Exercise and multiple sclerosis
Exercise can help ease the symptoms of multiple sclerosis, but it's important to take certain precautions if you want your exercise programme to be successful. The most important thing to remember is to not overdo it.
You may have heard the mottos "no pain no gain" or "feel the burn," but those approaches are counterproductive for people with MS. If you overdo it you can end up straining an already compromised muscular system, increasing pain and causing your body and mind to become overstressed, overworked, and overtired.
Check with your doctor before beginning any exercise programme. He or she may make recommendations about:
- The types of exercise best suited to you and those which you should avoid
- The intensity of the workout (how hard you should be working)
- The duration of your workout and any physical limitations
- Referrals to other professionals, such as exercise on prescription or a physiotherapist, who can help create a personal exercise programme that meets your needs. The type of exercise that works best for you depends on your symptoms, fitness level, and overall health.
Tips for safe exercise
- Always warm up before beginning your exercise routine and cool down at the end.
- If you plan to workout for 30 minutes, start with 10-minute workout sessions and work your way up.
- Workout in a safe environment; avoid slippery floors, poor lighting, mats, and other potential tripping hazards.
- If you have difficulty balancing, exercise within reach of a bar or rail.
- If at any time you feel sick or you begin to hurt, stop.
- Select an activity that you enjoy and have fun. Water aerobics, swimming, tai chi, and yoga are examples of exercises that often work well for people with MS.
What should I do if I get overheated?
Some people with MS are sensitive to heat, which means they notice that their symptoms either reappear or become worse when their body heat rises. This will happen when you exercise. Here are some tips to avoid overheating:
- Don't exercise during the hottest time of the day (10am to 2pm) during the summer. Try to exercise in the morning or evening if you are exercising outside.
- Drink plenty of cool fluids.
- Become aware of your body. If you notice any symptoms that you didn't have before you began exercising, then slow down or stop exercising until you cool down.
- Swimming and water aerobics are good exercise options to keep you cool while exercising. Also, make sure that there are non-slip floors in the changing rooms and around the pool.
Multiple sclerosis: Physiotherapy
The symptoms of multiple sclerosis (MS) can affect your ability to move around. You may be experiencing tightness, pain, and weakness, especially in the muscles and joints. Physiotherapy may help.
Physiotherapy cannot cure the primary symptoms of MS (such as weakness, tremors, tingling, numbness, loss of balance, vision impairment, paralysis, and bladder or bowel dysfunction), but therapy can enable you to compensate for the changes brought about by MS. These compensatory treatments include learning about new movement techniques, strategies, and equipment.
Physiotherapy can also be very helpful at lessening and even stopping secondary symptoms of MS. A physiotherapist can teach you exercises to strengthen and loosen muscles. Many of these exercises can be performed at home. The goal of physiotherapy is to improve your independence and quality of life by improving movement and function and relieving pain.
Physiotherapy can help with:
- Balance problems
- Lack of coordination