Q&A 27: brain reserve, trigonitis and Raynaud's phenomenon

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Q&A 27: brain reserve, trigonitis and Raynaud's phenomenon

I had a serious RTA and shattered my pelvis; will this make my MS progressive? I have just been diagnosed with trigonitis; is this due to MS? Does MS cause Raynaud's phenomenon?


Q1: I had a serious RTA and shattered my pelvis. My EDSS was only 1.0 before the accident due to bladder urgency. I had no other physical problems. Along with the fractured pelvis, I sustained soft tissue injuries and a rib fracture with a collapsed lung, would this recovery eat into the reserve that we have to recover from our relapses? Will it run out sooner and lead to me developing SPMS earlier? 

Q2: I am 43 and have had MS for 21 years. I intermittently catheterise 4 to 5 times a day. I get recurrent infections and have just had a cystoscopy and been diagnosed with trigonitis. What is this, and is it related to MS? 

Q3:  My toes frequently go black (particularly two on my left foot, but it can be all). This is unrelated to temperature or being cold. I had cellulitis from a heel blister last summer. My family doctor was alarmed by my black toes and requested a Doppler ultrasound, which was normal, i.e. there was nothing wrong with the arterial blood supply. On review, the second family doctor explained that in his experience with MS patients, this problem is due to poor microcirculation caused by autonomic failings. Please help me understand this.

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