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How Physical Therapy Can Help Those Living with Multiple Sclerosis

Multiple Sclerosis (MS) is a chronic and unpredictable disease of the central nervous system that affects more than 2.3 million people worldwide. It is an autoimmune disorder, where the body's immune system mistakenly attacks its own tissues, and in this case, the protective layer around nerve fibers. This damage disrupts communication between the brain and other parts of the body, leading to a range of symptoms that can greatly impact an individual's quality of life.

While there is currently no cure for MS, there are ways to manage its symptoms and improve overall functioning. Holistic treatment methods can give people with MS a way to manage their symptoms and find relief. Physical therapy can provide those living with MS an individualized treatment plan to help them manage MS and continue to do things they love.  

Understanding Multiple Sclerosis

MS is a complex disease that affects each person differently. This disease has many different types, including relapsing-remitting MS (RRMS), secondary-progressive MS (SPMS), primary-progressive MS (PPMS), and progressive-relapsing MS (PRMS). Each type has its unique characteristics, but all share the same underlying cause, damage to the myelin sheath.

Myelin is a fatty substance that surrounds and protects nerve fibers in the brain, spinal cord, and optic nerves. It acts as insulation, allowing electrical impulses to travel quickly and efficiently along nerve cells. The body's immune system attacks and damages the myelin, causing inflammation and scarring, also known as sclerosis. This damage disrupts nerve signals, leading to a range of symptoms that can vary in severity and frequency.

Symptoms of Multiple Sclerosis

The symptoms of MS can be unpredictable and may come and go throughout a person's lifetime. Some common symptoms include:

  • Numbness or tingling in the face, body, or limbs
  • Weakness in muscles
  • Fatigue and weakness
  • Balance and coordination problems
  • Vision changes, such as blurred or double vision
  • Pain and muscle spasms
  • Cognitive difficulties, including memory loss and trouble concentrating
  • Bowel and bladder problems

These symptoms can greatly impact a person's daily functioning and overall quality of life. They can also vary in severity, with some individuals experiencing mild or infrequent symptoms while others may have more severe and frequent symptoms.

Specific Symptoms That Can Present Greater Challenges

One of the main challenges faced by people with MS is fatigue. This type of fatigue is different from the tiredness experienced by healthy individuals. It is often overwhelming and can significantly impact a person's ability to carry out daily activities, work, and socialize. Managing this fatigue requires careful planning and pacing of activities throughout the day.

Another common challenge faced by those with MS is mobility issues. The disease damages the nerves that control movement, leading to muscle weakness, balance problems, and difficulty walking. This can make simple tasks such as getting out of bed, showering, or preparing meals challenging and exhausting.

Often, people with MS also experience cognitive issues, such as problems with memory, concentration, and decision-making. These changes in cognitive function can affect daily life, making it difficult to complete work tasks or remember important information.

In addition to physical and cognitive challenges, individuals with MS also face emotional difficulties. The unpredictable nature of the disease and its impact on daily life can lead to feelings of anxiety, depression, and isolation. Coping with these emotions can be challenging, and it’s important for those with MS to have a strong support system in place.

Importance of Early Intervention

Early intervention is crucial in managing MS and preventing further complications. It is recommended to seek physical therapy as soon as possible after receiving an MS diagnosis. By starting early, individuals can learn how to manage their symptoms effectively, work to prevent secondary issues, and maintain their overall functioning for as long as possible.

Physical Therapy Can Help with Physical Symptoms

Symptoms can be minimized with the help of physical therapy. At FYZICAL Therapy & Balance Centers, our team will develop an individualized treatment plan so they can target the specific areas of concern.

Physical therapy is an essential component of managing MS symptoms and improving overall functioning. It involves using various exercises, techniques, and strategies to help individuals maintain mobility, strength, balance, and coordination. Physical therapists also provide education and guidance on how to manage symptoms and prevent complications.

Specific techniques used in physical therapy for MS may include exercises to improve strength, balance, and coordination; stretching to prevent muscle tightness; gait training to address walking difficulties; and pain management strategies such as massage or heat therapy. By working closely with a physical therapist, individuals with MS can learn techniques to manage their symptoms and optimize their physical function, ultimately leading to a better overall quality of life. Physical therapy can make a big difference for those living with Multiple Sclerosis.

Improve Mobility and Strength

MS can cause muscle weakness, which can affect a person's ability to move independently and perform daily activities. Physical therapists use exercises tailored to an individual's needs to help improve strength and mobility in affected muscles. These may include strengthening exercises using resistance bands, weights, or body weights. Physical therapists may also use balance training and gait training to improve coordination and reduce the risk of falls.

Manage Pain and Fatigue

Pain is another common symptom of MS caused by inflammation, muscle spasms, or nerve damage. Physical therapists can use various techniques such as massage therapy, heat or cold therapy, and electrical stimulation to help manage pain. They may also teach relaxation techniques and provide education on energy conservation to help individuals better manage fatigue.

Address Bowel and Bladder Problems

MS can affect the nerves that control bowel and bladder function, leading to problems with incontinence or constipation. Physical therapists can develop an individualized program inclusive of pelvic floor muscle exercises, as well as provide education on diet and fluid intake, to help manage these issues.

Provide Assistive Devices

Physical therapists can also recommend and provide assistive devices such as canes, walkers, or wheelchairs to help individuals with MS maintain their independence and mobility. They can also provide education on how to properly use these devices to prevent further complications.

Exercise is Important

Exercise is an essential aspect of physical therapy for managing MS. Regular exercise can help improve strength, balance, and flexibility, which can in turn reduce the impact of MS symptoms such as muscle weakness and spasticity. A physical therapist can guide appropriate exercises that target specific muscles and help individuals with MS maintain their independence and mobility.

Manual Therapy is an Effective Method

In addition to exercise, manual therapy techniques such as massage and stretching can also be beneficial for managing MS symptoms. Massage therapy can help alleviate pain, reduce muscle tension, and improve circulation in affected areas. It can also aid in relaxation and stress reduction, which are important factors in managing the emotional aspects of living with a chronic illness like MS. Stretching exercises prescribed by a physical therapist can also help improve flexibility and range of motion, which can be limited in individuals with MS.

Become Educated on Management Methods

Another crucial aspect of physical therapy for managing MS is education. A physical therapist can provide valuable information and resources on how to conserve energy, prevent falls, and manage fatigue and other symptoms. They can also teach techniques for proper body mechanics and ways to adapt daily activities to minimize strain on the body.

Other Holistic Approaches for Managing MS    

Aside from physical therapy, various other holistic approaches can help manage MS symptoms from a whole-body perspective. These may include:

  • Nutrition: A healthy and balanced diet can help improve overall well-being and support the body's immune system.
  • Mind-body practices: Techniques such as meditation, yoga, and tai chi can help reduce stress, improve mood, and enhance overall mind-body awareness.
  • Acupuncture: This traditional Chinese medicine practice involves the insertion of thin needles into specific points in the body to promote healing and balance.
  • Supplements: Some supplements such as vitamin D and omega-3 fatty acids are beneficial for individuals with MS. It is essential to consult with a healthcare provider before starting any supplements.


Multiple Sclerosis is a complex and unpredictable disease with varying symptoms that can impact an individual's quality of life. However, with proper management and treatment, individuals can continue to live fulfilling lives. Physical therapy plays a vital role in managing MS symptoms and improving overall functioning. By working closely with physical therapists, individuals with MS can learn how to manage their symptoms effectively and maintain their independence for as long as possible. If you or someone you know has been diagnosed with MS, don't hesitate to seek the help of a physical therapist to improve your quality of life. Let's work together to manage MS and promote overall well-being!