan, while  magensium, a natural sedative, acts as an "assistant" to calcium helping it to be absorbed into your system."



Check out more Foods to eat before bedtime from The Health Central Network

There are other things too. This is just a start!

There is Proof that sleep patterns affect MS!

If you've been having sleep issues and feeling more fatigued, there is proof that the two go hand in hand.

Check out this study: "Treatment of sleep disorders can improve fatigue and other clinical outcomes in MS."

“@MSBuzzNews: Multiple Sclerosis Research: Treatment of sleep problems reduces fatigue: Epub: Côté et al. Impact of sleep diso... http://t.co/f68LV6M8”

Ok kids. There is more to come on this and would like your thoughts but there's a high Sierra creek calling my name....

from Lisa Emrich of Brass and Ivory: Life With MS and RA

Sleep disorders, especially sleep apnea, can cause fatigue and increase the risk of cardiovascular disease.  Untreated sleep apnea can lead to depression, heart disease, diabetes, obesity, and excessive daytime sleepiness.  Stress hormones released during frequent drops in blood oxygen level caused by sleep apnea increase the risk of high blood pressure, heart attack, stroke, irregular heart beats (arrhythmias) and heart failure.  Excessive sleepiness can lead to fatal car crashes and accidents at work.

Sleep disorders may be under-diagnosed in both rheumatoid arthritis and multiple sclerosis, according to research.  For information regarding sleep disorders, including sleep apnea, and their connection with RA and MS, please read the following posts I wrote this week for HealthCentral.

Read:

This concludes the 122nd edition of the Carnival(Apologies for the late posting.)  The next Carnival of MS Bloggers will be hosted here on September 13, 2012. Please remember to submit a post (via email) from your blog of which you are particularly proud, or which you simply want to share, by noon on Tuesday, September 11, 2012.

Thank you.

Friday, August 31, 2012

Sleep Disorders and Chronic Illness

Sleep disorders, especially sleep apnea, can cause fatigue and increase the risk of cardiovascular disease.  Untreated sleep apnea can lead to depression, heart disease, diabetes, obesity, and excessive daytime sleepiness.  Stress hormones released during frequent drops in blood oxygen level caused by sleep apnea increase the risk of high blood pressure, heart attack, stroke, irregular heart beats (arrhythmias) and heart failure.  Excessive sleepiness can lead to fatal car crashes and accidents at work.

Sleep disorders may be under-diagnosed in both rheumatoid arthritis and multiple sclerosis, according to research.  For information regarding sleep disorders, including sleep apnea, and their connection with RA and MS, please read the following posts I wrote this week for HealthCentral.

Read:

Sleep Apnea: Is RA Connected with Sleep Apnea? (Part One)

Sleep Apnea: How is it Diagnosed and Treated? (Part Two)

Multiple Sclerosis and Sleep Disorders: Do You Suffer Fatigue and Daytime Sleepiness? (Part Three)

Wednesday, December 17, 2008

MS and Sleep Disturbances - Interviews Sought

Hi bloggers friends!!

I received the following email last week from Heather Boerner, the writer who interviewed and quoted me in the Winter '08-'09 Momentum Magazine. Her friend is writing a piece on MS and sleep disturbances (not MS fatigue-related).

My experience with Heather was positive. If you are interviewed and quoted, I'd love to hear about it. Thanks, Lisa

**********
Hi all,

I'm sending this to you because you've been great sources for me before for stories I've written for Momentum magazine on MS. Now I'm coming to you on behalf of a writer friend who is doing a story on MS and sleep problems. I think she means something other than the fatigue that's so abundant in MS.

Here's what she's looking for: Someone with MS under the age of 60 who has sleep disturbances. She has lots of experts, but obviously wants to get in touch with people who can speak about the issue from personal experience.

If you are this person, or know someone who might be, please contact her directly at amy@amypaturel.com. Feel free to tell her I sent you.

I hope you are pain-free today and doing well. Please know I'm thinking of you.

Best,
Heather