This book addresses address the wide variety of physical and emotional issues of people with the primary progressive forms of MS. This population experiences a steady decline in function without relapses, and disability tends to occur early in their disease course. It is associated with severe and unrelenting symptoms, and people with PPMS live without hope of a “cure.”

Chapters deal with the nature of the disease and its characteristics, as well as its comprehensive multidisciplinary management. These include medical and nursing care, physical and occupational therapy, social support, caregiver and family issues, and mental health and quality of life.

This book is jointly sponsored by the National MS Society and the Multiple Sclerosis Association of America, which have made a major commitment to improving the lives of the approximately 12% of the MS population with the primary progressive forms of the disasease. This commitment reflects the realization that this has been an underserved population, and extensive resources are being.

Diana M. Schneider