MS Related Fatigue

 

A 2003 study demonstrated that fatigue is more common than other major symptoms such as: motor difficulties, spasticity, and weakness.  The national Multiple Sclerosis Society reports that up to 95% of persons with MS report fatigue as a symptom.  Fatigue is reported by people with all types of MS and both genders.

 

It is the “hidden symptom” that is not easily seen by others.  It is often misinterpreted as a mood disorder or just plain laziness by others.

 

The Multiple Sclerosis Council for Clinical Practice Guidelines defines fatigue as “lack of physical energy, mental energy, or both:  It further breaks it down into two general types. 

  1. Chronic persistent fatigue is described as a “sluggishness” that limits activities for a period 6 weeks or more and occurs for part of the day on at least half of all days. 
  2. Acute fatigue is defined as a new or noticeable worsened fatigue in individuals who have experience chronic persistent fatigue: it can be a marker for the worsening of other MS symptoms.

 

For those of us with MS, fatigue can be a constant companion, occurring on a daily or almost-daily basis.  It also occurs more suddenly in those with MS, tends to come on more easily than in healthy individuals, and can be much more sever.  MS-related fatigue is often reported in the morning, even after a restful night’s sleep, and usually worsen over the course of the day.  Heat and humidity often make it worse.

 

There are many non-pharmacologic therapies for MS fatigue.

 

  1. occupations therapy
  2. physical therapy
  3. sleep regulation (including the use of sleep medications)
  4. stress management, physiological interventions such as: stress management, psychotherapy, and relaxation therapy
  5. strategies to manage heat-related fatigue
  6. fatigue medications

 

Always consult a medical profession who can recommend the options that are best for you.