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Multiple Sclerosis

Today, there are many medication options to treat MS. If one medication doesn’t work or causes severe side effects, there’s likely another option that could be a better fit.

This Misconception About Multiple Sclerosis Needs to Be Debunked

Learn why new treatments for multiple sclerosis has changed the outlook for patients, and why needing a wheelchair is becoming less common.

Mandy Armitage, MD profile image

Reviewed by Mandy Armitage, MD

Updated on May 12, 2025

It used to be the case that there were no good treatments for multiple sclerosis. This is an autoimmune disease that attacks the central nervous system (the brain, spinal cord, and optic nerve). The attacks on the nervous system cause symptoms like blurry vision, numbness, weakness, and difficulty walking, to name a few.

When you think of people with multiple sclerosis, you might think of people who need a cane or wheelchair to get around. This was once the case, but it's not necessarily true today.

Will all people with multiple sclerosis eventually end up in a wheelchair?

“A lot of people do know people in their community [who] had MS before it was treatable,” says Michelle Fabian, MD, a Neurologist at The Mount Sinai Hospital. “Now that we have treatments, we think the condition has significantly changed."

There is no cure for MS yet. However, a comprehensive treatment approach can slow the disease progression, treat relapses, and manage symptoms, according to the National Multiple Sclerosis Society. Today, people with multiple sclerosis are much less likely to need a cane or wheelchair.

That said, there are still a subset of people with MS who will develop more aggressive disease that is harder to treat. Research is still being done to improve outcomes for these people. Early diagnosis can also be important in many cases to change the trajectory of the disease.

Why should people be hopeful after a diagnosis of MS?

In her practice, Dr. Fabian says she now diagnoses patients with MS with a message of hope.

“It's a very different diagnosis than it was 30 years ago when we didn't have treatments,” she says.  “So now what I tell patients is, you know, we've listened to your story. We've looked at your MRIs and they are consistent with having multiple sclerosis. But this is a treatable condition, and I expect that you're going to continue to live your life. [It] might not actually change much from before you knew you had the diagnosis.”

Even if you do experience challenges with mobility, there are many ways to enjoy a good quality of life. For example, home modifications can support your independence, safety, and mobility.

References

National Multiple Sclerosis Society. (n.d.). Comprehensive care.

Tafti, D., et al. (2022). Multiple sclerosis. StatPearls.

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