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In SPMS, characterized by steady deterioration without acute attacks, treatment strategies often involve continuing or altering DMT used during the earlier RRMS phase, such as interferon beta, or considering immune-modulating agents, such as methotrexate, cyclophosphamide, or glucocorticoid pulses [142, 143]

Do not do intense or repeated exercise for 24 hours Heavy lifting or repeated use of the injected muscle raises blood flow and can enlarge a bruise or extend soreness

Muscular Back Pain Strains and tears in the paraspinal muscles, quadratus lumborum, and other back muscles respond well to BPC-157