Multiple Sclerosis Case Study 3
3) Paul Köster - aged 55 years from Hamburg
Background of Mr. Paul Köster: age 55 years, from Hamburg a well-built man of medium stature, was involved in many types of sports and other physical activities until the diagnosis of MS. The motor deficit forced him to reduce his physical activities. In the initial phase of MS he had symptoms of sensory deficit like numbness in the face and tingling sensations in the limbs. Later the patient developed other motor and sensory deficits. The patient’s condition was progressively deteriorating and during this time he developed reflex esophagitis, and hypertension which was varying drastically. By the year 2004, the patient was unable to climb to the third floor of his home without taking breaks.
MS Diagnosis – 1995
Investigation method – MRI and CSF studies.
Type of MS – Secondary Progressive
DATMS Treatment taken – 3 years: 1st year (38 days/2004), 2nd year (46 days/2005),3rd year (41 days/2006)
Symptoms before DATMS Therapy
Altered Sensation – numbness in the face and limbs.
Gait & Balance – could walk 1500 meters pain free on even ground, while walking there will be a dragging of the right leg. Tremor after walking for few minutes. Buckling of the right knee (knee ‘gives out’).
Bladder Problems- Urinary urgency – waking up 3-5 times in the night.
Cognitive & Emotional Disturbances - Mood changes, irritability, and concentration deficit.
Pain – Right lower ribs, left ankle joint, right knee joint.
General - Disturbed sleep, tinnitus.
Medication – 8 tablets of blood pressure medicine per day.
Changes during and after the first treatment (30.01.-09.03.2004)
After 15 days of DATMS Therapy:
- Cure from pain of the ankle joint and the rib.
- 80% improvement in the pain free walking distance.
- No tremor felt during walking.
- Buckling of the knee is no longer there.
- Easy to stand up from the chair.
- Bladder control is better, waking up only one time in the night.
- Sleep got better.
- Blood Pressure is controlled. (Reduced intake of medicine from 8 tablets a day to 1 per day on the advice from his General Physcian.)
After 24 days of DATMS Therapy:
- Walking distance had steeply increased to 8 km.
- Day to day increase in walking distance was noted
- Almost normal bladder control. (Did not wake up in the night at all.)
- Intensity of the tinnitus reduced
- Calm and collected.
End of first year of DATMS Therapy
- By the end of the treatment he could walk 12 kms in one stretch. Where in the beginning he could only walk 1500 meters.
- He could climb to the third floor of his apartment even with his luggage.
- During the year 2004 until 2005 in January he was free of any exacerbation or any new symptoms. Meanwhile the walking distance had improved to 15 km within 3 months after the first year’s treatment.
- Unfortunately he had two car accidents within a week’s time. A week later he felt pain in the right leg and it after a month the pain disappeared.
Comparison of MRI from 2003 and 2005
MRI taken in January 2005 (Gadolinium Enhancing MRI)show there are no new lesions, none of the former lesions are active and the large lesions show significant “lacunar changes” in comparison with the last MRI taken in 2003.
*lacunar changes – on consultation with the neurologist, he was unable to give an interpretation of the lacunar changes of the lesions. The neurologist said that his reflexes are normal.
Symptoms before the second treatment
- Altered sensation of the right leg.
- While climbing hills gets pain after 300 meters.
- He lost around 7 kg in the year 2004. He had a surgery for reflex esophagitis (a symptom of MS), after which he was unable to eat a sufficient amount of food up to his appetite. After the first year’s treatment he started to work and exercise more intensely.
Changes during the second treatment (30.01.-17.03.2005)
- Sensation of the right leg and the left leg are almost the same.
- Climbing uphill was slowly improving. He could climb hills pain free for about 2500 meters.
- During the treatment his body weight increased from 70.5 kg to 74.5 kg. which was normal for his stature.
Changes during the third DATMS Therapy (Feb 2006)
At the end of the treatment he is able to run 7 km and there are no other symptoms of MS. He is living free of MS and leading a normal life as of now in February 2007.