Fatigue
Fatigue or tiredness is one of the most common and troublesome symptoms of MS. It affects about two thirds of people with MS and can last for months or even longer.
At least two types of fatigue are known: One is a continuous tiredness that makes it difficult for you to complete even the easiest of tasks. Another type occurs spontaneously after a few minutes of physical activity. The latter generally affects the legs and disappears after a short rest, but it can also affect vision which deteriorates when reading, but returns after a short break.
Tiredness typically gets worse in hot weather or after a hot bath. A rise in body temperature, say for example due to a fever, may also worsen this condition.
Therefore, people with MS who are affected by fatigue complain about a drastic reduction in quality of life as a result. Although fatigue may be directly linked to MS activity, other factors such as inactivity can also contribute. Decreased strength, depression and sleep disturbances can also be caused by attacks of fatigue.
Managing fatigue
If fatigue comes from other sources than MS, such as sleeping disorders, that result in daytime sleepiness, the underlying illness should be identified and treated directly. If tiredness becomes a major problem for a person with MS, a thorough medical examination should be undertaken by a neurologist to eliminate any other reasons for fatigue. If MS is the major basis for fatigue, changes should be made in one's lifestyle and occupation. Few drugs have been effective in combating MS fatigue. However, people with MS affected by excessive fatigue have reported positive results through therapy. Please ask your doctor which medication is suitable for your particular condition.
Non-pharmacological strategies include regular bedtimes, frequent breaks in regular activities and an exercise programme with moderate muscle training. Techniques such as stress and time management, setting priorities, planning activities ahead of time and work simplification are further strategies which can be employed to control fatigue. Cold showers and baths can also help, as does air conditioning in warm weather.
Yoga, or meditation combined with exercise may work for others. Since overexertion aggravates symptoms, avoiding this will make people with MS more comfortable, although it will probably not change the course of the condition.
