Can an MS specialist walk in New York Fashion Week? Apparently so! Read about my experience as a physical therapist walking in New York Fashion Week for MS awareness here!
Could a breakthrough treatment for MS nerve damage be on the horizon?
Multiple Sclerosis (MS) is a complex neurological disorder that affects millions of people worldwide. One promising area of research for treating MS involves remyelination, a process that could potentially restore function to damaged nerve pathways. While remyelination therapies are still in the clinical trial phase (including PIPE-307 and ABA-01), they offer hope for better MS recovery in the future.
By the way — have we met? Hi, I'm Dr. Gretchen, a physical therapist and MS-certified specialist. I've dedicated my career to understanding Multiple Sclerosis and helping individuals overcome its symptoms. Through my work, I provide MS-specific exercises, easy-to-understand educational videos, and a supportive community to enhance the quality of life for those with MS. Thousands of people have improved their everyday lives using these research-backed strategies, finding renewed hope and confidence in their ability to continue progressing and living life to its fullest.
Without any further introduction, I can’t wait to dive into what remyelination is, why it matters for MS patients, and what this new treatment could mean for recovery.
What is Remyelination?
Multiple sclerosis is known as a demyelinating disease, meaning it attacks the myelin— the protective shield around the nerves. When myelin is damaged, it becomes harder for nerve impulses to travel from the brain to the muscles. This disruption can lead to muscle weakness, difficulty walking, and poor coordination – all common symptoms of MS.
Remyelination is the process of restoring the lost or damaged myelin, a game-changer when it comes to discussing MS recovery. Researchers are exploring ways to encourage the body to regrow myelin, which could potentially help people with MS regain lost function and slow down the progression of the disease.
Why is Remyelination Important for MS?
Remyelination would offer three major benefits for those who experience MS:
- Restoring Nerve Function: Myelin helps nerve signals travel efficiently between the brain and muscles. With remyelination, damaged nerve pathways have the potential to be repaired, allowing for improved muscle movement to take on daily activities.
- Protecting Nerves from Future Damage: Beyond restoring function, remyelination therapies may also protect the nerves from further damage, reducing the impact that MS can have on the body over time.
- Recovering Lost Function: For those with MS who have lost specific abilities (like bending a knee or lifting a foot), remyelination has the potential to help restore some of these lost functions, allowing for more mobility and independence.
What Is Needed For Successful Remyelination?
While the concept of remyelination sounds promising, it’s not as simple as flipping a switch. Several factors are involved:
- Producing More Myelin-Making Cells: Those who experience MS can have difficulty if their bodies don’t produce enough cells to repair damaged myelin. This is an essential part of the research being conducted to see if remyelination can help increase the production of these cells.
- Moving Myelin Cells to the Right Areas: Even if the body creates more myelin-producing cells, those cells need to be distributed throughout the body in the correct areas. This is an essential aspect to repair the damaged nerves in multiple areas, not just in one spot.
- Creating the Right Environment for Growth: The brain and spinal cord must have the right "microenvironment" to support myelin growth. If the environment isn’t ideal (similar to trying to grow a plant in the desert) the process will not be effective.
Multiple Sclerosis Walking Webinar
Do you want to walk better, further, and with less tripping or foot drop? You’re not alone — this FREE 60-minute webinar has already helped thousands of people do just that. You’ll learn research-backed exercise strategies that result in noticeable improvements in your walking form, stamina, and balance.
Remyelination Therapies Currently in Trial
Although these therapies are not yet available for those experiencing MS, research is making really great strides. For example, BTK Inhibitors (a class of drugs used in cancer treatment) have shown potential in reducing inflammation and improving the conditions for myelin regrowth. Some promising drugs include nasin, which has been identified as a potential therapy for progressive MS.
One of the most promising developments in current trials is PIPE-307. This medication has shown exceptional potential for supporting remyelination, though it’s still undergoing testing and isn’t available for general use yet.
Another drug to keep an eye on is ABA-01. This new therapy is also in the trial phase and could offer significant benefits for those with MS, although its full effects are still being studied.
It's likely that the future of MS treatment won’t rely on a single therapy. Instead, patients may need a combination of medications to promote remyelination, manage inflammation, and create a healthy environment for nerve healing.
Though it’s still early, these ongoing trials offer hope that a more comprehensive treatment plan could be available in the next few years.
What Role Does Exercise Play in Remyelination?
Surprisingly, exercise plays a big part in supporting the body’s ability to remyelinate, or repair the damaged myelin. A large part of these research studies have shown that regular physical activity helps boost the creation of myelin-making cells and moves them to where they're needed in the body, even after the myelin has been damaged.
For those experiencing MS, staying active can be a simple yet powerful way to improve future outcomes. Whether it’s walking, doing gentle stretches, or even exercises while seated, keeping the body moving can make a difference. This movement helps prepare the body for future remyelination therapies, giving it a better chance to heal and recover.
If you’re interested in getting started on learning how to exercise correctly with MS, my exercise program – The MSing Link – is created specifically for you. It combines MS-specific exercises with easy-to-understand education on managing your symptoms, building strength, and improving mobility. Let’s take back control of your symptoms and make daily life feel easier, together.
Remyelination for MS Offers A Really Hopeful Future
While remyelination therapies are still in the research phase, they represent a potentially game-changing treatment for MS. If successful, they could not only halt the progression of the disease but also restore lost function, providing a new level of hope for people living with MS. In the meantime, staying active and following up on the latest research can keep those experiencing MS well-positioned for the therapies of tomorrow.
Do you have any further questions on how remyelination can potentially benefit Multiple Sclerosis in the future? Please feel free to DM me on Instagram @doctor.gretchen.