Neurological
Multiple Sclerosis
Manage symptoms, conserve energy, keep doing what you love.
What is Multiple Sclerosis?
Multiple sclerosis (MS) is an autoimmune condition in which the immune system attacks the protective covering of nerves, disrupting communication between the brain and the body. Symptoms vary widely and can change over time. Physiotherapy helps maintain function, manage fatigue and adapt to symptoms as they fluctuate.
Multiple sclerosis affects everyone differently, and so does our therapy. We design flexible, energy-aware programmes that improve strength and balance while managing fatigue and spasticity through relapses and remissions.
Signs & Symptoms
- Fatigue, often disproportionate to activity
- Muscle weakness and spasticity
- Balance and coordination problems
- Numbness, tingling or altered sensation
- Walking difficulty and foot drop
- Heat sensitivity worsening symptoms
Our Approach
Therapy is tailored to your current symptoms and energy levels, with a strong emphasis on fatigue management and pacing. We combine strengthening, balance retraining, stretching for spasticity, and gait aids where needed — always adapting around relapses and good days.
More Energy
Smart pacing to do more with less fatigue.
Steadier Balance
Reduce falls and walk with confidence.
Less Stiffness
Manage spasticity and discomfort.
Sustained Function
Keep independence through changes.
Your Treatment Journey
- 1
Symptom & Energy Mapping
Understanding your fatigue patterns and priorities to plan sustainable therapy.
- 2
Fatigue Management
Pacing, energy-conservation and breathing strategies for everyday life.
- 3
Strength & Balance
Gentle, progressive exercise to maintain function without overload.
- 4
Spasticity & Mobility
Stretching, positioning and gait training to keep you moving safely.
- 5
Flexible Review
Adjusting the plan through relapses, remissions and changing needs.
Recommended Exercises & Home Care
Simple activities that often support recovery between sessions — your therapist will tailor and progress these for you.
Gentle stretching
Slow stretches for tight muscles ease spasticity and keep joints comfortable.
Seated strengthening
Low-effort leg and arm exercises maintain strength without triggering fatigue.
Balance practice
Standing near a counter, narrow your base of support to challenge balance safely.
Breathing & pacing drills
Paced, diaphragmatic breathing supports stamina and helps manage fatigue.
Things to Be Aware Of
- Avoid overheating — exercise in a cool room and hydrate well.
- Pace yourself: stop before exhaustion, not after.
- Adapt activity around relapses and good/bad days.
- Use support for balance work to stay safe.
General guidance only — always follow the personalised plan from your physiotherapist before starting any exercise.
Frequently Asked Questions
When carefully dosed, exercise actually reduces MS-related fatigue and improves stamina. We teach pacing so you build capacity without overdoing it.