Prior to the mid-1960s, most doctors recommended that people with multiple sclerosis (MS) avoid exercise since they believed that physical and psychological stress would worsen symptoms. It was also commonly thought that people with MS would not tolerate exercise since fatigue affects about 85 percent this population. Since then, studies have shown that being sedentary can actually contribute to fatigue and muscle wasting.
Today a regular exercise program geared toward the individual is recommended for managing the many symptoms of MS and promoting overall health and well-being.
Benefits of Exercise When Living with MS
Regular exercise provides numerous benefits including increased strength and flexibility, improved mobility and cardiovascular fitness, and better bladder and bowel function. Activity also reduces depression and fatigue and fosters self-esteem, psychological well-being, and social interaction.
Precautions to Exercise
Since some people with multiple sclerosis notice an increase in symptoms when their body becomes overheated—a condition known as thermosensitivity—avoid exercising outside during the hottest time of the day. Instead, exercise before 10 a.m. or after 2 p.m., or in a cool room. Drink plenty of cool liquids and always listen to your body. Slow down or stop exercising if you notice any new symptoms or your symptoms worsening. “Pre-cooling” by immersing your lower body in a cool bath for 30 minutes before exercising may also reduce the risk of becoming overheated.
Always check with your doctor before starting an exercise program; physical therapists experienced with MS can help design and adapt exercise as your abilities and symptoms change.
Best Multiple Sclerosis Exercises
When choosing an exercise program consider your interests, fitness level, and expectations. To stay motivated, choose an exercise that you enjoy. Swimming and water aerobics provide overall fitness while keeping the body cool. Gentle to moderate yoga that emphasizes stretching, breathing, and being aware of your body followed by relaxation is another good choice, as is Tai Chi, which offers slow gentle movements. Both yoga and Tai Chi can be done sitting in a chair.
Living with MS does not necessarily mean you have to limit your exercise to swimming, yoga, and Tai Chi. Depending upon your abilities and fitness level, with appropriate training you might want to advance to skiing, running, or even mountain climbing, all of which provide the extra benefit of getting outdoors. The important thing is to listen to your symptoms and don’t overdo it.
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