Ms Praxis __hot__ Jun 2026

Praxis involves three distinct neurological stages. Understanding these helps in identifying where the breakdown occurs:

1. Pre-visit: MRI (last 12 months), urine analysis, recent blood work. 2. Triage: Any new symptoms since last visit? (Use NRS 0-10 scale). 3. Exam: Timed 25-foot walk, 9-hole peg test, EDSS (or simplified). 4. Review: Adherence to DMT, side effects. 5. Plan: Next DMT dose, order labs, refer to PT/OT/urology as needed. 6. Education: Vaccine updates, cooling strategies, bladder log for next visit. ms praxis

| | No infection × new neuro deficit >24h → Methylprednisolone 1g IV x 3-5d | |--------------|-------------------------------------------------------------| | JCV+ on Natalizumab | Switch to Ocrelizumab or Ofatumumab if index >1.5 | | First sign of cognitive change | Refer for neuropsych eval, consider switching to high-efficacy DMT | | Fatigue refractory to modafinil | Check B12, Vit D, TSH, Hb. Consider occupational therapy. | | PML suspect | New focal deficit + Natalizumab + JC+ → STAT MRI brain with contrast | Praxis involves three distinct neurological stages

While Multiple Sclerosis (MS) is widely recognized as a disease affecting mobility and sensation, it also significantly impacts —the cognitive ability to plan and perform skilled movements. Always follow local protocols

This guide is for educational purposes. Always follow local protocols, drug labels, and your institution's guidelines.

There is no medication to cure apraxia; management relies on .