Multiple sclerosis, or MS, affects the brain and spinal cord. It can cause different symptoms at different times, including weakness, stiffness, altered sensation, balance problems, fatigue and difficulty walking.
Because MS varies between people, rehabilitation should begin with the person’s symptoms, daily routine and goals.
What can physiotherapy work on?
A physiotherapist may assess strength, joint movement, muscle tone, coordination, balance, walking and the effect of fatigue. Treatment may include:
- strength and mobility exercises
- balance and coordination practice
- walking assessment and mobility-aid advice
- stretching or positioning for stiffness
- ways to divide activity and rest
- a plan for maintaining general fitness
The NHS information on MS lists physiotherapy and exercise among the support that may help with movement problems and muscle pain.
Plan around fatigue
MS fatigue is more than ordinary tiredness. Heat, poor sleep, stress or overexertion may make it worse. It can help to identify the time of day when energy is better, spread demanding tasks and allow recovery between activities.
A sudden increase in fatigue should not automatically be treated as an exercise problem. Infection, medication effects or another medical issue may need to be checked.
What about a relapse?
New or clearly worsening neurological symptoms should be discussed with the MS team. Exercise may need to be reduced or adapted during a relapse, illness or marked flare of symptoms.
Ask about MS rehabilitation
Crestwell Medical can help with mobility, balance and exercise planning alongside your MS care. Book an appointment to discuss neurological rehabilitation.
This article is general information and does not replace advice from your neurologist or MS team.
