Author: Lindsay Getz
The increase in the number of people experiencing gout creates good reason to become educated on this troublesome disease.
While many people have heard of gout, the idea that it’s a ‘disease of the past’ has made it one of those ailments about which most know very little. But older adults who suffer from this excruciating form of inflammatory arthritis know it’s a condition that warrants attention. In fact, gout has made a massive resurgence, and some studies even suggest the number of cases in this country has doubled in the last three decades.
Once called the disease of kings because of its association with living the high life, gout, as doctors know, can strike anyone, though it’s thee to four times as common in men as in women. And there are certainly factors that put some at higher risk than others. While we know that it’s not just a rich man’s disease, it’s easy to understand the origin of this former belief.
Modern research has demonstrated that overconsumption of luxury foods such as red meat, shellfish, hard liquor and beer may increase the risk of a gout attack. The reason is that these foods are rich in purines, chemical components that eventually become uric acid and, in cases of excess, can metabolise into crystal that settle into the joints and cause great pain.
In addition to being linked with eating purine-rich foods, gout is also associated with obesity in general, as well as with conditions such as diabetes, hypertension and heart disease – all of which seem to be on the rise globally.
There’s even been studies that show a high incidence of people who drink sugary beverages. A study found men who consume at least two soft drinks per day had an 85 percent greater likelihood of developing gout than those who drank less than one per month. In fact, even at lower levels, soda consumption increased the risk of gout in study participants.
Another potential cause of gout is kidney malfunction, which can result in a build up of uric acid. And, like most diseases, there can be a genetic component. In fact one in four gout sufferers have a family history of it. Gout, may in fact, be entirely hereditary, so it’s important that those with a family history of gout go out of their way to avoid foods that are high in purines and live a healthy lifestyle.
While genetics have left some people predisposed to developing the disease, the resurgence of gout is likely linked to the way westerners live today. There is a lot of speculation that the rising number of gout cases may correlate with the obesity epidemic. It also happens to be a disease that affects older adults.
Because it occurs in the ageing population, as more New Zealanders get older, it makes sense we're seeing more cases surface.
When gout strikes
Gout is most commonly known for causing sudden pain and swelling in the big toe. While that’s not the only place it can strike, about 90 percent of gout sufferers will at some point experience such pain and swelling in the big toe.
Gout can actually affect a number of joints, including the knees, elbows, wrists and those of the hands and feet. Symptoms include swelling and redness around the affected joint, sudden and severe pain, limited movement in the affected joint, and in some cases, a fever. In addition, as the crystals accumulate with joints, they can form tophi or chalk like lumps and bumps that can actually become deforming over time. Once the gout attack subsides, it’s also possible the skin around the joint to peel. An initial gout attack may last anywhere from three to 10 days.
While it may not always be possible to prevent gout, especially when it’s hereditary, there are ways to decrease the likelihood of an attack. According to Naomi Schlesinger, MD, chief of the division of rheumatology at the University of Medicine and Dentistry of New Jersey, losing weight or maintaining a healthy weight, eating a diet low in purine-rich foods and fructose and treating underlying conditions such as hypertension and diabetes are effective preventative measures.
The emergence of a gout attack has also been associated with cold temperatures.
This may be one reason why it occurs in the joints of the big toe, which are the farthest away from the centre of the body. Classically, an attack of gout comes on at night. Gout sufferers often describe episodes of waking up in the middle of the night with cold feet and a tremendous amount of pain in the big toe. It’s not proven as an effective preventative measure, but it can’t hurt to try and keep your feet warm during the night, perhaps sleeping with a pair of socks on.
Keeping gout at bay
Besides making lifestyle changes to control gout, certain medications can ease the pain and help prevent future attacks. Nonsteroidal anti-inflammatory drugs, colchicine and steroids, have all long been used for gout treatment. However the rapid reappearance of this disease has prompted many drug companies to scramble to improve on old treatments with stronger and more effective drugs.
As researchers continue to make advances toward better gout treatment, one of the most important roles that professionals can take for their patients is that of an educator. Since gout is not a disease of the past and is actually a very real modern-day concern, it will help to empower patients with vital information. But first, it’s imperative to be self-educated. It’s important that individuals in positions to recognise the symptoms of gout, including those in various facets of the medical field, in social work positions, or involved with geriatric care, become more familiar with the disease.
Education is definitely important in making the right diagnosis and knowing the different treatment options available today. Becoming educated can help carers better care for their patients by recognising the symptoms early and helping prevent future attacks.
The prevention of gout dovetails nicely with the prevention of many other chronic medical problems that are known to affect the ageing population – obesity, cardiovascular disease, and diabetes, in particular.
It really comes down to weight control, balanced diet and activity levels; these are three areas that should already be focused on to prevent other medical conditions in older adults. It’s interesting that the rise of gout has paralleled the risk of these other chronic diseases within our society and it’s easy to link them all to being inactive, overweight and making bad food choices. It’s important for people to recognise that a lot of these chronic medical conditions really have the same common genesis and require making the same lifestyle changes for better health.
Author: Lindsay Getz
Aged Care Issue 2 2021
If you need help to reduce purine in your diet
our friendly Dietitians can help just contact Therapy Professionals Ltd
Ph: 03 377 5280 Email: firstname.lastname@example.org
Exercise as Therapy
The not-so-surprising potential of exercise for treating people
with multiple chronic conditions
Alessio Bricca, Postdoc, University of Southern Denmark
Søren T. Skou, Professor, University of Southern Denmark
Hundreds of millions of people of all ages worldwide live with two or more chronic conditions – commonly defined as multimorbidity. Those living with it are found to have poorer physical and mental health, a high risk of being admitted to hospital and a higher risk of dying prematurely compared to people with only one chronic condition.
Given that the number of people living with multimorbidity is only expected to rise in the future, finding better treatments is considered the next major health priority.
But despite multimorbidity being a leading cause of disability, research on treatments is still in its relative infancy. Few studies have investigated the long-term treatment options – and unfortunately the results of the studies done most often offer negligible improvements.
People with multimorbidity require treatments that will improve their physical, mental, emotional and social heath, and of late more and more research is showing that exercise may actually be a broad-spectrum treatment for those living with multimorbidity and offer many of the improvements patients want.
Currently, multi-morbidity is managed by treating each chronic condition separately using available medicines. However, this approach may not reduce symptoms sufficiently, and can have additional adverse health effects. As many people consult several health care providers, and also end up taking multiple drugs (often at least one for each condition) there is a risk of adverse events that can be inconvenient and unsatisfactory for patients.
Exercise as medicine
Research has shown that exercise is an effective treatment for more than 26 chronic conditions, including psychiatric diseases such as depression, anxiety, stress and schizophrenia; neurological diseases including dementia, Parkinson’s disease, multiple sclerosis; metabolic diseases including adiposity, hyperlipidaemia, metabolic syndrome, polycystic ovarian syndrome, type 1 and 2 diabetes; cardiovascular diseases including hypertension, coronary heart disease, heart failure, cerebral apoplexy, and intermittent claudication; pulmonary disease including chronic obstructive pulmonary disease, asthma, cystic fibrosis; musculoskeletal disorders including osteoarthritis, osteoporosis, back pain, rheumatoid arthritis; and cancer. Research also shows exercise could potentially prevent at least 35 chronic conditions from developing.
Thanks to the overall effects on health such as lowering blood pressure, improving joint health and cognitive function, exercise therapy can benefit a range of chronic conditions. It also has a lower risk of negative side effects compared to pharmalogical treatments. What should be noted, however, is that exercise requires physical effort, and like pharmalogical treatments, the effects will diminish if the patient stops partaking.
The real question, could exercise therapy benefit people with multiple chronic conditions as well?
A recent review assessed the effect of exercise therapy on the physical and mental health of people with at least two of the following chronic conditions: osteoarthritis of the knee or hip, hypertension, type 2 diabetes, depression, heart failure ischemic heart disease and chronic obstructive pulmonary disease. The review established 23 studies that looked at adults 50 to 80 years of age.
The exercise therapy interventions used in the studies were at least partially supervised by a physiotherapist or an exercise physiologist. Most lasted 12 weeks on average and exercise was performed two to three times week, starting from low intensity and progressing to moderate to high intensity. The exercise therapies included were aquatic exercise, strength training, aerobic training and tai chi.
The review results showed unequivocally that exercise therapy improved quality of life, and reduced anxiety and depression symptoms. The benefits were higher in younger patients and patients who had higher depression symptoms before starting exercise therapy. This highlights that people with severe depression - often considered ineligible for exercise due to their depression severity – may benefit highly from exercise therapy.
Patients who participated in exercise therapy were also able to walk longer. Those taking part walked on average 43 metres more over six minutes than those not taking part in the exercise interventions. This improvement appeared to be important for the patient and it reduced their disability to a noticeable level. Exercise therapy also didn’t increase the risk of non-serious side effects, such as knee, arm or back pain, or falls and fatigue. What’s more, it reduced the risk of hospitalisation, pneumonia and extreme fatigue.
The benefits were similar across all the combinations of chronic conditions included in the study, effectively concluding that exercise could be a safe and effective therapy instead of increasing drug prescription in people with multiple chronic conditions.
Together with patients and healthcare professionals, many aged care facilities have or are developing and testing exercise therapy and self management programmes to help carers understand whether personalised exercise therapy and self management is effective in managing and treating multi morbidity conditions in their patients.
In the meantime, people with multi morbidity can improve mental and physical health by exercising two to three times a week. Aerobic workouts, strength training or a combination of the two can promote similar health benefits regardless of the conditions a person lives with.
Alessio Bricca, Postdoc, University of Southern Denmark
Søren T. Skou, Professor, University of Southern Denmark
From Aged Care NZ Issue 02 2021
If you need help to increase your exercise or to ensure the exercise you do is safe for you our friendly physiotherapists can help.
Just contact Therapy Professionals on
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World Arthritis Day - 12 October 2021
Nutrition Tips for People with Arthritis
Good nutrition can be helpful in:
Omega 3 Oils
There is limited evidence that fish oils (omega 3) reduce inflammation in some people with arthritis. Omega 3 oil is also thought to reduce risk of heart disease.
It is recommended to have 1-2 servings of fish or other seafood a week for good health. Omega oil is also found in flaxseed oil, walnuts and a small amount in red meats.
If you are unable to achieve a healthy food intake, vitamin supplements maybe necessary. Talk with your Doctor about this.
Alternative arthritis treatments
Alternative treatments are available for many chronic diseases. Discuss these with your Doctor before you try them as they may interact with your treatment.
Need more help?
Therapy Professionals Ltd has experienced Dietitians who can provide group or individual nutrition education.
For enquiries: Phone 377 5280. Email: firstname.lastname@example.org
Ways to Maintain Healthy Weight
To lose weight
Even a small reduction in body weight will relieve stress on joints
Ways to gain weight
For some people, keeping weight on can be a struggle
If you would like advice from our Dietitians, call us, we come to you
Therapy Professionals Ltd
Phone No: (03) 377 5280
What is Cerebral Palsy?
Cerebral Palsy (CP) is the leading cause of physical disability in New Zealand children. It is an umbrella term for a group of lifelong conditions affecting a person’s movement, which is caused by damage to the area of the brain that controls muscle tone. It may affect muscle:
Cerebral Palsy occurs during pregnancy, at birth or shortly after, in 80% of cases the cause is unknown. There are risk factors for cerebral palsy. they may include:
Cerebral palsy affects people in different ways, ranging from, a mild form where a limb may be slightly affected and barely noticeable, to a severe form where the whole body is affected andmay be accompanied by visual, learning, hearing, speech, epilepsy and intellectual impairments.
There are four types of cerebral palsy – spastic, athetoid, ataxic and mixed
Spastic Cerebral Palsy - This is most common affecting 70% -80% of those with cerebral palsy. The muscles become stiff and tight making movement difficult. There are five sub categories based on the limbs affected:
Athetoid Cerebral Palsy – affects about 10-20% of those with cerebral palsy. It is characterised by uncontrolled, purposeless, slow, writhing movements where the muscles change from being tense to being floppy. It commonly affects the arms, legs, feet and hands and sometimes the face and tongue.
This movement often increases under stress and stops while sleeping
Ataxic Cerebral Palsy – affects about 5-10% of those with cerebral palsy. It is characterised by low muscle tone and poor coordination. It affects balance and depth perception giving a wide gait and making the person look unsteady and shaky on their feet or when handling objects.
Mixed Cerebral Palsy - affects 10% of those with cerebral palsy and involves several areas of the brain and the symptoms will be a mix of the other three types of cerebral palsy described above.
There is no known cure for cerebral palsy and some symptoms may improve or worsen with time.
Treatment can help manage the condition, there are a number of different approaches to treatment:
Botox - An injection of botulinum toxin is effective for reducing over-activity in muscles. This results in a reduction in muscle strength and muscle tone with small, short-lived gains in aspects of gait and function.
Conductive Education – is based on the brain's ability to re-wire itself and teaches children with cerebral palsy to coordinate their movements.
Cranial Osteopathy – there is limited evidence that cranial osteopathy help Cerebral Palsy
Occupational Therapy - can help with muscle and joint coordination issues that make everyday tasks difficult including eating, brushing teeth and bathing. Can help to improve physical, cognitive, social abilities, fine motor skills, posture and sensory processing
Physiotherapy – for children with cerebral palsy is to increase mobility while promoting physical development like sitting, crawling, and walking. With regular physiotherapy treatment, and equipment the physiotherapy goals include:
Improved muscular strength and activation
Physiotherapy for an adult’s cerebral palsy includes:
Bobath a physiotherapy method - promotes motor learning for efficient motor control in various environments, thereby improving participation and function.
Speech Language Therapy - improve a child’s speech and communication by strengthening the muscles used for speech, increasing oral motor skills and by improving their understanding of speech and language. It also can help with swallowing disorders, like dysphagia.
Surgical interventions - Orthopaedic surgery addresses several different areas: gait abnormalities, correction of hip deformity, upper limb and scoliosis surgery. Short muscles cannot be lengthened but surgery can alter the length of the tendons, redirect the tendons and, in some cases, divide the tendons to remove an abnormal force. Lengthening tendons reduces tension in the muscle in the short term.
If you know someone who is struggling with cerebral palsy our friendly therapists may be able to help, just contact us at Therapy Professionals
Ph: 03 3775280 Email: email@example.com
How to support a child with dyslexia
by Ministry Of Education
Dyslexia is a term used to describe a range of persistent difficulties with reading and writing, and often including spelling, numeracy or musical notation.
Students with dyslexia do not make expected progress in these areas in spite of good teaching and the type of extra support that would be helpful for most children. But difficulties with dyslexia can be reduced with effective individualised teaching and specialist support.
It is important to identify it early
Literacy is the foundation of all learning so identifying dyslexia early is critical. That way children can be supported to participate in the full range of social, academic and other learning opportunities at school.
Identifying dyslexia before starting school can be difficult and potentially risky as there is so much variation in the way children develop in those early years.
Once identified, it is important that ‘dyslexia’ is not used as a label, but rather as a means to action. As a label, it encourages people to see all ‘dyslexic’ students as the same, when we know that they’re not. All students’ individual difficulties and strengths need to be identified and addressed.
What are the signs that my child might have dyslexia?
Your child may have dyslexia if, after a year at school, they often display a number of these difficulties:
How can I help at home?
If your child has dyslexia, you can make a difference. Successful people with dyslexia have said that their success is largely due to the practical and emotional support they received from their parents.
Have fun with your child at home or in the car playing word games and making rhymes, reading together and talking about what you’re doing. While language games and reading won’t ‘prevent’ dyslexia, they help by promoting an awareness of the sounds letters make and how language works. Remember to praise and encourage your child, even if they guess wrong.
Young and school age children
Mauri Ora – Be Positive
People with dyslexia can easily and quickly develop low self-esteem and compensatory strengths, such as memorising text, to try and make up for their difficulties. It is very important for families to support their children’s strengths and successes to boost their self-esteem.
How will my school help?
If you have concerns about your child’s learning, talk to the teacher. Working with your child’s teacher is crucial if your child has dyslexia. The school will identify your child’s strengths and learning needs so that the most appropriate help can be put in place. It may be necessary to bring in other people to decide if your child needs special support, such as an individual education programme or help from a special teacher, such as a Resource Teacher: Literacy.
For more information on how schools can help visit.
Often children with dyslexia can be helped by Speech Language and Occupational Therapists. If you want additional help just contact Therapy Professionals, our friendly therapists can help.
Ph: 03 3775280 Email: firstname.lastname@example.org
Sensory Profile Education for Staff
Sensory assessments help identify the cause of some unusual behaviours triggered by sensitivities to sight, hearing, taste, touch, smell and movement.
For people with Autism it can help identify:
Sensory Profile Assessments are useful for people of all ages. Our response to information from our senses changes as we grow, develop and age. There are different assessments for each stage of life.
This two hour session is an interactive hands on session to help the participants understand their own sensory preferences so they can better support themselves, their team and their clients.
If you are interested, please contact:
Contact: Therapy Professionals Ltd
Phone: 03 377 5280. Fax: 03 377 5281
Shopping these days can be a ‘headache’ because there are so many different products to choose from, all wanting us to buy them. In order to get our attention, advertisers and promotions trick us into thinking their produce is the healthiest choice. Here are a few tricks they use to encourage us to buy.
No added sugar
This means sugar has not been added, however, the product is likely to contain fruit sugars or milk sugars and can still be considered high sugar. Check the nutrition information panel for ‘sugar’ content and follow healthy guidelines.
Lite or light
Could mean less fat, sugar, or salt, or it might just refer to the colour or taste! Check the nutrition information panel and ingredient list to compare with the regular brand.
Low fat or fat reduced
By law they must contain less fat than the regular product – however it may still not necessarily be low in fat and are often pumped full of extra sugar and salt to taste better. Use with caution!
Cholesterol free or low Cholesterol
These products may still be high fat and high energy. Check the nutrition information panel. Many of these products are cholesterol-free naturally, such as nuts, crackers, some chips etc.
The type of fat the product contains is more important. We want to avoid saturated and trans fats which contain cholesterol and are found in animal products, processed foods, and oily fish.
Diet’ or low kilojoule or low calorie
Generally contains artificial sweetener instead of sugar (40% less energy than regular product) and fat.
Toasted or Oven baked
Often these products have added fats and oils – it is important to check the fat content on the nutrition information panel. Some can be exactly the same as the fried version i.e. crisps or corn chips.
Doesn’t mean much! Sugar, fat, oil, cream and nuts are all natural.
Endorsed by the Heart Foundation
These products will be low in saturated fat, however, may not be low in total fat, sugar and energy.
Companies pay to have this logo on their product. Sometimes the cheaper home brands are jst as good as the expensive endorsed ones. Use with caution.No added salt, low salt, salt reducedIndicates extra salt is not added, however may still contain high levels of natural salts. Check the panel.
Diabetic or carbohydrate modifiedSome are high in fact. Usually more expensive. Often best to use the regal products but sparingly
How do you read the nutrition information panel
A Moving Child is a Learning Child
by Gill Connell and Cheryl McCarthy
Active play is joyful, fun and creative. Play is the essence of childhood. And it is also essential to child development.
The benefits of active play are often linked to physical health – which of course, in an era concerned with childhood obesity rates, is critically important. Yet this book tells the lesser- known and surprising story of the myriad ways in which play and movement are vital to our children’s learning.
Gill and Cheryl’s ground-breaking book introduces a developmentally complex (yet easy to implement) tool that supports the full, natural development of movement and learning in young children. The Kinetic Scale shows us what constitutes a ‘balanced diet’ of movement, enabling teachers, parents and caregivers to facilitate learning through active play while respecting each child’s individual needs.
It’s a story that needs to be heard. At home, at school and in communities, our children are being denied vital opportunities to move their bodies, exercise their imaginations and interact with other kids. Children spend an average of eight hours a day in front of a screen. Almost half of all low-income students do not get any recess. Only one in five children lives within walking distance of a park or playground. This directly affects these children’s physical development and more importantly, their social, emotional and cognitive development.
As a society, we are failing to give children the balance of active play they need to become healthy and successful adults. This is why I champion the importance of play because our children’s futures depend on it and it is why Gill and Cheryl are working to stress the message of moving to learn in a way that offers us all new insights and practical, engaging ways to support it
That kid’s brains require play should be a no brainer. In this important book, the authors demonstrate what a grave injustice we’re doing to our kids by denying them opportunities to move and play. More than that, through illuminating brain research, they show us why our children need to be on the move, and how we can make this happen for the young children in our care.
It is all of our responsibility to give kids the childhood they deserve by ensuring they get the play they need to learn and grow.
Reviewer: Darrell Hammond is the founder and CEO of the non-profit a KaBoom which has built more than 2300 playgrounds in areas of need throughout the United States.
If you have a child who is struggling to develop and they need extra help to grow and develop, our friendly therapist can help. Just contact Therapy Professionals on:
Phone: 03 377 5280 Email: email@example.com
What is Ageing?
Ageing is a process of accumulating experiences, enriching our lives through knowledge and physical skills.
This acquired wisdom gives us the potential to make sensible and beneficial decisions about ourselves.
The fullness and richness of our remaining years is in our hands. Barring accidents and disease the quality of our golden years is resolved primarily by ourselves. The more we control our lives the more enjoyable the remaining years can be.
The degree of independence we have in our lives is directly related to how active we are in body, mind and spirit.
In spite of some decreases in efficiency and capacity with increasing age, a relatively high level of physical and mental function can be maintained for years.
We have a choice: a choice to give up our independence and fade away or to control and maintain vigorously active lives, fully enjoying our remaining years.
Use it or lose it is a rule that applies to our bodies and minds. It is even more significant as we age since we gradually lose intellectual and physical capacity with increasing years.
Keeping mentally and physically active reduces the rate at which we lose our functions and enable us to more fully enjoy and increase the quality of the golden years of our life.
If ageing is making life difficult and you need help to improve your physical activity, diet or need help to remain independent, here at Therapy Professionals our friendly therapists can help. They are experienced helping people who are ageing and have age related disabilities, to maintain their independence and quality of life. Just contact Therapy Professionals Ltd.
Phone: 03 377 5280. Email: firstname.lastname@example.org Website: www.therapyprofessionals.co.nz
We can help, we come to you.
Healthy happy ageing – a positive approach to active living, Yvonne Wagorn, Sonia Théberge, William A. R. Orban
Multiple Sclerosis (MS) is a condition which affects the central nervous system, including the brain and spinal cord. MS is extremely variable affecting each person who has it in a different way. We don’t yet know the cause of MS, but it is thought to be an auto immune condition.
Types of MS
The course of MS is unpredictable. Some people are minimally affected by the disease while others have rapid progress to total disability with most people fitting between these two extremes. Although every individual will experience a different combination of MS symptoms, there are a number of distinct patterns relating to the course of the disease.
Clinically Isolated Syndrome
If a person has only had one episode or symptom they are generally diagnosed as having clinically-isolated syndrome (CIS). A person with CIS may or may not go on to develop clinically definite MS.
Relapsing Remitting MS (RRMS)
RRMS is the most common form of the disease. It is characterised by clearly defined acute attacks with either full recovery or with residual deficit upon recovery. Periods between disease relapses are characterised by a lack of disease progression. Approximately 85% of people with MS begin with a relapsing-remitting course.
Secondary Progressive MS (SPMS)
SPMS begins with an initial relapsing remitting disease course, followed by progression of a disability that may include occasional relapses and minor remissions and plateaus. Typically, secondary progressive disease is characterised by less recovery following attacks, persistently worsening function during and between attacks, and /or fewer and fewer attacks (or none at all) accompanied by progressive disability. According to some natural history studies, of the 85% who star with relapsing-remitting disease, more than 50% will develop SPMS within 10 years: with 90% within 25 years. More recent natural history studies (perhaps because of the use of MRI to assist in the diagnosis) suggest a more benign outlook that these numbers suggest.
Primary Progressive MS (PPMS)
PPMS is characterised by disability from onset, without plateaus or remissions or with occasional plateaus and temporary minor improvements. A person with PPMS, by definition, does not experience acute attacks. Of people with MS diagnosed, only 10% have PPMS. In addition, the diagnostic criteria for PPMS are less secure than those for RRMS so that often the diagnosis is only made long after the onset of neurological symptoms and at a time when the person is already living with significant disability.
Progressive Relapsing MS (PRMS)
PRMS, which is the least common disease course, shows progression of disability from onset but with clear acute relapses, with or without full recovery. Approximately 5% of people with MS appear to have PRMS at diagnosis. Not infrequently a patient may be initially diagnosed as having PPMS and then will experience an acute attack, thereby establishing the diagnosis of PRMS.
It is believed that about 1 in 1000 New Zealanders have a diagnosis of PRMS.
The MS and Parkinson’s Society run specialist exercise classes for people with MS, as well as monthly morning teas.
MSNZ (http://ww.msnz.org.nz/) is a reliable online source of information about MS symptoms as well as for news and research updates.
The Multiple Sclerosis a page on Health Navigator NZ
(https://www.healthnavigator.org.nz/health-a-z/m/multiple sclerosis/) is also a good concise source of information.
If you live in Canterbury and have recently been diagnosed with MS< or know someone who has and want to find out how you can support them, contact our office on (03) 366 2857 or email support@ms.-pd.org.nz
If you need additional support to maintain your independence Therapy Professionals therapists can help, just contact us:
Phone: 03 377 5280 Email: email@example.com
Reference: Parkinsons (https://ms-pd.org.nz/parkinsons/)