Multiple Sclerosis is a long-term condition in which the body’s immune system attacks the brain and spinal cord. This causes inflammation and demyelination which slows or blocks nerve signals. Symptoms can come as relapses and then improve, or gradually worsen over time.

At PSRI Hospital, Sheikh Sarai, one of the best multiple sclerosis treatment hospitals in India, multiple sclerosis(MS) care begins with a detailed neurological evaluation, MRI-based assessment, immune marker analysis, and a coordinated treatment plan involving neurology, physiotherapy, psychology, rehabilitation medicine, and nutrition experts.

SYMPTOMS OF MULTIPLE SCLEROSIS

Multiple sclerosis symptoms differ from patient to patient depending on which nerves are affected. Some of the most common symptoms include:

  • Constant tiredness or low energy
  • Tingling or numbness in arms, legs, or face
  • Limb weakness or heaviness
  • Trouble walking, balance issues, or poor coordination
  • Blurred or double vision eye pain
  • Coordination problems
  • Muscle stiffness or spasms
  • Slurred or slow speech
  • Bladder urgency or constipation
  • Cognitive issues like memory trouble or poor concentration

If these symptoms appear persistently, consulting experts at the best multiple sclerosis treatment hospital in India ensures accurate diagnosis and timely intervention.

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PSRI Hospital

Center Of Excellence

New Delhi

Press Enclave Marg, J Pocket, Phase II,
Sheikh Sarai, New Delhi, Delhi 110017

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MULTIPLE SCLEROSIS CAUSES AND RISK FACTORS

Multiple sclerosis develops due to immune-system dysregulation combined with genetic and environmental factors. Understanding the risks helps in early detection and prevention.

Genetic predisposition or family history

Vitamin D deficiency

Viral triggers (e.g., EBV exposure)

Smoking

Obesity in childhood/teenage years

Autoimmune conditions

Female gender (higher risk)

Living in colder climates

MULTIPLE SCLEROSIS CARE PATHWAY AT PSRI HOSPITAL

At PSRI Hospital, we follow a structured multiple sclerosis care pathway to ensure early control, long-term stability, and improved quality of life.

Evaluation with history, MRI, and immune tests

Relapse plan with rapid steroids or infusion therapy

Disease-modifying therapy selection and initiation

Fatigue, spasticity, bladder issues, & vision concerns management.

Rehab support including physiotherapy and cognitive training

Regular follow-ups for MRI comparison and treatment optimisation

With continuous monitoring and personalised planning, PSRI Hospital offers some of the best multiple sclerosis treatment in Delhi, helping patients live healthier, more independent lives.

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+91 – 84 84 84 84 17

Our Team of Experts

Trust the experts at PSRI Hospital, where our top-rated neurologists and neurosurgeons bring years of surgical precision to Delhi NCR.
Having performed thousands of successful brain, spine, and trauma surgeries, our experience is your assurance of the highest
quality neurological care in Delhi. Meet our best neuro doctors here.

team 2

Dr. Nitin Kumar Sethi

Chairman - PSRI Institute of Neurosciences

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Dr. Dhruv Chaturvedi

Director

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Dr. Amitabh Gupta

Director

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Dr. Bhaskar Shukla

Senior Consultant

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Dr. Asha Bakshi

Senior Consultant Neurosurgery

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Dr. Bhargavi Ramanujam

Senior Consultant

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+91 – 84 84 84 84 17

Why PSRI?

PSRI Hospital was established in the year 1996 as South East Asia’s first and India’s foremost institute providing advanced and comprehensive medical and surgical treatment for digestion-related diseases. Since its inception, many more specialties have been added and presently it is a multi-specialty Hospital.

PSRI Hospital is backed by the JK Group one of the leading business houses in India, PSRI was established to provide curative and preventive medical care through a caring environment.

Our team of highly skilled and experienced doctors in Delhi is committed to delivering the highest level of care by using cutting-edge technology & state of art infrastructure to get the best possible results for our patients.

From diagnosis to treatment, we deliver a wide range of services to address all type of diseases. Our team of expert works together to provide a customized and complete care plan for each patient.

Being the best multispecialty Hospital, our primary focus is to provide patient well-being. Therefore, our doctors takes the time to hear patients concerns, answer their questions and offer expert knowledge and support throughout their journey.

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TYPES OF MULTIPLE SCLEROSIS

  • Relapsing-Remitting MS (RRMS): The most common form with episodic flare-ups followed by recovery phases.
  • Secondary Progressive MS (SPMS): Symptoms gradually worsen over time after an initial RRMS phase.
  • Primary Progressive MS (PPMS): Steady worsening of symptoms from the beginning, without distinct relapses.
  • Progressive Relapsing MS (PRMS): A rare form characterised by constant progression with occasional relapses.
  • Clinically Isolated Syndrome (CIS): May stay single or progress to MS if MRI shows typical lesions.
  • Radiologically Isolated Syndrome (RIS): Marked by flare-ups followed by recovery, with no steady worsening between attacks.

HOW IS MULTIPLE SCLEROSIS DIAGNOSED?

  • Neurological Examination: Reflexes, coordination, eye movements, strength.
  • MRI 1.5T Brain & Spine: Detects demyelinating plaques typical of MS.
  • CSF Analysis (selected cases): Oligoclonal bands for immune activity.
  • Evoked Potentials: Checks slowed nerve conduction.
  • Blood Tests: Vitamin levels, autoimmune markers, infections.
  • Optical Coherence Tomography (selected cases): Assesses optic nerve involvement.

TREATMENTS FOR MULTIPLE SCLEROSIS

Relapse treatment

  • High-dose steroids: Intravenous or oral short course to speed recovery in an acute relapse.
  • Plasma exchange (as advised): For severe relapses that do not improve with steroids.

Disease-modifying therapies (DMTs)

  • Platform therapies: Interferons, glatiramer acetate.
  • Oral options: Teriflunomide, dimethyl fumarate, fingolimod family (for example siponimod or ozanimod), cladribine.
  • Infusion or injectable monoclonals: Natalizumab, ocrelizumab, ofatumumab, alemtuzumab (selection depends on MS type, activity, and safety profile).

Safety and planning (applies to all DMTs)

  • Baseline screening and monitoring: Blood tests and MRI as advised.
  • Vaccination review: Update non-live vaccines before certain DMTs.
  • Pregnancy planning: Discuss timing and medicine choice in advance.
  • Infection precautions: Prompt reporting of fever, cough, or shingles-like rash.

REHABILITATION & RECOVERY AFTER MULTIPLE SCLEROSIS

  • Physiotherapy: Strength, balance, and walking training.
  • Occupational Therapy: Energy conservation, mobility aids, work and home adaptations.
  • Speech And Swallow Therapy: For speech clarity and safe swallowing if affected.
  • Neuropsychology: Memory, attention, mood, and coping strategies.
  • Urology And Bowel Care: Bladder diaries, timed voiding, and medicines as advised.
  • Family Education: Flare recognition, infection prevention, and home exercise plans.

TECHNOLOGIES WE USE

  • MRI 1.5T Brain & Spine: High-resolution visualization of MS plaques.
  • Evoked Potentials: Detects slowed nerve pathways.
  • Video-EEG (selected cases): For episodes mimicking seizures.
  • CSF Analysis Setup: Accurate immune-marker detection.
  • Day-Care Infusion Center: Safe space for biologics and steroid infusions.
  • Dedicated Neuro OPD & MS Clinic: Protocol-based, coordinated care.
  • Neuro-ICU (when required): Monitoring for severe relapses.

Patient
Testimonial

"Fitness Trainer of Hip Joint Replacement"

Being a fitness and disability trainer, He was diagnosed with osteoporosis after his arthritis worsened and augmented pain even during sleep. At PSRI Hospital's Orthopaedic and Joint Replacement Department, he received dedicated and comprehensive treatment under the observation of Dr Gaurav Bhardwaj through a total hip replacement surgery using minimally invasive technology, which helped him recover from post-operative pain in a single day and be ready for discharge within 2 days itself.

Frank Fitt

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"A Rare Kidney Swap That Saved 3 Lives "

A kidney exchange, also known as a “kidney swap”, occurs when a living kidney donor is incompatible with the recipient, so exchanges kidneys with another donor. In a rare case, 3 couples swapped kidneys with identical blood groups saving 3 lives. PSRI Hospital, the best hospital in New Delhi, gave hope to 3 patients who did not find a solution to an ailing problem elsewhere. With support from multispeciality departments, the 3 couples are now leading a happy and healthy life.

Ajay Shukla

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"Starting A New Life"

Jasmeet, a young girl, was born without her left thumb. Her parents were worried about her leading a normal life, so they decided to opt for the reconstruction of her thumb. Dr PP. Kotwal, chairman of orthopaedics and joint replacement at PSRI, a top hospital in Delhi, explains how reconstruction is possible by transposing the index finger, also called 'pollicization'. He explains how a multispeciality hospital aids any surgery with support from a cardiologist, a good anaesthetist, a child specialist and an interventionist during an operation. Watch Jasmeet's inspiring story here.

Jasmeet

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Frequently asked questions (FAQ’s)

Your plan depends on multiple sclerosis type, activity on MRI, and overall health. PSRI Hospital, Sheikh Sarai individualizes DMT choice, relapse care, and rehab goals, then reviews progress at set intervals.

PSRI integrates MRI 1.5T, CSF and evoked potentials when needed, day-care infusions, relapse protocols, and rehabilitation in one coordinated program, which improves safety and continuity.

All DMTs have benefits and risks. Your neurologist will discuss monitoring, vaccines, infection precautions, and pregnancy planning before starting treatment.

A relapse is a new or clearly worsening neurological symptom lasting more than 24 hours without fever or infection. Treatment often includes high-dose steroids, and plasma exchange if steroid response is poor.

Yes. Regular, graded exercise and cooling strategies can improve strength, mood, and fatigue. Your therapist will tailor a safe program.

Yes. Many women with multiple sclerosis have healthy pregnancies. Discuss plans early so your DMT and vitamins can be adjusted, and a relapse strategy can be set.
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