Hello huntti and welcome to NeuroTalk.

Diagnosed almost 31 years ago and at that time my Neurologist said the disease was affecting the spinal cord (my MRIs were clear at the time).

He was correct. After all these years I only have 3 brain lesions but at one point my cervical spinal cord had numerous.

Since you didn't provide too much information I will give the basics when it comes to MS:

Once an exacerbation begins --- Steroids, plasma exchange (as you indicated in a previous post), or waiting it out.

The Disease Modifying Therapies --- to hopefully decrease lesion load and exacerbations, possibly help with symptoms and hopefully slow progression.

Symptom management medications to help with some symptoms.

Exercise, Physical Therapy(PT), gentle stretching, weight training, ect. can all be helpful in maintaining your strength, core strength, endurance as well as help some of the symptoms such as fatigue, spasticity, and pain.

Hope that helped.