I want to thank Nadja, Vicki, and Susan from the on-line MS community for their contributions and additional information about the topic of exercise for MS patients.  Each of these individuals offers their unique knowledge and perspective on this topic.  Thank you for going above and beyond my expectations when I asked for your expertise in writing about exercise and MS.

Nadja is a blogger, MS patient, and yoga instructor who offers this wisdom about exercise:

"My attitude about exercise and stretching is deeply rooted in my philosophy as a yoga teacher and practitioner.  I was raised as a competitive runner and gymnast but after the time all the pressure of competing took its toll and those activities lost a great deal of their charm.  In yoga we promote a non-competitive environment and I love that.  Practicing yoga means being free of judgment about yourself and the others around you. It is ok to challenge yourself but first and foremost, in any exercise, you must listen to your body.

I think it is important for people with MS to stay active and exercise regularly to detoxify the body and mind.  Just moving can lift a lot of anxiety and depression.  Even those in a wheelchair can do small amounts of exercise.  Yoga is one of the ideal activities forMSers because it offers something for every level.

In yoga you should never feel real pain so if you are in pain or overheated, you need to back off.  The same is true for any exercise, especially for those with MS.  Whatever stretches you do, it is important to work into them slowly and fill the pose with breath.  Start easy and build as you go."

Next up is Susan Dorne, otherwise known as "Schmoozin Susan" who writes for Stu's Views and M.S. News and who is a practicing occupational therapist.  Susan is going to address why exercise is good for those of us who have Multiple Sclerosis.

The Importance of Exercise and Stretching with MS

Multiple sclerosis can bring about many symptoms including weakness, spasticity, loss of range of motion, lack of mobility and pain. I know, I have had MS for 13 years and have been challenged with these symptoms. Besides taking medication, exercising and stretching can make a big difference.

Many people with MS find it hard to think about exercise especially when they are dealing with fatigue. For me, there are some days when I credit getting out of bed as my form of exercise for the day! But once I start to stretch and do a little exercise, I can truly feel a difference.

There are several benefits to exercise. Exercise can increase strength in weak muscles, maintain strength in existing stronger muscles, improve range of motion, increase flexibility, and improve your endurance. As muscles strengthen, it can help with balance, coordination, and walking. Stronger muscles and increased endurance will also help with activities of daily living (eating, hygiene/grooming, bathing/showering, dressing, and personal care) even if using adaptive equipment. An added benefit to exercise is the release of natural proteins called endorphins. These "feel good" chemicals help in managing pain, reduce fatigue, and help with depression. Not only will you feel better physically, your mental outlook will also improve.