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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: The article about a 29-year-old man with multiple sclerosis (MS)¹ was quite illuminating with regard to the medical treatment. However, the lack of a functional approach to the patient, Mr J, is disconcerting. Mr J's history reveals right lower limb weakness as the presenting symptom followed by difficulty ascending stairs, urinary dysfunction, and anxiety concerning the progression of his disease. Never probed are the issues of fatigue (present in as many as 77% of those with MS),^2-3 sexuality, cognition, vocational dysfunction, or adjustment to disability. This is despite the direct question from Dr C, the patient's primary care physician, of "What can I do to maximize the maintenance of function?"

A physiatric approach would include a more detailed physical examination to determine the factors contributing to the "limp." What role in the gait disturbance was being played by weakness at the hip, knee, and ankle? Was there . . . [Full Text of this Article]

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