If you’re living with multiple sclerosis (MS), chances are you’ve experienced the kind of fatigue that goes far beyond everyday tiredness. This isn’t just about needing more sleep – it’s a deep, persistent exhaustion that can affect your body, your mind, and even your ability to get through simple daily tasks.

You are not alone. MS fatigue is one of the most common – and often most frustrating -symptoms we hear about from our patients. And while it can be challenging, there are real strategies that can help you manage it more effectively.

What Causes MS Fatigue?

Fatigue in MS doesn’t always have one cause – it’s often the result of several factors working together. These may include:

• Inflammation in the central nervous system, which affects how efficiently your brain and body communicate
• Muscle weakness or spasticity that makes movement more effortful
• Sleep disturbances or pain that prevent deep, restorative rest
• Depression or mood changes, which can amplify fatigue
• Certain medications, especially those that affect the nervous system

Fatigue can look different from day to day – and that unpredictability can be hard. But understanding what may be contributing to your fatigue is the first step in finding relief.

How to Manage MS Fatigue

While there’s no one-size-fits-all solution, many patients benefit from a layered approach to managing fatigue that includes:

Energy Conservation Techniques

• Prioritize your tasks: Tackle your most important activities when you have the most energy.
• Break things into smaller steps and take frequent rest breaks.
• Use tools and support devices to reduce physical strain (like shower chairs or reachers).

Lifestyle Adjustments

• Maintain a regular sleep schedule and sleep environment.
• Stay hydrated and nourish your body with balanced meals.
• Gentle, regular exercise like stretching, walking, or aquatic therapy can help build stamina over time.

Medical Support from Your Care Team

• If your fatigue is impacting your daily life, please bring it up with me – we can explore medical options together. In some cases, medications like amantadine or modafinil may offer relief.
• We’ll also take a closer look at anything else that could be contributing to your fatigue, such as sleep difficulties, mood changes, or side effects from other medications. These are all important pieces of your MS care.
• In addition, I may recommend physical or occupational therapy to help you develop personalized strategies for managing energy throughout your day. You don’t have to figure this out alone – we’re here to help.

You’re Not Lazy – You’re Managing a Real Symptom

If you’ve ever felt guilty for needing to rest more – or if others don’t understand why you’re so tired – please know this: MS fatigue is real, and it’s not your fault.
At MCMS, we take this symptom seriously. We know how much it can impact your life, and we are here to help you find tools, treatments, and encouragement that make a difference.

Let’s Talk About What Works for You

Fatigue is personal, and what helps one person may not help another. But together, we can explore the strategies that make the most sense for your body, your life, and your goals.

Whether you’re navigating a new diagnosis or you’ve been living with MS for years, your care team at MCMS is here to walk this road with you.

Please bring up fatigue at your next visit – it’s not a side note. It’s part of your care, and you deserve support.

With you in hope and in care,

Your MCMS Team