MS medications fall into three groups: disease-modifying therapies that reduce relapses and disability accumulation, short courses of steroids for acute relapses, and separate treatments for individual symptoms such as fatigue, spasticity and bladder problems. Symptom treatments are managed separately from disease-modifying therapy, so bringing a written list matters because appointments naturally focus on relapses.
MS medications fall into three groups: disease-modifying therapies that reduce relapses and disability accumulation, short courses of steroids for acute relapses, and separate treatments for individual symptoms such as fatigue, spasticity and bladder problems. Symptom treatments are managed separately from disease-modifying therapy, so bringing a written list matters because appointments naturally focus on relapses.
These reduce relapse frequency and slow accumulation of disability, and they are the central long-term treatment. They come as injections, tablets and infusions, and range from moderately effective with well-established safety records to highly effective with more monitoring required. Choice weighs how active your MS is, your risk tolerance, monitoring practicalities, pregnancy plans and your own preferences. This practice operates no infusion suite, so infusion-based therapies are arranged elsewhere while neurological care continues here.
Acute relapses are treated with a short course of high-dose corticosteroids, which speeds recovery from the relapse without changing the long-term course. Not every worsening is a relapse: heat, infection, fatigue and stress can all temporarily worsen symptoms without new inflammation, and treating those with steroids helps nobody. In this climate heat effects are a particularly common cause of apparent worsening, and they resolve on cooling.
Fatigue, spasticity, bladder dysfunction, neuropathic pain, tremor, walking difficulty and mood each have their own treatments and are managed alongside disease-modifying therapy rather than by it. This matters because appointments naturally focus on relapses and DMTs, so symptoms go unraised. Bring a written list. Bladder symptoms in particular are under-reported and very treatable, and describing which type you have changes what is prescribed.
Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.
Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.
Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.
Sources and further reading: MedlinePlus: multiple sclerosis; National Institute of Neurological Disorders and Stroke; American Academy of Neurology.
Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.