Lifestyle Changes to Manage Multiple Sclerosis (MS)
En Español (Spanish Version)

Changes to your lifestyle can help you manage symptoms and prevent flare-ups or worsening of symptoms. Your coping skills and attitude toward your illness are important factors in successfully managing the disease. Habits to consider include:

  • Get regular, moderate exercise.
  • Eat a healthy diet.
  • Practice stress-reduction techniques.
  • Avoid excessive heat.
  • Avoid infections.
  • Get adequate rest.
Get Regular, Moderate Exercise
Talk to your doctor before beginning an exercise program. Regular exercise can help with muscle strength, balance, endurance, and fatigue. Swimming is especially beneficial. The water helps keep your body cool during exercise.

Eat a Healthy Diet
Doctors recommend eating a healthy diet. It should be low in saturated fat and rich in whole grains, fruits, and vegetables . The fiber in grains, fruits, and vegetables helps prevent constipation .

Omega-3 fatty acids, found in fish oil, are sometimes recommended for people with MS. It is not clear if omega-3s are helpful for this condition.

It is also important that you drink plenty of water. Aim for 62 ounces per day, about 8 glasses. Avoid drinks that cause dehydration , like caffeinated beverages.

Practice Stress—Reduction Techniques
Many people with MS notice that stress makes symptoms worse. Consider getting regular massages and participating in other stress reducing practices, such as meditation , yoga , and relaxation. You may also find it helpful to join a support group . These groups can provide emotional support for you and your family.

Avoid Excessive Heat
Heat worsens MS symptoms in many people. The heat may be external or internal. Tips to avoid heat include:

  • Avoid hot weather.
  • Stay in air-conditioned places during periods of hot weather.
  • Do not take hot showers or baths.
  • Seek treatment for infections or fever.
  • Drink plenty of liquids.
  • Avoid overexertion.
Quit Smoking
Smoking may worsen MS symptoms. It can make MS progress to a more severe form. If you smoke, talk to your doctor about your options for quitting. There are smoking cessation classes, online self-help programs, nicotine replacement products , prescription medicines, and many other options.

Get Adequate Rest
Adequate rest helps alleviate the fatigue commonly associated with MS.

Avoid Infections
MS symptoms can be worsened when people are sick.

When to Call Your Doctor
Call your doctor if your symptoms worsen or if new symptoms develop.




References
Fish oil. EBSCO Natural and Alternative Treatments website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated April 2009. Accessed August 31, 2012.

Motl RW, Pillutti LA. The benefits of exercise training in multiple sclerosis. Nat Rev Neurol. 2012;July 24.

Multiple sclerosis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated August 10, 2012. Accessed August 30, 2012.

Multiple sclerosis. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/multiple_sclerosis/multiple_sclerosis.htm . Accessed August 31, 2012.

About MS. National Multiple Sclerosis Society website. Available at: http://nationalmssociety.org/about-multiple-sclerosis/index.aspx . Accessed August 31, 2012.

Seven sizzling ways to stop smoking. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated August 2009. Accessed August 31, 2012.

11/9/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed/what.php : Healy B, Ali E, Guttmann C, et al. Smoking and disease progression in multiple sclerosis. Arch Neurol. 2009;66(7):858-864.

Last Reviewed September 2013



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