Exercise and multiple sclerosis

Answer Section

Yes, people with MS can exercise. Take an individual approach because disability in MS can vary from person to person. Feeling very tired and experiencing weakness and poor coordination discourages some people from exercising. But being active can help people with MS in many ways.

Some studies show that the benefits of exercise far outweigh the challenges if you have MS. But remember not to overdo it and that moderation is essential. Also, regular exercise can help with obesity, which can worsen symptoms such as feeling very tired and having trouble moving around. Losing weight also can help improve mood, sleep and more.

If you have MS, check with your healthcare professional before starting a routine. People with MS can benefit from at least 30 minutes of physical activity at least five days a week. Regular aerobic exercise can increase strength and balance, improve bowel and bladder control, and decrease stiffness, known as spasticity, related to MS.

Take a gentle approach to exercise. How hard and how often you exercise depends on your symptoms and your strength and endurance. For someone with MS, exercise that's aggressive can make you tired and make other symptoms worse. Research shows that getting even moderate exercise can offer benefits in balance, energy, fitness level and quality of life.

You may experience numbness, tingling or blurred vision when you start to exercise. This is due to a rise in core body temperature that happens with exertion. Typically, symptoms ease as your body cools down and you rest. You can manage your body temperature while you exercise by wearing cooling clothing or by using a device such as a personal fan.

A physical therapist or fitness instructor familiar with MS can help create a routine that fits your abilities. The routine also can address issues such as body temperature, balance, feeling very tired and stiffness. The therapist or instructor can help you monitor your pulse and breathing rates so that you don't overexert yourself.

You might consider pool exercise, such as water aerobics. Pool exercise may help with balance, and better balance may reduce your risk of falls. Pool exercises also put less strain on the joints with less risk of overheating.

Anyone with MS can modify an exercise routine to meet specific needs. Just remember to work within your range of ability and not to overdo it.