Fatigue | MS Trust

<!DOCTYPE html> <html lang="en" dir="ltr" prefix="og: https://ogp.me/ns#"> <head> <meta charset="utf-8" /> <meta name="description" content="Fatigue is one of the most common symptoms of multiple sclerosis. MS fatigue is very different from the tiredness or exhaustion that people without MS may have and is out of all proportion to any activity you may have been doing." /> <meta name="abstract" content="Fatigue is one of the most common symptoms of multiple sclerosis. MS fatigue is very different from the tiredness or exhaustion that people without MS may have and is out of all proportion to any activity you may have been doing." /> <link rel="canonical" href="https://mstrust.org.uk/a-z/fatigue" /> <link rel="image_src" href="https://mstrust.org.uk/sites/default/files/styles/meta_open_graph/public/yawn-fatigue-iStock-1065780472.jpg?h=140710cd&itok=QnSigWrc" /> <meta name="author" content="MS Trust" /> <meta property="og:site_name" content="MS Trust" /> <meta property="og:url" content="https://mstrust.org.uk/a-z/fatigue" /> <meta property="og:title" content="Fatigue" /> <meta property="og:description" content="Fatigue is one of the most common symptoms of multiple sclerosis. 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block-system-main-block"> <div class="node mstrust-node node-page node--type-page node--view-mode-full"> <div class="node-page-header"> <div class="gutter--responsive-padding width-container breadcrumbs-container"> <div class="block block-system block-system-breadcrumb-block"> <nav class="breadcrumb" role="navigation" aria-labelledby="system-breadcrumb"> <h2 id="system-breadcrumb" class="visually-hidden">Breadcrumb</h2> <ol> <li> <a href="/">Home</a> </li> <li> <a href="/a-z">A-Z of MS</a> </li> <li> Fatigue </li> </ol> </nav> </div> <div class="lastupdated"> <p>Last updated: 1 March 2022</p> </div> </div> <div class="header-style-title-only width-container gutter--responsive-padding section-break"> <h1><span class="field field--name-title field--type-string field--label-hidden">Fatigue</span> </h1> <hr> </div> </div> <div class="node-structured-content"> <div class="paragraph paragraph--type--vsc-section-layout paragraph--view-mode--default"> <div class="layout two-columns layout-two-columns vsc-two-columns vsc-6634 vsc-padding-top vsc-small-screen-columns-layout-reverse" style=""> <div class="vsc-layout-inner vsc-normal"> <div class="left-region vsc-column vsc-horizontal-align-left vsc-vertical-align-top" style="position: relative;"> <div class="wrapper-layout-two_columns vsc-image"> <picture> <source srcset="/sites/default/files/styles/image_2c_desktop_1x/public/yawn-fatigue-iStock-1065780472.webp?itok=tcLWa_n4 1x, /sites/default/files/styles/image_2c_desktop_1_5x/public/yawn-fatigue-iStock-1065780472.webp?itok=hdSUZtOJ 1.5x" media="all and (min-width: 992px)" type="image/webp" width="854" height="569"/> <source srcset="/sites/default/files/styles/image_2or3c_tablet_1x/public/yawn-fatigue-iStock-1065780472.webp?itok=lsOT6mGB 1x, /sites/default/files/styles/image_2c_tablet_1_5x/public/yawn-fatigue-iStock-1065780472.webp?itok=psGUKIvC 1.5x" media="all and (min-width: 768px) and (max-width: 991px)" type="image/webp" width="624" height="416"/> <source srcset="/sites/default/files/styles/image_narrow_1x/public/yawn-fatigue-iStock-1065780472.webp?itok=48ebx_f1 1x, /sites/default/files/styles/image_narrow_1_5x/public/yawn-fatigue-iStock-1065780472.webp?itok=9HIcypiZ 1.5x" media="all and (min-width: 421px) and (max-width: 767px)" type="image/webp" width="735" height="490"/> <source srcset="/sites/default/files/styles/image_mobile_1x/public/yawn-fatigue-iStock-1065780472.webp?itok=MTHjIojf 1x, /sites/default/files/styles/image_mobile_2x/public/yawn-fatigue-iStock-1065780472.webp?itok=B-Q5KOvB 2x" type="image/webp" width="388" height="259"/> <source srcset="/sites/default/files/styles/image_2c_desktop_1x/public/yawn-fatigue-iStock-1065780472.jpg?itok=tcLWa_n4 1x, /sites/default/files/styles/image_2c_desktop_1_5x/public/yawn-fatigue-iStock-1065780472.jpg?itok=hdSUZtOJ 1.5x" media="all and (min-width: 992px)" type="image/jpeg" width="854" height="569"/> <source srcset="/sites/default/files/styles/image_2or3c_tablet_1x/public/yawn-fatigue-iStock-1065780472.jpg?itok=lsOT6mGB 1x, /sites/default/files/styles/image_2c_tablet_1_5x/public/yawn-fatigue-iStock-1065780472.jpg?itok=psGUKIvC 1.5x" media="all and (min-width: 768px) and (max-width: 991px)" type="image/jpeg" width="624" height="416"/> <source srcset="/sites/default/files/styles/image_narrow_1x/public/yawn-fatigue-iStock-1065780472.jpg?itok=48ebx_f1 1x, /sites/default/files/styles/image_narrow_1_5x/public/yawn-fatigue-iStock-1065780472.jpg?itok=9HIcypiZ 1.5x" media="all and (min-width: 421px) and (max-width: 767px)" type="image/jpeg" width="735" height="490"/> <source srcset="/sites/default/files/styles/image_mobile_1x/public/yawn-fatigue-iStock-1065780472.jpg?itok=MTHjIojf 1x, /sites/default/files/styles/image_mobile_2x/public/yawn-fatigue-iStock-1065780472.jpg?itok=B-Q5KOvB 2x" type="image/jpeg" width="388" height="259"/> <img style="" src="/sites/default/files/styles/image_mobile_1x/public/yawn-fatigue-iStock-1065780472.jpg?itok=MTHjIojf" width="388" height="259" alt="" loading="lazy" /> </picture> </div> <div class="wrapper-layout-two_columns vsc-content-spacer" style=""> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>Fatigue is one of the most common symptoms of multiple sclerosis.</p> <p>It's described as a feeling of exhaustion that's out of all proportion to any activity you may have been doing.</p> <p>Managing fatigue is based around taking steps to increase your energy levels and then learning how to use that energy in the most efficient way.</p> </div> <div class="wrapper-layout-two_columns vsc-heading section-break-above"> <div class="vsc-heading-container heading-size--h2 vsc-heading-align-left"> <h2 id="what-is-ms-fatigue">What is MS fatigue?</h2> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>MS fatigue is very different from the feeling of being tired or exhausted that people without MS may experience following heavy exercise or a busy day at work. It involves a sudden loss of energy and not being able to continue an activity. Fatigue can be either physical or mental fatigue or both at the same time.</p> </div> <div class="wrapper-layout-two_columns vsc-quote"> <figure> <blockquote class="main-content-text"> <p>Fatigue feels as if I am an inflatable, and someone has pulled the airstopper out! My brain goes fuzzy, I can’t think clearly, my speech slurs and my eyesight goes. Swallowing becomes more difficult, my balance gets worse and my legs feel heavy and clumsy.</p> </blockquote> <figcaption class="main-content-text"></figcaption> </figure> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>Unlike the limits of normal, everyday tiredness, which may give a little when pushed against, MS fatigue can feel like a barrier. It can be difficult to recognise what your limits are until you’ve overstepped them.</p> <p>Whilst recovery from everyday tiredness is relatively swift, you may find that it takes much longer to build your energy levels back up again after an episode of fatigue.</p> </div> <div class="wrapper-layout-two_columns vsc-quote"> <figure> <blockquote class="main-content-text"> <p>Fatigue feels like being weighed down, as if you’re trying to walk up to your neck in a deep, muddy river in heavy, wet clothes carrying shopping bags full of rocks.</p> </blockquote> <figcaption class="main-content-text"></figcaption> </figure> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>As an 'invisible' symptom of MS, fatigue is sometimes not properly understood by family, friends or colleagues. Until it is experienced, it is hard to understand the impact of fatigue and how debilitating it can be. Fatigue is a major cause of stopping working or reducing working hours.</p> <p>You may find that your <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="26ca9519-c0bf-44e4-bcf0-8170147c102b" href="/information-support/ms-symptoms-diagnosis/whats-causing-my-symptoms" title="What's causing my symptoms?">MS symptoms</a> get worse during an episode of fatigue but reduce again after rest. Fatigue can also affect <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="de6a93b3-b722-454a-b33b-9bc1594eccad" href="/information-support/health-wellbeing/thinking-and-memory-problems" title="Thinking and memory problems">cognitive symptoms</a> such as problems with short term memory, concentration or word finding. Often, when you're feeling fatigued, it can seem harder to think clearly and keep your mind on the job.</p> </div> <div class="wrapper-layout-two_columns vsc-quote"> <figure> <blockquote class="main-content-text"> <p>Fatigue leaves me feeling dulled and tired. I find it hard to concentrate and to absorb new ideas, and I’m often confused, searching for the right word, and forgetting things.</p> </blockquote> <figcaption class="main-content-text"></figcaption> </figure> </div> <div class="wrapper-layout-two_columns vsc-content-spacer" style=""> </div> <div class="wrapper-layout-two_columns vsc-embedded-video"> <figure> <div class="vsc-embedded-video--video-wrap"> <iframe id="player" type="text/html" width="640" height="390" src="https://www.youtube.com/embed/BIENTg4Uejw?enablejsapi=1" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen=""></iframe> </div> <figcaption>Honorary consultant neurologist, Dr Declan Chard, sums up MS fatigue</figcaption> </figure> </div> <div class="wrapper-layout-two_columns vsc-heading section-break-above"> <div class="vsc-heading-container heading-size--h2 vsc-heading-align-left"> <h2 id="what-causes-fatigue-in-ms">What causes fatigue in MS?</h2> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>The causes of fatigue in MS are not well understood. Fatigue is thought to result from different factors, partly caused by multiple sclerosis itself (known as primary fatigue) and partly by other factors (secondary fatigue) that affect people with MS more than those without the condition.</p> <p><strong>Primary fatigue</strong> is thought to be due to nerve messages from your brain and spinal cord having to navigate the <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="f01a0225-7902-47a4-9d63-ef90e3403f27" href="/a-z/nerve-cells-neurons" title="Nerve cells (neurons)">areas of damage</a> caused by your MS. It takes more energy to send and deliver messages to other parts of the body, like the muscles in your arms and legs, causing a build-up of fatigue.</p> <p><strong>Secondary fatigue</strong> is caused by the effect of living with MS. For instance, MS symptoms such as <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="90ac7af7-94b4-430c-8b12-8b3cde36629a" href="/a-z/depression" title="Depression ">depression</a>, being in <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="c005b4fd-99eb-4239-9d11-85b303526322" href="/a-z/pain" title="Pain">pain</a> or by having sleep disturbed by <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="b67555cf-84fd-4073-8e17-e158618fa6f5" href="/a-z/spasticity-and-spasms" title="Spasticity and spasms">spasms</a> or <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="14efa131-82f2-43b1-bea8-de5fe7d06a6f" href="/a-z/bladder-problems" title="Bladder problems">needing to go to the toilet more often</a> can all make fatigue worse.</p> <p>Fatigue may also occur as a side effect of various medications or be the result of inactivity, stress, poor diet or an infection. If you have other medical conditions, this can also cause or worsen fatigue.</p> <p>Fatigue for many people is the result of a combination of several factors which can make you feel tired and lacking in energy. Once you’re aware of these factors, you can review whether they apply to you and begin making changes.</p> </div> <div class="wrapper-layout-two_columns vsc-heading section-break-above"> <div class="vsc-heading-container heading-size--h2 vsc-heading-align-left"> <h2 id="how-many-people-get-fatigue">How many people get fatigue?</h2> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>Although fatigue is one of the most common symptoms of MS, it is not clear how many people are affected. Levels reported in research vary greatly, from a little more than half of all people with MS up to almost everyone (96%).</p> </div> <div class="wrapper-layout-two_columns vsc-heading section-break-above"> <div class="vsc-heading-container heading-size--h2 vsc-heading-align-left"> <h2 id="what-can-i-do-if-i-have-fatigue">What can I do if I have fatigue?</h2> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>Although fatigue can’t be cured, there are techniques that can be used to reduce the impact it has on your daily life.</p> <p>There are two main aspects of managing fatigue.</p> <ul><li>Ensuring you have the best levels of energy available – eg, through eating healthily, staying active, getting enough sleep, reducing stress and improving your mood.</li> <li>Learning how to use that energy in the most efficient way – eg, by planning in advance, prioritising and delegating tasks, and pacing yourself.</li> </ul><p>Although the key person in fatigue management is you, health professionals, such as an MS nurse, occupational therapist or physiotherapist, can support you through this process and help you develop strategies to manage your fatigue.</p> <p>Do reach out to them if fatigue is an issue and you need some advice and support – you don't have to manage fatigue on your own.</p> </div> </div> <div class="right-region vsc-column vsc-horizontal-align-left vsc-vertical-align-top" style="position: relative;"> <div class="wrapper-layout-two_columns on-this-page-wrapper vsc-accordion"> <dl class="vsc-accordion-container"> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> On this page </div> </span> </dt> <dd class="vsc-accordion-content on-this-page-toc"></dd> </div> </dl> </div> </div> </div> </div> </div> <div class="paragraph paragraph--type--vsc-section-layout paragraph--view-mode--default"> <div class="layout one-column layout-one-column vsc-one-column vsc-padding-top" style=""> <div class="vsc-layout-inner vsc-normal"> <div class="main-region vsc-column vsc-horizontal-align-left vsc-vertical-align-middle" style=""> <div class="wrapper-layout-one_column cta-panel image-position-right image-size-50"> <div class="vsc-embedded-video"> <div class="vsc-embedded-video--video-wrap"> <iframe id="player" type="text/html" width="640" height="390" src="https://www.youtube.com/embed/PrBRxRFO_Ho?enablejsapi=1" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen=""></iframe> </div> </div> <div class="cta-panel-content-container with-icon #00406f" style="background-color: #00406f"> <div class="cta-panel-icon"> <svg class="vsc-icon"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--Managing MS fatigue"></use> </svg> </div> <div class="cta-panel-title"> <h2>Managing MS fatigue</h2> <div class="polygon-icon" style="border-color: transparent transparent #00406f"></div> </div> <div class="cta-panel-summary"> <p>Occupational therapist, Kate Hayward explains how MS fatigue is most successfully managed.</p> </div> <div class="cta-panel-button"> <span class="vsc-button-item-solid vsc-button-item-custom-colour--rgb255255255" style="--styled-button-colour-solid: rgb(255,255,255);"> <a href="/news/expert/ask-expert-coping-ms-fatigue" title="Read the full interview"> Read the full interview </a> </span> </div> </div> </div> </div> </div> </div> </div> <div class="paragraph paragraph--type--vsc-section-layout paragraph--view-mode--default"> <div class="layout two-columns layout-two-columns vsc-two-columns vsc-6634 vsc-padding-top vsc-small-screen-columns-layout-same" style=""> <div class="vsc-layout-inner vsc-normal"> <div class="left-region vsc-column vsc-horizontal-align-left vsc-vertical-align-top" style="position: relative;"> <div class="wrapper-layout-two_columns vsc-heading section-break-above"> <div class="vsc-heading-container heading-size--h2 vsc-heading-align-left"> <h2 id="building-up-your-energy-levels">Building up your energy levels</h2> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>The sections below encourage you to address the areas in your own life that may be adding to your fatigue. By reviewing these areas of your lifestyle, you can begin to make small changes that may increase your energy levels.</p> </div> <div class="wrapper-layout-two_columns vsc-content-spacer" style=""> </div> <div class="wrapper-layout-two_columns vsc-accordion"> <dl class="vsc-accordion-container"> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> I'm not sleeping well </div> </span> </dt> <dd class="vsc-accordion-content main-content-text"> <p>Sleep is a very important part of healthy living. Whilst you’re asleep there are many complex processes going on in your body that allow you to wake up the next day feeling refreshed. Sleep helps to regulate your mood, memory and metabolism.</p> <p>There’s no set rule on how much sleep you need. Most adults need six to nine hours to function at their best, although some people operate perfectly well on four or five hours.</p> <p>You may not be getting good quality sleep for a variety of reasons, such as MS symptoms, concerns and worries, family responsibilities and being less active.</p> <p>There are many steps you can take to improve your sleep.</p> <ul><li>Keep to regular hours for going to bed and getting up.</li> <li>Try to <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="bdd6bbb0-f758-4653-ad86-448b96e764ff" href="/information-support/exercise-ms" title="Exercise and MS">be more active</a> during the day.</li> <li>Cut down on stimulants such as tea and coffee, particularly in the hours before bed.</li> <li>Avoid eating a heavy meal close to bedtime.</li> <li>Put your phone away an hour before you go to bed.</li> <li>Develop a sleep routine, eg have a warm, milky drink before bed, read a book, listen to relaxing music.</li> </ul><p>If you can’t sleep, lying in bed thinking about not being able to sleep will make dozing off even less likely. Try to focus on something else and distract your mind from trying to force sleep. You could try a <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="87c6dcb4-56e7-4a09-b14c-4ede9a106e65" href="/a-z/relaxation" title="Relaxation">relaxation technique</a> or get out of bed and do a mundane task.</p> <p>Read more tips on <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="ea7d421e-ee17-4bc8-94a0-5a3df512c9ac" href="/information-support/wellbeing-ms/sleep" title="Sleep">how to improve your sleep</a>.</p></dd> </div> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> I'm feeling low and not myself </div> </span> </dt> <dd class="vsc-accordion-content main-content-text"> <p><a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="90ac7af7-94b4-430c-8b12-8b3cde36629a" href="/a-z/depression" title="Depression ">Low mood</a> can lead to reduced energy levels and vice versa. Often it’s not clear which symptom is a result of which so it can become a vicious cycle.</p> <p>Sometimes when you’re feeling down it can seem difficult to see the positives in your life. This can lead to a negative spiral that you may find hard to break. Here are a few suggestions you may want to try if you’re struggling with your mood.</p> <ul><li>Try to be more active – <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="bdd6bbb0-f758-4653-ad86-448b96e764ff" href="/information-support/exercise-ms" title="Exercise and MS">physical activity</a> can improve your mood.</li> <li>Make doing more enjoyable things a priority.</li> <li>Spend time with positive people.</li> <li>Take up a new activity – this could be anything from cycling to joining a local choir.</li> <li>Rather than worrying about a particular concern, actively seek out information and advice to help deal with it. An MS nurse, therapist, GP, or even a friend or family member, can help.</li> <li>Talk issues through with others – this may be with a professional, a <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="cf973eb8-f4b8-44c8-bf6e-e384db1e0353" href="/information-support/support-services/support-groups" title="Support groups">support group</a> or just somebody you feel able to open up to. Sometimes all you need is to have someone who’ll listen.</li> <li>Turn negative thoughts into more positive ones – look for the good things in life, in people and, perhaps most importantly, in yourself.</li> </ul><blockquote><p>I remind myself frequently of all the plus points in my life, including spending time with family and friends. It’s not always easy to do this, but I do try!</p> </blockquote> <p>If your mood is affected by living with MS, seek help and support from your GP or MS nurse. They can talk through suitable treatment options such as talking therapies or medication.</p> <p>Read more about <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="dbc2ab9c-0eb3-4ddb-afc5-4978f0da19dc" href="/a-z/psychological-therapies" title="Psychological therapies">talking therapies</a>.</p></dd> </div> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> I'm going through a stressful time </div> </span> </dt> <dd class="vsc-accordion-content main-content-text"> <p>Stress is a normal and unavoidable part of life. It occurs when there’s an imbalance between the demands made on you and your ability to meet those demands.</p> <p>You might experience stress because of deadlines at work, family issues or if you need to adapt to new life circumstances.</p> <p>Excessive stress can have negative effects on both your physical and emotional health, including a direct impact on your fatigue levels.</p> <p>When it comes to managing stress, there are three main stages.</p> <ol><li>Recognising the effect stress is having on your health.</li> <li>Identifying what is making you feel stressed.</li> <li>Taking action to remove or reduce the cause of stress.</li> </ol><p>There are a variety of steps you can take to try and control your stress levels. This can include staying positive, keeping things in perspective, doing things you enjoy and planning ahead.</p> <blockquote><p>I try not to worry too much about the things that I can’t change. Not always possible, I know! There are usually ways around problems and I’m lucky, I have a supportive husband and really good friends.</p> </blockquote> <p>Read more about the ways you can <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="6e839203-83bb-4c46-bbce-3bc9adf96186" href="/a-z/stress" title="Stress">reduce your stress levels</a>.</p></dd> </div> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> I need some help relaxing </div> </span> </dt> <dd class="vsc-accordion-content main-content-text"> <p>Relaxation techniques are activities that leave you with a feeling of complete peace and calm, and allow you to shut off from daily hassles and routines.</p> <p>Regular relaxation can help with fatigue as it promotes good sleep patterns, increases the benefit of rest breaks during the day and can be used to reduce your stress levels.</p> <p>Here are a few techniques you could try.</p> <ul><li>Deep breathing</li> <li>Visualisation</li> <li>Muscle relaxation</li> <li><a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="407865eb-96b9-437c-8a4e-21bf4bc46166" href="/a-z/massage" title="Massage">Massage</a></li> <li><a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="a3d8ed19-63d2-49e3-9bc1-1ef65293fe43" href="/a-z/aromatherapy" title="Aromatherapy">Aromatherapy</a></li> <li><a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="f01c5178-8e27-4215-88af-c3773a205f3e" href="/a-z/yoga" title="Yoga">Yoga</a>, <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="fe391e06-e746-4f2a-8f6c-b857efdf0fc8" href="/a-z/tai-chi" title="Tai Chi">Tai Chi</a> and <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="7fbdabc7-935c-4325-8a5f-f7eff45526d1" href="/a-z/pilates" title="Pilates">Pilates</a></li> <li><a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="5a0a34f5-eb5f-4731-9ebc-848e9cddee64" href="/a-z/reflexology" title="Reflexology">Reflexology</a></li> </ul><p>Read more about these <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="87c6dcb4-56e7-4a09-b14c-4ede9a106e65" href="/a-z/relaxation" title="Relaxation">relaxation techniques</a>.</p></dd> </div> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> The temperature affects my energy levels </div> </span> </dt> <dd class="vsc-accordion-content main-content-text"> <p>You might find that changes in temperature contribute to your fatigue. It might be triggered by the weather, hot baths or showers, hot drinks or meals, exercising or feeling feverish because of an infection.</p> <p>These effects are usually reversed when you take steps to cool down and your temperature returns to normal.</p> <ul><li>Take a cool bath or shower.</li> <li>Have regular cold drinks or suck an ice cube.</li> <li>Spray your face with cold water using a small spray bottle.</li> <li>Floor or desk fans can be useful at home and handheld fans when you’re out and about.</li> <li>Use cooling garments such as neck wraps, wrists bands and cooling jackets.</li> <li>If you get hot at night, cooling pillows can help or you can try cooling gel pads which are inserted or placed on top of your current pillow.</li> <li>An air conditioning system or air cooler can reduce the room temperature during the summer. Permanent devices can be expensive, but there are cheaper, portable models available.</li> </ul><blockquote><p>I wear cooling scarves and bandanas. Marvellous! I also use an electric fan – especially when ironing.</p> </blockquote> <p>Although less common, some people with MS find that cold temperatures can trigger their fatigue. If this is the case for you, taking steps to warm up – such as wearing additional layers – will help to increase your body temperature and should ease your fatigue.</p> <p>Read more about <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="fce00dd0-4191-460c-8617-9ad437961cd4" href="/a-z/temperature-sensitivity" title="Temperature sensitivity">temperature sensitivity</a>.</p></dd> </div> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> I'd like to be more active but I don't have the energy </div> </span> </dt> <dd class="vsc-accordion-content main-content-text"> <p>Some form of physical activity as part of your daily routine is an essential element of a healthy lifestyle. Low activity levels cause under-used muscles to become weaker, which means that stamina levels and fitness are reduced. This means your body has to work harder when carrying out everyday activities, so they consume more energy and increase fatigue.</p> <blockquote><p>Once I worked out what was going on (less activity, leading to more fatigue, leading to less activity) I found exercising at the gym a HUGE benefit!</p> </blockquote> <p>People sometimes think physical activity means high energy exercise, which can be off-putting. However any activity that increases your heart rate and your breathing is beneficial. This includes everyday jobs such as ironing, hoovering, climbing stairs or washing the car.</p> <p><strong>How much should I be doing?</strong></p> <p>It’s recommended that you aim to do at least two and half hours of moderate intensity activity each week. You can do this in sessions of any length.</p> <p>Moderate intensity activities include a brisk walk or slow jog, aqua aerobics or mowing the lawn. You should also try to do some activities that strengthen your muscles at least twice a week, eg using resistance bands or weights, carrying heavy shopping or digging the garden.</p> <p>One way to meet this guidance is to try and do 30 minutes of activity on at least five days a week. This doesn’t have to be in one chunk – you could break it down into a few 10-minute sessions spread throughout the day.</p> <p>Reducing the amount of time you spend being inactive by introducing even short bouts (eg 5–10 minutes) of light physical activity will help to improve your fitness and fatigue levels. So take it slow, fit it in where you can and build up gradually.</p> <p>The key message here is that even a little movement is better than nothing.</p> <p><strong>Keep exercising!</strong></p> <p>If physical activity seems like a chore, it’s easy to lose motivation and stop. To increase the likelihood of continuing with regular exercise, choose something you enjoy, enlist a friend for support, join a local class and set some personal goals.</p> <p>Read about <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="bdd6bbb0-f758-4653-ad86-448b96e764ff" href="/information-support/exercise-ms" title="Exercise and MS">becoming more active</a>.</p></dd> </div> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> I want to eat more healthily </div> </span> </dt> <dd class="vsc-accordion-content main-content-text"> <p>Eating a <a href="/information-support/diet-ms" data-entity-type="node" data-entity-uuid="5ce20e58-07ba-44a2-83f5-f06fa4ef03dc" data-entity-substitution="canonical" title="Diet and MS">healthy, balanced diet</a> will help to give you the best energy levels. To achieve this, it’s recommended that you try to eat a variety of foods from the five main food groups.</p> <ul><li>Eat at least five portions of fruit and veg every day – this should make up just over a third of what you eat.</li> <li>Base your meals on starchy foods that are high in fibre such as potatoes, bread, rice and pasta (choose wholegrain versions if possible like brown rice and whole wheat pasta) – this should also make up just over a third of your diet.</li> <li>Include some dairy or dairy alternatives in your diet (choose lower fat and lower sugar options if you can).</li> <li>Eat some beans, pulses, fish, eggs, meat and other proteins (including two portions of fish every week, one of which should be oily).</li> <li>Choose unsaturated oils and spreads and eat them in small amounts.</li> </ul><p>It’s also important to drink plenty of fluids, particularly water, throughout the day. Being even mildly dehydrated can cause tiredness and sluggishness, adding to your fatigue. The recommendation is to drink six to eight glasses a day.</p> <blockquote><p>Eating regularly and healthily definitely improves my energy levels. Bothering with breakfast is the most difficult for me, but makes the biggest difference!</p> </blockquote> <p>There are various ways you can save energy when preparing and cooking meals. Read more on our <a href="/information-support/diet-ms/diet-and-symptoms" data-entity-type="node" data-entity-uuid="78ab2f3e-8c24-4eee-99a2-07ac5366c61f" data-entity-substitution="canonical" title="Diet and MS symptoms">diet and symptoms</a> page.</p></dd> </div> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> An infection or relapse is affecting my fatigue </div> </span> </dt> <dd class="vsc-accordion-content main-content-text"> <p>Other common medical conditions and infections can drain energy and cause your fatigue to worsen. This includes things like a cold, stomach bug or urine infection.</p> <p>The onset of a <a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="d4d026bd-431b-4731-8d26-7cedb78ebbf7" href="/information-support/ms-symptoms-diagnosis/managing-ms-relapses" title="Managing relapses">relapse</a> can also make existing MS symptoms like fatigue worse.</p> <p>A GP can investigate whether there is an underlying medical cause that might be adding to your fatigue and can suggest appropriate treatment options or refer you on to other services. Your MS nurse can provide support if you’re going through a relapse.</p> <p>Once the infection has cleared or you’ve recovered from the relapse, your fatigue levels should go back to their previous level.</p></dd> </div> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> I'd like to explore medication to help with my fatigue </div> </span> </dt> <dd class="vsc-accordion-content main-content-text"> <p><strong>Drugs to treat fatigue</strong></p> <p>Medication isn’t a solution to fatigue on its own and should be used in addition to the fatigue management techniques discussed on this page.</p> <p><a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="0c6b95be-0739-469c-bdbc-b799aa52afd5" href="/a-z/amantadine-symmetrel-lysovir" title="Amantadine (Symmetrel)">Amantadine (Symmetrel, Lysovir)</a> is licensed to treat flu, shingles and Parkinson’s disease. However it’s sometimes used to treat fatigue in some people with MS, although research on its effectiveness is fairly mixed.</p> <p>Some research suggests that amantadine can reduce fatigue in between one and two people out of five with mild to moderate MS. This is the only drug currently used to treat fatigue in MS and it’s not effective for everyone.</p> <p><a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="5c62a79e-a664-4285-bcd7-15e256b56625" href="/a-z/modafinil-provigil" title="Modafinil (Provigil)">Modafinil (Provigil)</a> has been used as a treatment for some people with MS fatigue. However, following a safety review, the European Medicines Agency now recommends that it should only be used for narcolepsy.</p> <p><strong>Drugs that make fatigue worse</strong></p> <p>Some medications can increase drowsiness and worsen fatigue. This applies to all types of treatments – prescription, over the counter, alternative and illegal – regardless of whether they’re being used to treat MS or not.</p> <p>Of the drugs for MS symptoms, treatments for muscle spasms and stiffness and pain are often associated with an increase in fatigue.</p> <p>If you're worried that medication may be impacting on your fatigue, ask your doctor or pharmacist to review your medication. They may suggest changing medication or reducing the dose.</p></dd> </div> </dl> </div> <div class="wrapper-layout-two_columns vsc-heading section-break-above"> <div class="vsc-heading-container heading-size--h2 vsc-heading-align-left"> <h2 id="using-your-energy-effectively">Using your energy effectively</h2> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>As well as taking steps to build up your energy levels, the other key element in managing fatigue successfully is using the energy you have in the most effective way. There are a range of techniques involved.</p> </div> <div class="wrapper-layout-two_columns vsc-content-spacer" style=""> </div> <div class="wrapper-layout-two_columns vsc-heading"> <div class="vsc-heading-container heading-size--h3 vsc-heading-align-left"> <h3>Planning</h3> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>Planning involves taking some time to stop and think about what you need to do and what you can realistically achieve. It's a very individual process that requires you to be aware of how fatigue affects you. Planning can help you think ahead and organise your time better.</p> <ul><li>Monitor the effect various tasks have on your energy levels. You'll start to gauge what is more or less likely to add to your fatigue. You might find some activities more fatiguing than others.</li> <li>Think ahead about activities you've got coming up. Try to avoid too many energy-demanding activities in a short time or when there's a higher chance you'll be fatigued.</li> <li>Keep notes of your plans in a diary or activity planner. Alternatively there are a wide range of apps you can download on your phone or tablet which can record to-do lists and upcoming events.</li> </ul> </div> <div class="wrapper-layout-two_columns vsc-quote"> <figure> <blockquote class="main-content-text"> <p>I plan my day using a notebook. Often, when I feel that I haven’t had a good day or achieved all that I wanted to, I check the notebook and I’ve often done more than I thought.</p> </blockquote> <figcaption class="main-content-text"></figcaption> </figure> </div> <div class="wrapper-layout-two_columns vsc-content-spacer" style=""> </div> <div class="wrapper-layout-two_columns vsc-heading"> <div class="vsc-heading-container heading-size--h3 vsc-heading-align-left"> <h3>Prioritising</h3> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>If your energy levels are limited, it can be better to focus on a small number of essential tasks, rather than trying to do everything at once.</p> <p>You could start by writing a list and then ordering the tasks by how important they are. Have a think about what’s absolutely essential and whether there’s anything that could wait until another day.</p> <p>What you consider essential activities will be unique to you. They’ll be influenced by your lifestyle, responsibilities, interests and beliefs. Priorities often change over time, so try not to get stuck doing things one way because you’ve always done them that way.</p> <p>It’s important to remember that essential activities should include things you enjoy. Household or work related tasks may seem more important, but if all your energy is taken up on these tasks then you may risk not having enough energy left for the more pleasurable things in your life. Try to make social activities a priority too!</p> </div> <div class="wrapper-layout-two_columns vsc-quote"> <figure> <blockquote class="main-content-text"> <p>Prioritising was such a helpful idea! My energy levels are higher in the morning so I get the ‘important’ tasks done then. If they’re not all completed, by dealing with them on a list I’m not so overwhelmed by them and I don’t get so stressed. I’m also getting better at requesting help from family and friends when necessary.</p> </blockquote> <figcaption class="main-content-text"></figcaption> </figure> </div> <div class="wrapper-layout-two_columns vsc-content-spacer" style=""> </div> <div class="wrapper-layout-two_columns vsc-heading"> <div class="vsc-heading-container heading-size--h3 vsc-heading-align-left"> <h3>Delegating</h3> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>It can take time to get used to delegating tasks. You may feel uncomfortable or guilty about asking others to do jobs that you’d normally do. You might feel like you’re giving in to fatigue or losing control. You might be worried that someone else won’t do the job exactly how you like it done.</p> </div> <div class="wrapper-layout-two_columns vsc-quote"> <figure> <blockquote class="main-content-text"> <p>I’ve reluctantly had to pass some tasks on to others. However, my experience of asking for help is a positive one.</p> </blockquote> <figcaption class="main-content-text"></figcaption> </figure> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>Sometimes people are more willing to help than you might expect. However, when delegating, remember that people have their own lives and commitments and may not be able to help when you need it.</p> <p>Properly handled, delegation frees up time and energy for important activities and means that you can achieve more.</p> </div> <div class="wrapper-layout-two_columns vsc-quote"> <figure> <blockquote class="main-content-text"> <p>My kids help out a lot. We make supper a family job. I made a chore chart so they know who does what. It helps a lot.</p> </blockquote> <figcaption class="main-content-text"></figcaption> </figure> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>Delegating tasks doesn’t just mean asking family, friends or work colleagues for help. It could also mean getting some help around the house by hiring a cleaner, gardener or dog walker.</p> </div> <div class="wrapper-layout-two_columns vsc-content-spacer" style=""> </div> <div class="wrapper-layout-two_columns vsc-heading"> <div class="vsc-heading-container heading-size--h3 vsc-heading-align-left"> <h3>Saving energy</h3> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>Try to do tasks using as little energy as possible. This may involve changing how you would normally do certain daily activities.</p> <ul><li>Sit rather than stand for jobs where possible, such as when doing the ironing.</li> <li>Make use of labour saving equipment and products like an electric toothbrush.</li> <li>Store commonly used items within easy reach.</li> <li>Be aware of your posture – maintaining a poor posture or staying in one position for long periods of time takes up energy.</li> <li>Discuss changes at work that could help you conserve energy, such as being able to park closer to the building.</li> </ul> </div> <div class="wrapper-layout-two_columns vsc-quote"> <figure> <blockquote class="main-content-text"> <p>I shop online wherever possible – stuff gets delivered straight to my door!</p> </blockquote> <figcaption class="main-content-text"></figcaption> </figure> </div> <div class="wrapper-layout-two_columns vsc-content-spacer" style=""> </div> <div class="wrapper-layout-two_columns vsc-heading"> <div class="vsc-heading-container heading-size--h3 vsc-heading-align-left"> <h3>Pacing yourself</h3> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <p>Pacing involves taking planned breaks or rests during or between activities. Often this requires some self discipline as it can be tempting to try to get to the end of a job without stopping. However, it can be more beneficial to take things steadily rather than continuing with an activity to the point of exhaustion and then suffering the consequences.</p> <p>Doing tasks more slowly or taking regular breaks can help to stop fatigue from building up. You might find you can achieve more in a series of shorter chunks broken up with periods of rest, rather than working straight through until your fatigue becomes overpowering.</p> <p>A break is different from sleep, though some people do find that a nap in the afternoon for a set period can help preserve some energy for the evening. Breaks can be a short period of relaxation or minimal activity.</p> </div> <div class="wrapper-layout-two_columns vsc-quote"> <figure> <blockquote class="main-content-text"> <p>I build in rest periods. When I put the potatoes on to boil, I sit down for 10 minutes and shut my eyes while they cook! Rest, rest, rest! It’s boring but it works.</p> </blockquote> <figcaption class="main-content-text"></figcaption> </figure> </div> <div class="wrapper-layout-two_columns vsc-content-spacer" style=""> </div> <div class="wrapper-layout-two_columns small-cta"> <a href="/news/expert/how-explain-ms-fatigue-others" title="How to explain MS fatigue to others?" class="small-cta-link"> <div class="small-cta-image-container"> <div class="small-cta-image"> <picture> <source srcset="/sites/default/files/styles/mst_small_cta_2_col_desktop_1x/public/2024-02/fatigue_and_ms.webp?h=c673cd1c&itok=fFac0d4M 1x, /sites/default/files/styles/mst_small_cta_2_col_desktop_1_5x/public/2024-02/fatigue_and_ms.webp?h=c673cd1c&itok=95r_zTi_ 1.5x" media="all and (min-width: 992px)" type="image/webp" width="854" height="480"/> <source srcset="/sites/default/files/styles/mst_small_cta_2_col_tablet_1x/public/2024-02/fatigue_and_ms.webp?h=c673cd1c&itok=YkoF1Why 1x, /sites/default/files/styles/mst_small_cta_2_col_tablet_1_5x/public/2024-02/fatigue_and_ms.webp?h=c673cd1c&itok=k1E0Nx2g 1.5x" media="all and (min-width: 768px) and (max-width: 991px)" type="image/webp" width="624" height="351"/> <source srcset="/sites/default/files/styles/mst_small_cta_2_col_narrow_1x/public/2024-02/fatigue_and_ms.webp?h=c673cd1c&itok=lIvMCpRX 1x, /sites/default/files/styles/mst_small_cta_2_col_narrow_1_5x/public/2024-02/fatigue_and_ms.webp?h=c673cd1c&itok=2ajV_rbK 1.5x" media="all and (min-width: 421px) and (max-width: 767px)" type="image/webp" width="735" height="414"/> <source srcset="/sites/default/files/styles/mst_small_cta_2_col_mobile_1x/public/2024-02/fatigue_and_ms.webp?h=c673cd1c&itok=VZxruORR 1x, /sites/default/files/styles/mst_small_cta_2_col_mobile_2x/public/2024-02/fatigue_and_ms.webp?h=c673cd1c&itok=qNoslPOo 2x" type="image/webp" width="389" height="292"/> <source srcset="/sites/default/files/styles/mst_small_cta_2_col_desktop_1x/public/2024-02/fatigue_and_ms.png?h=c673cd1c&itok=fFac0d4M 1x, /sites/default/files/styles/mst_small_cta_2_col_desktop_1_5x/public/2024-02/fatigue_and_ms.png?h=c673cd1c&itok=95r_zTi_ 1.5x" media="all and (min-width: 992px)" type="image/png" width="854" height="480"/> <source srcset="/sites/default/files/styles/mst_small_cta_2_col_tablet_1x/public/2024-02/fatigue_and_ms.png?h=c673cd1c&itok=YkoF1Why 1x, /sites/default/files/styles/mst_small_cta_2_col_tablet_1_5x/public/2024-02/fatigue_and_ms.png?h=c673cd1c&itok=k1E0Nx2g 1.5x" media="all and (min-width: 768px) and (max-width: 991px)" type="image/png" width="624" height="351"/> <source srcset="/sites/default/files/styles/mst_small_cta_2_col_narrow_1x/public/2024-02/fatigue_and_ms.png?h=c673cd1c&itok=lIvMCpRX 1x, /sites/default/files/styles/mst_small_cta_2_col_narrow_1_5x/public/2024-02/fatigue_and_ms.png?h=c673cd1c&itok=2ajV_rbK 1.5x" media="all and (min-width: 421px) and (max-width: 767px)" type="image/png" width="735" height="414"/> <source srcset="/sites/default/files/styles/mst_small_cta_2_col_mobile_1x/public/2024-02/fatigue_and_ms.png?h=c673cd1c&itok=VZxruORR 1x, /sites/default/files/styles/mst_small_cta_2_col_mobile_2x/public/2024-02/fatigue_and_ms.png?h=c673cd1c&itok=qNoslPOo 2x" type="image/png" width="389" height="292"/> <img src="/sites/default/files/styles/mst_small_cta_2_col_desktop_1x/public/2024-02/fatigue_and_ms.png?h=c673cd1c&itok=fFac0d4M" width="854" height="480" alt="" loading="lazy" /> </picture> </div> </div> <div class="small-cta-content-container"> <div class="polygon-icon polygon-icon-blue"></div> <div class="small-cta-title"> <h2>How to explain MS fatigue to others?</h2> </div> <div class="small-cta-summary main-content-text"> <p class="vsc-p-large">Shareable tips to help family and friends understand how MS fatigue feels. </p> </div> </div> </a> </div> </div> <div class="right-region vsc-column vsc-horizontal-align-left vsc-vertical-align-top" style="position: relative;"> <div class="wrapper-layout-two_columns on-this-page-wrapper vsc-accordion"> <dl class="vsc-accordion-container"> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> On this page </div> </span> </dt> <dd class="vsc-accordion-content on-this-page-toc"></dd> </div> </dl> </div> </div> </div> </div> </div> <div class="paragraph paragraph--type--vsc-section-layout paragraph--view-mode--default"> <div class="layout two-columns layout-two-columns vsc-two-columns vsc-6634 vsc-padding vsc-small-screen-columns-layout-same" style=""> <div class="vsc-layout-inner vsc-normal"> <div class="left-region vsc-column vsc-horizontal-align-left vsc-vertical-align-top" style="position: relative;"> <div class="wrapper-layout-two_columns vsc-heading section-break-above"> <div class="vsc-heading-container heading-size--h2 vsc-heading-align-left"> <h2>Find out more</h2> </div> </div> <div class="wrapper-layout-two_columns vsc-wysiwyg main-content-text"> <ul><li><a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="2d9af5bb-91c4-4658-9e79-7115098fa047" href="/information-support/podcasts/how-can-i-manage-living-ms-fatigue" title="How can I manage living with MS fatigue?">MS Trust Podcast: Fatigue</a> - We talk about fatigue management with OT Kate Hayward.</li> <li><a href="https://www.mssociety.org.uk/about-ms/signs-and-symptoms/fatigue/managing-fatigue/online-fatigue-management-course">MS Society</a> has an online fatigue management course.</li> <li><a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="860cc8de-6d81-4445-bcdb-ce6088f6805f" href="/information-support/ms-symptoms-diagnosis/early-symptoms" title="Early symptoms of MS">Common early symptoms of MS</a>.</li> <li><a data-entity-substitution="canonical" data-entity-type="node" data-entity-uuid="8804a662-7723-4b27-8783-c603c4c106de" href="/news/expert/how-explain-ms-fatigue-others" title="How to explain fatigue to others">How to explain MS fatigue to others</a>.</li> </ul> </div> <div class="wrapper-layout-two_columns paragraph paragraph--type--comp-references paragraph--view-mode--default"> <div class="vsc-accordion"> <dl class="vsc-accordion-container"> <div class="vsc-accordion-content-container"> <dt class="vsc-accordion-header"> <span class="vsc-accordion-button"> <div class="vsc-accordion-icons"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-down"></use> </svg> </div> <div class="vsc-accordion-title"> <svg class="vsc-icon accordion-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--info-roundal"></use> </svg> References </div> </span> </dt> <dd class="vsc-accordion-content main-content-text"> <div class="references__list"> <div class="reference__item"> <span class="reference__author">Amato MP, Portaccio E.</span><br/> <cite class="reference__title"><strong>Management options in multiple sclerosis-associated fatigue.</strong></cite><br/> <span class="reference__publication">Expert Opinion in Pharmacotherapy 2012;13(2):207–216.</span><br/> <a href="https://pubmed.ncbi.nlm.nih.gov/22220738/" target="_blank" class="ext">Summary <span class="ext"><span class="element-invisible sr-only"> (link is external)</span></span></a> </div> <div class="reference__item"> <span class="reference__author">Braley TJ, Chervin RD.</span><br/> <cite class="reference__title"><strong>Fatigue in multiple sclerosis: mechanisms, evaluation, and treatment.</strong></cite><br/> <span class="reference__publication">Sleep 2010;33(8):1061–1067.</span><br/> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910465/" target="_blank" class="ext">Full article <span class="ext"><span class="element-invisible sr-only"> (link is external)</span></span></a> </div> <div class="reference__item"> <span class="reference__author">Krupp LB, et al.</span><br/> <cite class="reference__title"><strong>Multiple sclerosis-associated fatigue.</strong></cite><br/> <span class="reference__publication">Expert Reviews in Neurotherapy 2010;10(9):1437–1447.</span><br/> <a href="https://pubmed.ncbi.nlm.nih.gov/20819014/" target="_blank" class="ext">Summary <span class="ext"><span class="element-invisible sr-only"> (link is external)</span></span></a> </div> <div class="reference__item"> <span class="reference__author">Wood B, et al.</span><br/> <cite class="reference__title"><strong>Prevalence and concurrence of anxiety, depression and fatigue over time in multiple sclerosis.</strong></cite><br/> <span class="reference__publication">Multiple Sclerosis Journal 2013;19(2):217–224.</span><br/> <a href="https://pubmed.ncbi.nlm.nih.gov/22729988/" target="_blank" class="ext">Summary <span class="ext"><span class="element-invisible sr-only"> (link is external)</span></span></a> </div> <div class="reference__item"> <span class="reference__author">Hemmett L, et al.</span><br/> <cite class="reference__title"><strong>What drives quality of life in multiple sclerosis?</strong></cite><br/> <span class="reference__publication">QJM 2004;97(10):671–676.</span><br/> <a href="https://pubmed.ncbi.nlm.nih.gov/15367738/" target="_blank" class="ext">Summary <span class="ext"><span class="element-invisible sr-only"> (link is external)</span></span></a> </div> <div class="reference__item"> <span class="reference__author">Miller P, et al.</span><br/> <cite class="reference__title"><strong>The Pharmacological and Non-Pharmacological Interventions for the Management of Fatigue Related Multiple Sclerosis</strong></cite><br/> <span class="reference__publication">Journal of the Neurological Sciences 2017;381:41–54.</span><br/> <a href="https://pubmed.ncbi.nlm.nih.gov/28991714/" target="_blank" class="ext">Summary <span class="ext"><span class="element-invisible sr-only"> (link is external)</span></span></a> </div> <div class="reference__item"> <span class="reference__author">Tur, C.</span><br/> <cite class="reference__title"><strong>Fatigue Management in Multiple Sclerosis</strong></cite><br/> <span class="reference__publication">Current Treatment Options in Neurology 2016;18(6):26.</span><br/> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4834309/" target="_blank" class="ext">Full article <span class="ext"><span class="element-invisible sr-only"> (link is external)</span></span></a> </div> <div class="reference__item"> <span class="reference__author">Yang TT, et al.</span><br/> <cite class="reference__title"><strong>Pharmacological Treatments for Fatigue in Patients With Multiple Sclerosis: A Systematic Review and Meta-Analysis</strong></cite><br/> <span class="reference__publication">Journal of the Neurological Sciences 2017;380:256–261</span><br/> <a href="https://pubmed.ncbi.nlm.nih.gov/28870581/" target="_blank" class="ext">Summary <span class="ext"><span class="element-invisible sr-only"> (link is external)</span></span></a> </div> <div class="reference__item"> <span class="reference__author">National Institute for Health and Care Excellence</span><br/> <cite class="reference__title"><strong>Multiple sclerosis in adults: management</strong></cite><br/> <span class="reference__publication">London: NICE; 2014.</span><br/> <a href="https://www.nice.org.uk/guidance/cg186" target="_blank" class="ext">Full guideline <span class="ext"><span class="element-invisible sr-only"> (link is external)</span></span></a> </div> <div class="reference__item"> <span class="reference__author">Public Health England</span><br/> <cite class="reference__title"><strong>The Eatwell Guide</strong></cite><br/> <span class="reference__publication">London: PHE; 2018.</span><br/> <a href="https://www.gov.uk/government/publications/the-eatwell-guide" target="_blank" class="ext">Full guide <span class="ext"><span class="element-invisible sr-only"> (link is external)</span></span></a> </div> <div class="reference__item"> <span class="reference__author">Department of Health & Social Care</span><br/> <cite class="reference__title"><strong>UK Chief Medical Officers' Physical Activity Guidelines</strong></cite><br/> <span class="reference__publication">London: DHSC; 2019.</span><br/> <a href="https://www.gov.uk/government/publications/physical-activity-guidelines-uk-chief-medical-officers-report" target="_blank" class="ext">Full guidelines <span class="ext"><span class="element-invisible sr-only"> (link is external)</span></span></a> </div> </div> </dd> </div> </dl> </div> </div> </div> <div class="right-region vsc-column vsc-horizontal-align-left vsc-vertical-align-top" style="position: relative;"> </div> </div> </div> </div> <div class="paragraph paragraph--type--vsc-section-layout paragraph--view-mode--default"> <div class="layout one-column layout-one-column vsc-one-column vsc-padding" style=""> <div class="vsc-layout-inner vsc-normal"> <div class="main-region vsc-column vsc-horizontal-align-left vsc-vertical-align-middle" style=""> <div class="wrapper-layout-one_column vsc-heading"> <div class="vsc-heading-container heading-size--h2 vsc-heading-align-left"> <h2>Related content</h2> </div> </div> <div class="wrapper-layout-one_column paragraph paragraph--type--card-grid paragraph--view-mode--default"> <div class="field field--name-field-card field--type-entity-reference-revisions field--label-hidden field__items"> <div class="field__item"> <div class="paragraph paragraph--type--content-card paragraph--view-mode--default"> <div class="field field--name-field-card-content field--type-entity-reference field--label-hidden field__item"><div class="card publication-card"> <div class="card-text-and-chevron-wrapper"> <div class="card-text-wrapper" style="border-left-color: powderblue;"> <div class="card-icon"> <div class="ellipse"> <svg class="vsc-icon card-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--download-file"></use> </svg> </div> </div> <div class="card-title--chevron"> <h2><span class="field field--name-title field--type-string field--label-hidden">Living with fatigue - book</span> </h2> <div class="card-chevron"> <svg class="vsc-icon card-chevron-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-right"></use> </svg> </div> </div> <div class="card-summary"> <div class="field field--name-field-publication-summary field--type-string-long field--label-hidden field__item">Fatigue is one of the most common symptoms of MS and can have a major impact on daily life. This book looks at ways to manage fatigue and is illustrated with comments by people with MS who know what it is like to live with the symptom.</div> </div> </div> <div class="cta-panel-button"> <span class="vsc-button-item-solid vsc-button-item-custom-colour--rgb255255255"> <a href="https://shop.mstrust.org.uk/publications/living-with-fatigue/" title="Download or order"> Download or order </a> </span> </div> </div> </div> </div> </div> </div> <div class="field__item"> <div class="paragraph paragraph--type--content-card paragraph--view-mode--default"> <div class="field field--name-field-card-content field--type-entity-reference field--label-hidden field__item"> <div class="card news-card"> <a href="/news/expert/ask-expert-coping-ms-fatigue" > <div class="card-media-wrapper"> <div class="card-image"> <picture> <source srcset="/sites/default/files/styles/mst_content_card_1_col_desktop_1x/public/stress_0.webp?h=51a72048&itok=Op8oPWaP 1x, /sites/default/files/styles/mst_content_card_1_col_desktop_1_5x/public/stress_0.webp?h=51a72048&itok=9tHS2vk4 1.5x" media="all and (min-width: 992px)" type="image/webp" width="416" height="228"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_tablet_1x/public/stress_0.webp?h=51a72048&itok=LIvQk82y 1x, /sites/default/files/styles/mst_content_card_1_col_tablet_1_5x/public/stress_0.webp?h=51a72048&itok=WwLia04- 1.5x" media="all and (min-width: 768px) and (max-width: 991px)" type="image/webp" width="464" height="259"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_narrow_1x/public/stress_0.webp?h=51a72048&itok=62nFEJ5Y 1x, /sites/default/files/styles/mst_content_card_1_col_narrow_1_5x/public/stress_0.webp?h=51a72048&itok=kMkF3GuE 1.5x" media="all and (min-width: 421px) and (max-width: 767px)" type="image/webp" width="735" height="414"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_mobile_1x/public/stress_0.webp?h=51a72048&itok=ZcBFFrSn 1x, /sites/default/files/styles/mst_content_card_1_col_mobile_2x/public/stress_0.webp?h=51a72048&itok=I3edHrYY 2x" type="image/webp" width="389" height="219"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_desktop_1x/public/stress_0.jpg?h=51a72048&itok=Op8oPWaP 1x, /sites/default/files/styles/mst_content_card_1_col_desktop_1_5x/public/stress_0.jpg?h=51a72048&itok=9tHS2vk4 1.5x" media="all and (min-width: 992px)" type="image/jpeg" width="416" height="228"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_tablet_1x/public/stress_0.jpg?h=51a72048&itok=LIvQk82y 1x, /sites/default/files/styles/mst_content_card_1_col_tablet_1_5x/public/stress_0.jpg?h=51a72048&itok=WwLia04- 1.5x" media="all and (min-width: 768px) and (max-width: 991px)" type="image/jpeg" width="464" height="259"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_narrow_1x/public/stress_0.jpg?h=51a72048&itok=62nFEJ5Y 1x, /sites/default/files/styles/mst_content_card_1_col_narrow_1_5x/public/stress_0.jpg?h=51a72048&itok=kMkF3GuE 1.5x" media="all and (min-width: 421px) and (max-width: 767px)" type="image/jpeg" width="735" height="414"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_mobile_1x/public/stress_0.jpg?h=51a72048&itok=ZcBFFrSn 1x, /sites/default/files/styles/mst_content_card_1_col_mobile_2x/public/stress_0.jpg?h=51a72048&itok=I3edHrYY 2x" type="image/jpeg" width="389" height="219"/> <img src="/sites/default/files/styles/mst_content_card_1_col_desktop_1x/public/stress_0.jpg?h=51a72048&itok=Op8oPWaP" width="416" height="228" alt="" loading="lazy" /> </picture> </div> <div class="card-video"> </div> </div> <div class="card-text-and-chevron-wrapper"> <div class="card-text-wrapper" style="border-left-color: #7A1369;"> <div class="polygon-icon" style="border-color: transparent transparent #7A1369;"></div> <div class="card-icon"> <div class="ellipse"> <svg class="vsc-icon card-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--blog_d9"></use> </svg> </div> </div> <div class="card-title--chevron"> <h2>Ask the expert: Coping with MS fatigue </h2> <div class="card-chevron"> <svg class="vsc-icon card-chevron-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-right"></use> </svg> </div> </div> <div class="card-summary"> If you have MS, it’s likely you’ve experienced that overwhelming feeling of tiredness that defines MS fatigue. We put your questions on fatigue to occupational therapist, Kate Hayward. </div> <div class="pubdate"> 11 December 2023 </div> </div> </div> </a> </div> </div> </div> </div> <div class="field__item"> <div class="paragraph paragraph--type--content-card paragraph--view-mode--default"> <div class="field field--name-field-card-content field--type-entity-reference field--label-hidden field__item"> <div class="card ms_trust_podcast-card"> <a href="/information-support/podcasts/how-can-i-manage-living-ms-fatigue" > <div class="card-media-wrapper"> <div class="card-image"> <picture> <source srcset="/sites/default/files/styles/mst_content_card_1_col_desktop_1x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.webp?h=ae1281eb&itok=0cZUUQuk 1x, /sites/default/files/styles/mst_content_card_1_col_desktop_1_5x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.webp?h=ae1281eb&itok=hOzsTgHg 1.5x" media="all and (min-width: 992px)" type="image/webp" width="416" height="228"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_tablet_1x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.webp?h=ae1281eb&itok=8MaaoeeB 1x, /sites/default/files/styles/mst_content_card_1_col_tablet_1_5x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.webp?h=ae1281eb&itok=z7nok4Ik 1.5x" media="all and (min-width: 768px) and (max-width: 991px)" type="image/webp" width="464" height="259"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_narrow_1x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.webp?h=ae1281eb&itok=ah0hxlIq 1x, /sites/default/files/styles/mst_content_card_1_col_narrow_1_5x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.webp?h=ae1281eb&itok=Ps_QLWng 1.5x" media="all and (min-width: 421px) and (max-width: 767px)" type="image/webp" width="735" height="414"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_mobile_1x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.webp?h=ae1281eb&itok=1TrgQY0V 1x, /sites/default/files/styles/mst_content_card_1_col_mobile_2x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.webp?h=ae1281eb&itok=gJBnkh3o 2x" type="image/webp" width="389" height="219"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_desktop_1x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.png?h=ae1281eb&itok=0cZUUQuk 1x, /sites/default/files/styles/mst_content_card_1_col_desktop_1_5x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.png?h=ae1281eb&itok=hOzsTgHg 1.5x" media="all and (min-width: 992px)" type="image/png" width="416" height="228"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_tablet_1x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.png?h=ae1281eb&itok=8MaaoeeB 1x, /sites/default/files/styles/mst_content_card_1_col_tablet_1_5x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.png?h=ae1281eb&itok=z7nok4Ik 1.5x" media="all and (min-width: 768px) and (max-width: 991px)" type="image/png" width="464" height="259"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_narrow_1x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.png?h=ae1281eb&itok=ah0hxlIq 1x, /sites/default/files/styles/mst_content_card_1_col_narrow_1_5x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.png?h=ae1281eb&itok=Ps_QLWng 1.5x" media="all and (min-width: 421px) and (max-width: 767px)" type="image/png" width="735" height="414"/> <source srcset="/sites/default/files/styles/mst_content_card_1_col_mobile_1x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.png?h=ae1281eb&itok=1TrgQY0V 1x, /sites/default/files/styles/mst_content_card_1_col_mobile_2x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.png?h=ae1281eb&itok=gJBnkh3o 2x" type="image/png" width="389" height="219"/> <img src="/sites/default/files/styles/mst_content_card_1_col_desktop_1x/public/breaking-it-down-multiple-sclerosis-podcast-800x450.png?h=ae1281eb&itok=0cZUUQuk" width="416" height="228" alt="" loading="lazy" /> </picture> </div> <div class="card-video"> </div> </div> <div class="card-text-and-chevron-wrapper"> <div class="card-text-wrapper" style="border-left-color: #7a1369;"> <div class="polygon-icon" style="border-color: transparent transparent #7a1369;"></div> <div class="card-icon"> <div class="ellipse"> <svg class="vsc-icon card-icon-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--podcast_d9"></use> </svg> </div> </div> <div class="card-title--chevron"> <h2>How can I manage living with MS fatigue?</h2> <div class="card-chevron"> <svg class="vsc-icon card-chevron-main"> <use xlink:href="/themes/custom/mstrust/dist/icons/icons.svg#icon--chevron-right"></use> </svg> </div> </div> <div class="card-summary"> People with MS often find it hard to explain fatigue to others, so in this episode we ask how you would describe life with fatigue and what tips you would give for managing it. 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href="/information-support/living-with-advanced-ms" data-drupal-link-system-path="node/57852">Living with advanced MS</a> </li> </ul> </li> <li class="menu-item--_47c4f6b-953c-4e0d-875b-276ce7f903f1 menu-name--main"> <a href="/information-support/ms-symptoms-diagnosis" data-drupal-link-system-path="node/33728">Symptoms & diagnosis</a> <ul> <li class="menu-item--a0a58053-876d-45b3-ab9f-5beb0d61603c menu-name--main"> <a href="/information-support/ms-symptoms-diagnosis/worried-you-have-ms" data-drupal-link-system-path="node/426">Worried you have MS?</a> </li> <li class="menu-item--_40e06fc-e294-4d50-a972-362450294adc menu-name--main"> <a href="/information-support/ms-symptoms-diagnosis/signs-and-symptoms" data-drupal-link-system-path="node/33762">Signs and symptoms</a> </li> <li class="menu-item--_9b62d31-cea9-4b81-8319-b3213640cad8 menu-name--main"> <a href="/information-support/ms-symptoms-diagnosis/how-is-ms-diagnosed" data-drupal-link-system-path="node/32707">How is MS diagnosed?</a> </li> <li class="menu-item--_990c0ed-07f5-4c20-9f61-1ce46eded10f menu-name--main"> <a href="/information-support/ms-symptoms-diagnosis/whats-causing-my-symptoms" data-drupal-link-system-path="node/665">What's causing my symptoms?</a> </li> <li class="menu-item--_bd1e1c4-927f-48df-9e82-9e1965926e51 menu-name--main"> <a href="/information-support/ms-symptoms-diagnosis/managing-ms-relapses" data-drupal-link-system-path="node/862">Managing relapses</a> </li> </ul> </li> <li class="menu-item--_a6dbae6-e5d8-447a-b468-5c0a7ef5c395 menu-name--main"> <a href="/information-support/ms-drugs-treatments" data-drupal-link-system-path="node/32657">Drugs & treatments</a> <ul> <li class="menu-item--a559b033-a452-42dc-afe9-74d5cd3266ba menu-name--main"> <a href="/information-support/ms-drugs-treatments/how-is-ms-treated" data-drupal-link-system-path="node/427">How is MS treated?</a> </li> <li class="menu-item--_3b79174-fed4-45ca-bb3f-58135c444afd menu-name--main"> <a href="/information-support/ms-drugs-treatments/disease-modifying-drugs-dmds" data-drupal-link-system-path="node/289">Disease modifying drugs (DMDs)</a> </li> <li class="menu-item--_aeeb491-18ce-4e3e-b595-c15ea4486f1f menu-name--main"> <a href="/information-support/ms-drugs-treatments/ms-decisions" data-drupal-link-system-path="node/285">MS Decisions</a> </li> <li class="menu-item--a92c0088-075d-4d4f-9d8b-fe8c32c7867d menu-name--main"> <a href="/information-support/ms-drugs-treatments/drugs-in-development" data-drupal-link-system-path="node/630">Drugs in development</a> </li> <li class="menu-item--bd8185a6-0f02-4bcb-b0da-159da688cebb menu-name--main"> <a href="/information-support/ms-drugs-treatments/treatment-finder" data-drupal-link-system-path="node/690">Treatment finder</a> </li> <li class="menu-item--f371dbb8-b80a-4100-a289-cc4c23fc99b5 menu-name--main"> <a href="/information-support/ms-drugs-treatments/non-drug-therapies" data-drupal-link-system-path="node/33756">Non-drug therapies</a> </li> </ul> </li> <li class="menu-item--b8e8ec93-9e18-422e-ae0c-40811d10df87 menu-name--main"> <a href="/information-support/health-wellbeing" data-drupal-link-system-path="node/32660">Health & wellbeing</a> <ul> <li class="menu-item--_5a544c7-7314-4215-a64b-02d4c26acd65 menu-name--main"> <a href="/information-support/health-wellbeing/thinking-and-memory-problems" data-drupal-link-system-path="node/225">Thinking and memory problems</a> </li> <li class="menu-item--d3b4ffa7-611a-43c9-b7b5-ea37a2d4b1c6 menu-name--main"> <a href="/information-support/staying-smart" data-drupal-link-system-path="node/58562">Staying Smart</a> </li> <li class="menu-item--_2592cc1-29f4-4238-adb1-529ddd8b2273 menu-name--main"> <a href="/information-support/exercise-ms" data-drupal-link-system-path="node/33559">Exercise</a> </li> <li class="menu-item--_a8a036d-5827-4a90-b4c9-ae8867e553ee menu-name--main"> <a href="/information-support/diet-ms" data-drupal-link-system-path="node/33658">Diet and MS</a> </li> <li class="menu-item--b3b3ad4e-834f-42b5-addc-1598b911baf3 menu-name--main"> <a href="/information-support/wellbeing-ms" data-drupal-link-system-path="node/33735">Wellbeing</a> </li> </ul> </li> <li class="menu-item--d247cbb9-aaa2-40e4-8371-3070d2e71b5d menu-name--main"> <a href="/information-support/family-care-and-money" data-drupal-link-system-path="node/62357">Family, care & money</a> <ul> <li class="menu-item--_db5a645-198e-4a7d-88bb-c37a5c4171b9 menu-name--main"> <a href="/information-support/relationships-and-family-life" data-drupal-link-system-path="node/33734">Relationships and family life</a> </li> <li class="menu-item--_03bfb96-1042-4aa4-9611-eb1ef659e339 menu-name--main"> <a href="/information-support/care-and-carers" data-drupal-link-system-path="node/62358">Care and carers</a> </li> <li class="menu-item--c1474973-e656-406b-9ebb-295a34d7efdb menu-name--main"> <a href="/information-support/home-and-travel" data-drupal-link-system-path="node/33742">Home and travel</a> </li> <li class="menu-item--_e875224-a5a0-4428-973a-7ff91d4f0001 menu-name--main"> <a href="/information-support/work-money-legal" data-drupal-link-system-path="node/33739">Work, money and legal</a> </li> </ul> </li> <li class="menu-item--_e9bcbbf-4a17-4394-965e-5911dbacf03b menu-name--main"> <a href="/information-support/support-services" data-drupal-link-system-path="node/33764">Support & services</a> <ul> <li class="menu-item--a0120932-b141-48e5-bade-c1ca5c3bca31 menu-name--main"> <a href="/what-we-do/about-us/ms-helpline-and-information" data-drupal-link-system-path="node/141">Contact our MS helpline</a> </li> <li class="menu-item--_9d947df-e87a-459a-a751-ffeef4b67d28 menu-name--main"> <a href="/information-support/support-services/ms-services-near-me" data-drupal-link-system-path="node/146">MS services near me</a> </li> <li class="menu-item--_47da082-6b4c-42c5-a673-f8ae61afc95b menu-name--main"> <a href="/information-support/support-services/my-ms-expert" data-drupal-link-system-path="node/72054">My MS expert</a> </li> <li class="menu-item--_eccae1f-9733-489e-9235-0ea6835f3f2c menu-name--main"> <a href="https://shop.mstrust.org.uk/publications/">Order a free MS publication</a> </li> <li class="menu-item--_a31a173-c42d-4bb0-93d1-9a2bbaff7a17 menu-name--main"> <a href="/information-support/support-services/podcasts-ms-trust" data-drupal-link-system-path="node/33331">Listen to our podcast</a> </li> <li class="menu-item--e70d6b1b-ff84-45ea-ac33-266f62ebe376 menu-name--main"> <a href="https://en-gb.facebook.com/groups/multiplesclerosistrust/">Join our Facebook group</a> </li> <li class="menu-item--_1c6d220-fe3f-470a-9a73-f1c47fe74b6e menu-name--main"> <a href="/information-support/support-services/support-groups" data-drupal-link-system-path="node/145">Find support groups</a> </li> </ul> </li> </ul> </li> <li class="menu-item--de0eb67e-1be8-4d9a-9df9-86fc06ab8710 menu-name--main menu-item--active-trail"> <a href="/a-z" data-drupal-link-system-path="node/1044">A-Z of MS</a> </li> <li class="menu-item--a5f29627-b869-4d7f-8b17-047549da3651 menu-name--main"> <a href="/what-we-do" data-drupal-link-system-path="node/33744">What we do</a> <ul> <li class="menu-item--b0ddf502-e476-4dea-8908-8eaedad92378 menu-name--main"> <a href="/what-we-do/about-us" data-drupal-link-system-path="node/42780">About us</a> </li> <li class="menu-item--b1f732eb-eed6-4f9c-be6b-0eeb745b7dec menu-name--main"> <a href="/what-we-do/who-we-are" data-drupal-link-system-path="node/58638">Who we are</a> <ul> <li class="menu-item--_621ab5d-63b3-414c-964e-6b705cce3142 menu-name--main"> <a href="/what-we-do/who-we-are/our-story" data-drupal-link-system-path="node/125">Our story</a> </li> <li class="menu-item--fa9164dd-3675-4d73-9b7d-741f038bfb10 menu-name--main"> <a href="/what-we-do/who-we-are/our-directors" data-drupal-link-system-path="node/58572">Our directors</a> </li> <li class="menu-item--_4cdfca4-7bc8-4621-ad68-5456c9110899 menu-name--main"> <a href="/what-we-do/who-we-are/our-trustees" data-drupal-link-system-path="node/1607">Our trustees</a> </li> <li class="menu-item--d3a9a68b-0c45-435f-88c3-7f3ce4cbd82c menu-name--main"> <a href="/what-we-do/who-we-are/our-ambassadors" data-drupal-link-system-path="node/70245">Our ambassadors</a> </li> <li class="menu-item--_337bb3a-4b35-4287-96ad-12473f2111ba menu-name--main"> <a href="/what-we-do/who-we-are/our-advisory-group" data-drupal-link-system-path="node/62041">Our advisory group</a> </li> </ul> </li> <li class="menu-item--c63f6ff5-39ad-40c4-9951-f9c44c86dfc2 menu-name--main"> <a href="/what-we-do/our-research-and-reports" data-drupal-link-system-path="node/72036">Our research and reports</a> </li> <li class="menu-item--_54d9159-c50e-4f87-8fc6-5338c4bafae3 menu-name--main"> <a href="/what-we-do/how-we-are-funded" data-drupal-link-system-path="node/42727">How we are funded</a> </li> <li class="menu-item--_88f58c7-20e9-41bd-99f9-3772b9fdbb72 menu-name--main"> <a href="/what-we-do/history-of-ms-research" data-drupal-link-system-path="node/72199">History of MSRTE</a> </li> <li class="menu-item--_549a44d-1ae8-43de-be08-f8f5c70a618c menu-name--main"> <a href="/what-we-do/contact-us" data-drupal-link-system-path="node/1973">Contact us</a> </li> </ul> </li> <li class="menu-item--d80d71f6-e647-4bdd-8e90-0ff0ccc1703c menu-name--main"> <a href="/get-involved" data-drupal-link-system-path="node/33747">How you can help</a> <ul> <li class="menu-item--_6dc0d3c-6f2b-4aed-a3cf-accaa1de4503 menu-name--main"> <a href="/get-involved/donate" data-drupal-link-system-path="node/99">Donate</a> <ul> <li class="menu-item--_7516ddd-dc84-415d-b569-efc467affb2b menu-name--main"> <a href="/get-involved/donate" data-drupal-link-system-path="node/99">Donate to the MS Trust</a> </li> <li class="menu-item--d2bd86d5-ed89-44d5-9a17-a926185ddc1c menu-name--main"> <a href="https://donate.mstrust.org.uk/">Make a donation</a> </li> <li class="menu-item--fb2740d8-2cce-42f1-905a-57934ca203d3 menu-name--main"> <a href="https://donate.mstrust.org.uk/?dontype=regular">Make a regular donation</a> </li> <li class="menu-item--_e5d57d1-ec7f-411a-9343-7704b60b2c80 menu-name--main"> <a href="/get-involved/donate/ways-donate" data-drupal-link-system-path="node/58627">Other ways to donate</a> </li> <li class="menu-item--_78b7536-2173-4fc1-88d4-75afa2aa0c1f menu-name--main"> <a href="/get-involved/donate/gift-aid" data-drupal-link-system-path="node/807">Gift Aid</a> </li> </ul> </li> <li class="menu-item--cc850572-0452-4f4d-9de1-3598b627eb7d menu-name--main"> <a href="/get-involved/fundraising-and-events" data-drupal-link-system-path="node/1441">Fundraise</a> <ul> <li class="menu-item--_9feae6c-2612-46cc-b163-4edfe83f1d5b menu-name--main"> <a href="/get-involved/fundraising-and-events/ms-trust-exclusives" data-drupal-link-system-path="node/59386">MS Trust Exclusives</a> </li> <li class="menu-item--b00bc15a-3143-42d2-a6c9-b2e4a9fffea8 menu-name--main"> <a href="/get-involved/fundraising-and-events/do-it-your-way" data-drupal-link-system-path="node/105">Do it your way</a> </li> <li class="menu-item--_ce8e8a6-57ed-42f7-a1c6-003c71dca998 menu-name--main"> <a href="/get-involved/fundraising-and-events/trekking-and-walking-events" data-drupal-link-system-path="node/424">Trekking and walking events</a> </li> <li class="menu-item--_c65b2f4-ceb9-4c88-bcde-69e5dd8473c4 menu-name--main"> <a href="/get-involved/fundraising-and-events/running-events" data-drupal-link-system-path="node/42743">Running events</a> </li> <li class="menu-item--da42ab00-3525-4f2a-ba51-beff31d6a5b6 menu-name--main"> <a href="/get-involved/fundraising-and-events/cycling-events" data-drupal-link-system-path="node/32533">Cycling events</a> </li> <li class="menu-item--_238489a-028c-4411-8ddf-519e3c7c0c6f menu-name--main"> <a href="/get-involved/fundraising-and-events/daredevil-events" data-drupal-link-system-path="node/59347">Daredevil events</a> </li> <li class="menu-item--_4850b31-d8cb-4b11-9b0b-9ab1e4f7cedc menu-name--main"> <a href="/get-involved/fundraise-while-you-shop" data-drupal-link-system-path="node/118">Fundraise while you shop</a> </li> <li class="menu-item--_551b085-bdb8-4345-bd4b-c135d2313300 menu-name--main"> <a href="/get-involved/fundraising-and-events/get-your-fundraising-guide" data-drupal-link-system-path="node/60103">Get your fundraising guide</a> </li> <li class="menu-item--_8c0f6e1-5c30-4ce3-9575-f6cc8785578f menu-name--main"> <a href="/get-involved/fundraising-and-events/pay-your-fundraising-money" data-drupal-link-system-path="node/60156">Pay in your fundraising</a> </li> </ul> </li> <li class="menu-item--_16ba21a-2c77-45aa-9897-a31fb6ea2274 menu-name--main"> <a href="/get-involved/world-ms-day-2024" data-drupal-link-system-path="node/72083">Raise awareness</a> <ul> <li class="menu-item--ae38529e-0584-458a-beef-b97e26c4c83a menu-name--main"> <a href="/get-involved/bring-your-ms-work" data-drupal-link-system-path="node/72157">Bring Your MS to Work</a> </li> <li class="menu-item--a1bdf354-c7c6-4730-ba39-ae288a389653 menu-name--main"> <a href="/get-involved/world-ms-day-2024" data-drupal-link-system-path="node/72083">World MS Day 2024</a> </li> <li class="menu-item--_8f658ff-9146-4a04-9264-ce98aa87b836 menu-name--main"> <a href="/get-involved/ms-awareness-week" data-drupal-link-system-path="node/33303">MS Awareness Week 2025</a> </li> </ul> </li> <li class="menu-item--e234e6ae-b180-4dc4-83fc-d9c51ee58891 menu-name--main"> <a href="/get-involved/volunteering" data-drupal-link-system-path="node/58631">Volunteer</a> </li> <li class="menu-item--_41ce7a0-07e5-4c1f-9637-d02472e94305 menu-name--main"> <a href="/get-involved/legacies-and-memory" data-drupal-link-system-path="node/58630">Leave a legacy</a> <ul> <li class="menu-item--acda667e-1b02-4d09-bf87-3cdcbc46ace9 menu-name--main"> <a href="/get-involved/legacies-and-memory/donate-memory" data-drupal-link-system-path="node/808">Donate in memory</a> </li> <li class="menu-item--_2b1952f-57f5-4615-96fe-678580396522 menu-name--main"> <a href="/get-involved/legacies-and-memory/a-gift-your-will" data-drupal-link-system-path="node/117">Leave a gift in your will</a> </li> <li class="menu-item--_205238b-c3bd-4a82-b855-e16ebe5e5532 menu-name--main"> <a href="/get-involved/legacies-and-memory/legacy-jargon-buster" data-drupal-link-system-path="node/413">Legacy jargon buster</a> </li> </ul> </li> <li class="menu-item--_efe1f53-0b7f-4a3b-b0c0-a44c162c3434 menu-name--main"> <a href="/get-involved/corporate-fundraising" data-drupal-link-system-path="node/58633">Corporate fundraising</a> <ul> <li class="menu-item--d4b12a7a-0e0e-4858-9c4c-b2ca24be1cca menu-name--main"> <a href="/get-involved/corporate-fundraising/corporate-giving" data-drupal-link-system-path="node/433">Corporate giving</a> </li> <li class="menu-item--eaf7b4ea-f6ea-422e-97cd-4ae1a0c0bbec menu-name--main"> <a href="/get-involved/corporate-fundraising/payroll-giving" data-drupal-link-system-path="node/434">Payroll giving</a> </li> <li class="menu-item--cdcd5003-361f-432c-86e6-e53e7a8fcc22 menu-name--main"> <a href="/get-involved/corporate-fundraising/pharmaceutical-industry-supporters" data-drupal-link-system-path="node/32039">Pharmaceutical and other industry supporters</a> </li> </ul> </li> </ul> </li> <li class="menu-item--_73abcb6-23b5-43c6-9562-7e1f72f664cf menu-name--main"> <a href="/news-stories" data-drupal-link-system-path="node/1222">News & stories</a> <ul> <li class="menu-item--_0f9fd05-dd9a-4a30-9185-6bbae0a38b5b menu-name--main"> <a href="/news-stories" data-drupal-link-system-path="node/1222">Latest news & stories</a> </li> <li class="menu-item--_c579212-1333-4b7e-a8b4-e562ce15e248 menu-name--main"> <a href="/news-and-stories/keeping-you-up-to-date" data-drupal-link-system-path="node/33746">Keep up to date</a> <ul> <li class="menu-item--ddbc01bd-6504-4124-a77c-b22099289fa3 menu-name--main"> <a href="/news-and-stories/keeping-you-up-to-date/sign-up-for-updates" data-drupal-link-system-path="node/58385">Sign up for updates</a> </li> <li class="menu-item--b317b3bb-6bda-49d2-8b49-5a1f31f617eb menu-name--main"> <a href="/news-and-stories/keeping-you-up-to-date/update-your-address" data-drupal-link-system-path="node/62031">Update your address</a> </li> </ul> </li> <li class="menu-item--ea79702e-6019-489f-8de7-99b45dd5138c menu-name--main"> <a href="/news-and-stories/send-us-your-story" data-drupal-link-system-path="node/32159">Send us your story</a> </li> <li class="menu-item--be15f01d-cd7e-4e2b-a391-629efb849e65 menu-name--main"> <a href="/news-and-stories/open-door-archive" data-drupal-link-system-path="node/32321">Open Door archive</a> </li> </ul> </li> <li class="menu-item--_78f40e3-9362-49df-871d-173a5bc18d5e menu-name--main"> <a href="/health-professionals" data-drupal-link-system-path="node/1206">For health professionals</a> <ul> <li class="menu-item--_e8969aa-3b23-4250-8f28-b834665b8081 menu-name--main"> <a href="/health-professionals/health-professional-resources" data-drupal-link-system-path="node/32732">Resources</a> <ul> <li class="menu-item--_a3033c1-319f-4dc7-a499-cd249fb5f56c menu-name--main"> <a href="/health-professionals/resources/clinical-learning" data-drupal-link-system-path="node/58293">Clinical learning</a> </li> <li class="menu-item--_baf5c42-0c2c-4c07-bc3b-886ea156e2b8 menu-name--main"> <a href="/health-professionals/resources/service-development" data-drupal-link-system-path="node/1217">Service development</a> </li> <li class="menu-item--af61114d-f00c-4a21-9756-81b37f6719e1 menu-name--main"> <a href="/health-professionals/resources/professional-development" data-drupal-link-system-path="node/58327">Professional development</a> </li> </ul> </li> <li class="menu-item--a4b818bc-852d-471f-b044-2e94ddf9eeb1 menu-name--main"> <a href="/health-professionals/courses-and-training" data-drupal-link-system-path="node/58540">Courses & training</a> <ul> <li class="menu-item--_8fddbf9-9f47-4f7c-a194-2b09467bf70b menu-name--main"> <a href="/health-professionals/courses-and-training/ms-trust-conference" data-drupal-link-system-path="node/59983">MS Trust conference</a> </li> <li class="menu-item--_426619f-0fa6-404c-a257-9fc6a476a145 menu-name--main"> <a href="/health-professionals/courses-and-training/study-days" data-drupal-link-system-path="node/60090">Study days</a> </li> <li class="menu-item--d0fa4b0b-1a04-4ee4-bd2f-451116aa4504 menu-name--main"> <a href="/health-professionals/courses-and-training/foundation-training-development-module" data-drupal-link-system-path="node/84">Foundation module</a> </li> <li class="menu-item--_79d6efb-698f-45eb-b945-9dc62540e274 menu-name--main"> <a href="/health-professionals/courses-and-training/funding-your-learning" data-drupal-link-system-path="node/476">Funding your learning</a> </li> <li class="menu-item--_743347e-da94-4753-811c-d5738461945e menu-name--main"> <a href="/health-professionals/courses-and-training/external-courses" data-drupal-link-system-path="node/57722">External courses</a> </li> </ul> </li> <li class="menu-item--_79257e4-052f-41e8-a912-33bd8ea1c9e7 menu-name--main"> <a href="/health-professionals/therapists-ms-tims" data-drupal-link-system-path="node/422">Therapists in MS (TiMS)</a> <ul> <li class="menu-item--a3503637-a07f-4357-8132-4ba565cae6f9 menu-name--main"> <a href="/health-professionals/therapists-ms-tims/about-tims" data-drupal-link-system-path="node/32786">About TiMS</a> </li> <li class="menu-item--cac4f2e4-a46b-4903-ad45-cca2b8d56dbc menu-name--main"> <a href="/health-professionals/therapists-ms-tims/tims-resources" data-drupal-link-system-path="node/58642">TiMS resources</a> </li> <li class="menu-item--c3ce709c-c5d5-4299-9ebe-8bd8d012ad1b menu-name--main"> <a 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