Navigating multiple sclerosis can often be confusing, especially if you’re doing it on your own. Whether you’re newly diagnosed, have been living with the condition for some time, or know someone else with MS, understanding the symptoms and what triggers them can help you improve your quality of life with MS. There are a variety of conventional treatments, such as medication, and holistic approaches, such as nutrition and lifestyle adjustments, that can support your symptoms and help you lead a fulfilling life.
Understanding the available conventional treatment options is a crucial step in managing MS. It’s important to remember that while each treatment has its benefits, they also come with potential side effects. With this in mind, let’s explore what treatment options are available.
Plasma exchange is a process in which plasma, the fluid remaining after red and white blood cells and platelets have been removed from the blood, is taken from the body and replaced with a plasma replacement fluid. This procedure is aimed at removing harmful substances present in the plasma that are believed to contribute to the MS disease process. This treatment is typically considered during acute flare-ups when there is a lack of response to high-dose corticosteroids. Some side effects of plasma exchange include allergic reactions, low blood pressure, hypothermia (low body temperature), and hypocalcemia (low blood calcium levels). (Source, Source, Source)
Inflammation is a known contributor to MS. Incorporating nutrient-dense, anti-inflammatory foods into your diet can help manage your symptoms and improve your overall health. Regularly consuming foods that are rich in nutrients such as vitamins, minerals, fiber, probiotics, and antioxidants is also beneficial for your gut health. This is important in managing MS symptoms as research has found that those with MS have an altered gut microbiome (dysbiosis). The gut contains about 70%–80% of the body’s immune cells, so any changes to the gut microbiome can lead to immune dysregulation. (Source, Source)
These nutrient-dense foods may help lower inflammation and manage MS symptoms:
Understanding which foods may potentially worsen your symptoms is just as important as knowing which foods can help improve your health. Here are a some foods that are pro-inflammatory or are known to impair the balance of gut bacteria:
In addition to regularly consuming nutrient-dense foods, supplements can be a helpful tool in managing your symptoms. Before incorporating any supplements into your daily routine, make sure to check in with your health care provider.
Vitamin D, often referred to as the “sunshine vitamin,” has been a focal point of MS research. Low levels of vitamin D have been linked to an increased risk of developing MS and may influence disease activity and progression, though more studies are needed to understand the exact association between vitamin D and MS. (Source)
The B vitamins, particularly B1 (thiamine), and B12 (cobalamin), play crucial roles in nerve function and energy production. For individuals with MS, these may help in managing fatigue. One study found that vitamin B12 and vitamin B9 (folate) improved both physical and mental quality of life. Vitamin B12 in particular is essential for maintaining the myelin sheath, the protective covering of nerves that is often damaged in MS. (Source, Source, Source)
Vitamin A is crucial for maintaining vision health, immune function, and cell growth. More research is needed on the exact relationship between vitamin A and MS, however supplementing vitamin A may potentially aid in the maintenance of a healthy immune response. (Source, Source)
Omega-3 fatty acids are known to have anti-inflammatory properties. A study using mice published in the journal BMC Neuroscience found that omega-3 fatty acids may lower inflammation linked to MS and so may also reduce MS severity. It’s important to note, though, that the study was conducted with mice, so more research will be needed to confirm its benefits for humans. (Source, Source)
There is increasing evidence showing the connection between gut health and autoimmune diseases, including MS. The gut microbiome aids in the development of the immune system, while the immune system regulates the interactions between the gut and the rest of the body. Probiotics can keep your gut microbiome balanced and may help reduce inflammation. (Source, Source)
Living with a chronic condition like MS has its unique challenges, but adopting certain lifestyle practices can help manage your flare-ups and enhance your quality of life.
Adding gentle, mindful movement to your daily routine can reduce fatigue, boost your mood, and be incredibly beneficial to your overall health. Exercise looks different for everyone — maybe you enjoy yoga, swimming, or stretching. Even incorporating simple acts of walking up the stairs instead of taking the elevator, or going for short walk breaks throughout the day, add up to a lot of extra movement. Before starting a new workout plan, be sure to consult with your health care provider to ensure that your new routine fits your current needs. (Source)
A good night’s sleep is an integral part of a healthy lifestyle, but autoimmunity can make it hard at times to achieve this. About 38% of those with MS experience poor sleep. Research indicates that a chronic lack of sleep may be a factor in the risk of developing autoimmune diseases. Incorporating good sleep hygiene practices into your evening routine such as maintaining a regular sleep schedule, creating a comfortable sleep environment, eliminating electronic devices from the bedroom, and avoiding stimulants like caffeine in the evening can help you get quality sleep. (Source, Source, Source)
Stress management plays a crucial role in managing MS. Chronic stress can trigger the immune system, causing an inflammatory response that can worsen your symptoms. Techniques such as journaling, meditation, and spending time in nature can be powerful tools in your stress management arsenal. (Source, Source, Source)