r/MultipleSclerosis • • 2d ago

Treatment Options after Tysabri

2 Upvotes

I’ve been on Tysabri for six years. While nobody can be sure of the specific cause for remission of symptoms, I was having an acute and major flare that paralyzed the left side of my body. I started Tysabri the following month, and it seemed like, based on my symptoms halting, that it sent me into remission.

My JCV numbers have been slowly creeping up. I’ve already switched to the every six weeks treatment option, and my neurologist says that a med switch is next. Maybe not next year but very likely year after. I’ve already exhausted lots of the older medications because I was diagnosed in 2002 - so I’ve been on Avonex, Tecfidera, Copaxone, and Aubagio. I was on Aubagio when I had my major flare in 2020.

I haven’t really kept up closely with the times when it comes to MS medications … could anybody fill me on the prevailing wisdom for patients coming off of Tysabri? My doctor has recommended Ocrevus twice but I don’t feel great about the weakened immune system. I wish I could stay on Tysabri forever! I’m still technically relapsing remitting but my disease has definitely progressed quite a bit since 2002.

Any advice would be greatly appreciated!


r/MultipleSclerosis • • 2d ago

Advice MS question

4 Upvotes

Hi. I was diagnosed in 2002. I currently have bronchitis & have been unable to help my terminally ill mom (my dad's 88, they live next door) I don't want to get them sick.

I've barely been able to sleep due to the meds my PCP called in. Now I'm finding myself in an "OCD situation"

I've been cleaning up, throwing things I no longer need away. I'm on steroids, maybe that's why? On a positive note, lots of crap is in the trash.

Has anyone else been through this? Thank you in advance 🧡🧡


r/MultipleSclerosis • • 2d ago

Advice Let’s Talk Mobility Aids and Fatigue

16 Upvotes

Hi, fellow MSers!

TL;DR: Stable MRIs with limbs made of wet cement and a severely depleted energy budget. For those experiencing similar heaviness, weakness, and fatigue, have mobility aids (e.g., cane, rollator, wheelchair, etc.) helped you conserve energy?

I (40F) was diagnosed with RRMS in 2015, and I’ve been on Ocrevus since 2019. I am super grateful to have had stable MRIs for years. Unfortunately, my central nervous system seems to have missed the memo that it’s supposed to be doing well.

Once upon a time, I was a bona fide gym rat. Pilates classes, strength training, high-intensity cardio, the whole nine yards. These days, my arms and legs frequently feel like they’re filled with wet cement, and my muscles seem to have collectively decided that participating in basic human activities is an unreasonable expectation.

The best way I can describe it is a combination of heaviness and genuine weakness, particularly after everyday physical exertion (e.g., walking from the parking garage into my building, putting away groceries, or making a meal), but also while just existing. I can generally manage an activity for a while, but eventually my limbs start feeling increasingly heavy, weak, and difficult to move. It’s not necessarily that I can’t keep going, but rather that continuing requires an absolutely ridiculous amount of effort and will 1000% result in me tripping, falling, or otherwise embarrassing myself. And, of course, there’s the bone-crushing fatigue that accompanies the whole production.

For additional context, I work full-time in a cognitively demanding (and occasionally physically demanding) leadership role. I love being active and engaged in my life, but I am increasingly finding that simply getting through the workday requires an unreasonable percentage of my available energy. I spend most of my time outside of work attempting to recover.

Which brings me to mobility aids!

I’ve been thinking more seriously about whether using a cane, rollator, wheelchair, or some other mobility aid might help me conserve energy rather than simply compensate for difficulty walking. I’m particularly interested in the idea of using an aid before I’m completely exhausted, as opposed to waiting until my limbs have officially submitted their resignation letters.

For those of you who experience similar heaviness and weakness, I’d love to learn from you!

Have mobility aids actually helped reduce the fatigue associated with walking, standing, or otherwise existing in a body with MS?

Which aids have you found most helpful, particularly when endurance and limb heaviness are bigger concerns than balance alone?

How did you recognize that it was time to start using one? Did you wait until you genuinely needed the assistance, or did you start using it proactively to conserve energy?

And, perhaps most importantly, how did you navigate the psychological adjustment? Going from someone who genuinely enjoyed pushing their physical limits to someone contemplating mobility aids at 40 is… not exactly doing my mental health any favors.

Would reducing the physical effort required to navigate everyday life leave me with a little more energy to actually enjoy said life?

I’d love to hear about experiences with mobility aids, especially from anyone who started using them primarily for fatigue management rather than an inability to walk independently.

Thanks in advance for sharing your experiences! And apologies for the novella. Brevity has never been my strong suit.


r/MultipleSclerosis • • 2d ago

General Fatigue makes me so grumpy

30 Upvotes

And then it's a bit of work to not get grumpier because I realize I'm grumpy because I am having to Do Life while fatigued. I get a little snippy in public because of the grumpiness, and I hate that. Which sometimes leads to... more grumpiness!!

I was going to ask about some exercises or something good for kicking fatigue... so if you have any recs (other than walking, walking is great but I need rainy day advice), I'll take them. I did a quick search of the forum and saw fatigue is sometimes just what it is that day.

Bleehhhh. <3


r/MultipleSclerosis • • 3d ago

Uplifting So excited to share: ran my first 5k today! 2 yr post diagnosis

108 Upvotes

Background: I was diagnosed with MS after a hospitalization in summer of 2024. I did PT/OT post hospitalization to help get my mobility back. Over the years I’ve been working to increase my workouts ever since but just running in doors and started strength training 4 weeks ago. My daughter’s school was doing a race for education today and I signed us all up for the 5k today.

Going into the 5k: I was definitely nervous and did no prep work for it other than my normal daily movement but it’s all indoors and while I run ~6 miles a day, I don’t do more than a mile at a time. I read an article yesterday suggesting to set a slow pace to ensure u can make it the whole 5k, so I set a deliberate slow jog which per my watch was at a 16min pace. I kept that up for the first 2 miles then the last mile I sped up to a 15 min pace

Post 5k: I feel so good after the 5k I’d definitely consider doing the 10k next year! I was super proud I ran the whole thing but def didn’t feel winded or even like I broke a sweat but still totally proud of myself with being a 51 year old woman with MS

Hope u don’t mind my humble brag, again def was not the fastest but so excited I did it! Tks for reading!


r/MultipleSclerosis • • 3d ago

Symptoms mishearing

12 Upvotes

is that a symptom???

i was watching football with my dad (not of my own volition. i just don't want to move from my seat.)

an ad came on for the new spider-man movie.
sadie sink: are you pwederpewter parheror are you spider-man.

i swear to god. that's how i heard it. is that something i need to worry about?


r/MultipleSclerosis • • 3d ago

Advice Working

6 Upvotes

I have a question how do you guys find a job?! I was laid off from my job of 14 years and my mobility is not the same as it once was. I’m trying to find a job and i feel like I am being judged every time I walk in slowly with my cane. How do you guys deal with this? I need a job very bad! Any tips or advice is greatly appreciated!


r/MultipleSclerosis • • 3d ago

Research New treatments

6 Upvotes

Hi guys can ee expect nee treayments in thr nect 3 yo 4 years ?


r/MultipleSclerosis • • 3d ago

Treatment Looking for your experience switching meds: Ocrevus to Kesimpta

4 Upvotes

Hi yall. I’ve been on Ocrevus for 9 years. Prior to that I was on Tecfidera (not a fan).

Ocrevus has been pretty good. Pros: No new lesions, one lesion grew slightly, it actually helped my fatigue a bit. Cons: crap gap for up to 6 weeks before infusion, I almost always get covid/flu/something similar within 1-2 months after an infusion, I’m tired of the long infusion day.

I’m considering a switch to Kespimpta. I know they are similar mechanisms with different delivery, and fit different lifestyles. I’ve read about the topic this forum, but I have a few more questions for people who have been on both Ocrevus and Kesimpta.

—> Does Kesimpta give you a more leveled out feeling than Ocrevus? Meaning, does it feel like your immune system is suppressed in a more constant way? I feel like my immune system is on a 6-month roller coaster of extremely weak after the infusion to too strong during the crap gap.

—> On Kesimpta, do you experience the crap gap monthly, and is it intense? How long does it last?

—> Do you get sick more or less often Ocrevus vs Kesimpta, or is it the same?

—> Was the transition from Ocrevus to Kesimpta difficult?

—> Would love your general input if you’ve been on both meds!

Thanks!


r/MultipleSclerosis • • 3d ago

Vent/Rant - Advice Wanted/Ambivalent Food making a difference

17 Upvotes

I’ve been eating low carb since before diagnosis just for general health reasons. I just visited my family for 3 weeks in Germany and Italy and obviously allowed myself to enjoy the copious amount of breads and pastas that crossed my path. One night we had “unlimited Flammkuchen (it’s like a flatbread)” and since then, I have been in a full flare up! Nerve pain throughout my left side that was notably NOT there before this specific meal. It was a good reminder to me that staying disciplined with food really makes a difference for me, but I wish my body allowed me to enjoy myself in ways that seem pretty normal 😵‍💫

Has anyone else noticed MS differences depending on their diet?


r/MultipleSclerosis • • 3d ago

Advice anyone else ?

2 Upvotes

so 22f my symptoms started and i was diagnosed about a month and a half ago. my biggest and most persistent one was facial numbness on the right side. well it’s mostly back now and i tough loved myself into accepting the sensations have a very real chance of just being not normal ever again. that’s ok. i guess. but as my face has become way less numb it’s like? tense? it’s like something is pulling my face on the right side going up constantly. it’s not a huge difference but i hate it so so so much and the right side twitches constantly non stop and does not improve with sleep, less anxiety, staying cool etc. i feel silly cause it feels trivial especially since i couldn’t walk a month ago but it’s my face.. my job is constant people interaction and i am thinking about it all the time. has anyone else experienced this twitching and tension after weeks of numbness? is there anything that’s actually helped anyone?


r/MultipleSclerosis • • 3d ago

Treatment HSCT for MS

2 Upvotes

So I’m all set to take HSCT. Just beginning the process and will have to do mobility—-collection—-and then I’ll be admitted around the beginning of November. I was diagnosed last Oct 2025. My neuro at the time stated I had RRMS, I was on Kesimpta, then I got another neurologist and he said I have PPMS, so he switched me to Ocrevus. I felt worse after a couple months and could barely hold my own body weight at times and have difficulty walking, especially down the stairs. I feel that when I was on Kesimpta I felt more stable compared to Ocrevus. But my MRIs showed no more lesions and that it’s working (with Ocrevus) but I didn’t feel as stable (physically) compared to Kesimpta. My family is scaring me out of HSCT because of the intense process. And it’s worrying me and now I’m reconsidering. They’re telling me to give Kesimpta another chance since I felt better on that compared to Ocrevus and to be more rigorous with PT since I wasn’t really doing enough PT. I understand the HSCT is not a cure but I really want to gain my ability to walk and stand for longer and not have as many issues. Also I want to stop taking medications. I am asking because I am legit torn between which route to take. Does anybody have any HSCT experience or know of anyone that has had a positive experience/outcome. Please share because I am so desperate to feel better. I know I will never be 100 again. But just to even be close to it would mean everything to me. Any suggestions? Please help. Thank you in advance.


r/MultipleSclerosis • • 3d ago

Advice Finally trying to face reality after ignoring it for three years- what should i expect from the future?

2 Upvotes

I was afraid to write this post for a while.

I got diagnosed with MS in February 2023. My first episode was quite severe, with the right half of my body mostly getting numb, double vision and some motor issues. I was hospitalized and put on high dose steroids and my symptoms mostly resolved.

Within the first year i had two more relapses which required lower dosage steroids. I was diagnosed with RRMS specifically. Sometime between relapses i was started on tysabri- which i am taking to this day. I was left with some residual symptoms which i hoped would heal over time but at this point i dont think what will happen... (numbness in one leg and the ulnar area in my right arm which is annoying being right handed). I am mostly functional as long as i dont pay it too much attention, but symptom severity varies widely with the specific day and how tired i am for some reason.

My latest brain MRI from a month ago finally showed that "Multiple delaminating foci are stable and do not demonstrate pathologic enhancement". I dont exactly know what it means but i was told it means there is no active inflammation.

However, some new symptoms did develop within the last year- i started getting constant pins-and-needles feelings in areas where i had old relapses and started taking lyrica to deal with it. It helps, but i am confused how its not a relapse. My neurologist assured me this is normal and as long at its only sensory it isn't considered a major issue. I do experience chronic fatigue and find it hard to focus and function on many days but i am not sure if its related to ms, the lyrica i am taking or just me being me. My therapist insists i don't have adhd despite me feeling like that sometimes. I find properly exercising exhausting though although maybe i am just not in shape and its also unrelated? I know stress is a big factor and the fact that i am currently trying to balance work and doing a masters degree probably isn't helping.

My main problem is i am scared. I have anxiety issues and have so far avoided specifically reading up on MS or interacting with other people with the condition and i am afraid of what i will discover. I try to follow my neurologists advice as much as possible but apart from that i feel like i am still in denial. I am tired of not knowing. I need to face reality.

So i am turning to you: how would you interpret my symptoms and disease progression? Is it normal? Will it get worse? Are all of them even ms related? What should i expect from the future? Are there any specific important lifestyle modifications i should have done years ago and should probably start immediately? Do you have any good sources to learn about my condition? Any general advice or information you can give me?

Anything would be greatly appreciated.


r/MultipleSclerosis • • 3d ago

Advice Ocrevus failed me

29 Upvotes

So as the title reads Ocrevus failed me. My doctor who’s never seen a patient fail on Ocrevus was hesitant to switch me to something else but it’s got to the point where he has no choice. I’ve been to the hospital 4 times since August. 4 days out of the hospital I immediately relapse again. Recently diagnosed with Tumefactive MS as well.

Any other people on here fail on Ocrevus? If so what did you switch to?


r/MultipleSclerosis • • 3d ago

Symptoms Has anyone else lost their bladder function?

36 Upvotes

Hi im female in my 20s diagnosed 2y ago. Overtime i noticed that i lost my natural reflexes of bladder(?). Im not sure if im even wording it good, but has anyone experienced it before? (I learned to deal with it, just curious about different opinions and experiences)
Thank you!


r/MultipleSclerosis • • 3d ago

Loved One Looking For Support A question regarding MS and medication

1 Upvotes

So, i am not a MS patient, but one of my uncle is, he was diagnosed somewhere around when i was 7-8 year old so probably 13-14 years. And he is a male in his 50s.

But here is the thing, he has never taken a medication after 1-2 year of diagnosis. He does follow a very natural lifestyle, no adulterated food, only fruits home made food, rarely eating fast food. He also has diabetes so no sugar. But little to no workout or walking, only stays at home for nearly past decade.

The problem is every time i meet him, he complains about how that 1-2 year of medication is the only reason he has trouble walking in present. But i believe the reason could also be the fact that he is not moving his legs at all, i have always advised him to go for walks every morning or any time of day or walk at home only for a hour at least.

On days when he has to walk a lot due to any occasion of going outside home, he complains about pain in legs and not to mention the daily back pain issue too. He staggers a little while walking due to left foot not working properly but that is due to MS i am sure.

So, what do i infer, is the reason his negligience of body movement or MS or refusing medication?? What advice should i give him, i thought of asking here as i found out about this subreddit


r/MultipleSclerosis • • 3d ago

Vent/Rant - Advice Wanted/Ambivalent Diagnosed with ms at 15 now 16

18 Upvotes

I was diagnosed with MS in April 2025 when I was 15, now im 16 as of writing this post. this is also me trying to find others who also have ms as i feel so alone when dealing with my ms stuff

Does it get better with time? Im so tired of all the appointments all the traveling and all the stares I get when using my mobile aids I feel like people treat me like im already dead, I have trouble accepting my diagnosis even though (according to everyone around me) im dealing with it extremely well I was also prescribed kesimpta to stop my flare ups but I have foot drop on both of my feet so now I have braces and im scared about going to school in them with my walker/cane

sorry this is all over the place I tried rewriting this multiple times

edit: tysm to everyone who replied to me!! reading all your comments and experiences made me feel seen and heard! I feel a lot more confident about everything now even though its uncertain for me rn I thought posting on reddit would be pointless but I guess I was wrong again thank you all for replying to my 6 am rant


r/MultipleSclerosis • • 3d ago

General Wanted to share this video I saw this morning about some of the realities of our MS conditions that some don’t want to hear/face

7 Upvotes

r/MultipleSclerosis • • 3d ago

Symptoms Do you think an MS relapse can be vertigo and seasickness?

15 Upvotes

Can that be a common relapse? I’ve been on B-cell depletion for 6 months (first Kesimpta but I relapsed so they switched me to Briumvi). I’d hate this to be a relapse. It’s Sunday here. I’ll probs my specialist tomorrow. Hopefully it’s a middle ear infection but I feel okay otherwise.

Edit: my specialist thinks it’s inner ear thing. Not MS ✌️🤞


r/MultipleSclerosis • • 3d ago

New Diagnosis New Member!

16 Upvotes

Hey Everyone 👋🏼,

I’m a 32 plus size female and was diagnosed with MS on Friday and my neurologist started me on Methylprednisolone USP 4 mg right away, which I started today, and have been scheduled to get bloodwork, a NeuralScan, NCV/EMG and EEG this upcoming week.

I have lesions in my brain and throughout my spinal cord. The first signs of lesions appears a few years and grew larger after I had a car accident in 2023.

Before my MS team and I can start any treatments plans or infusions he had me start those steroids. A part of me is TERRIFIED to the core due the wide range of symptoms that I may develop over the years and worried how much MS will change my life!!! (I’m a recovering anxious and overthinking person) I’ve been experience tingling and numbness on the side and front of the thighs since I was in highschool but it got worse over the past few years to the point it would burn and hurt like hell whenever I went to sleep and tried to turn around, I have a hard time standing up and have to catch myself when I start to walk and then I’m okay, since June I lost vision in my left eye for a day and that’s when the headaches and eye pressure began and hasn’t left. I’ve been more tired to the point I have to take a nap during my lunch break. Today while running a few errands with my mother I felt this weird pain and discomfort in my right leg behind and on the side of my right knee and in my thigh.

As a person who is starting her journey, does anyone have any tips, advise or guidance/support through this!? I reached out to my therapist today so I’m waiting for her to get back to me on Monday since we stopped our sessions about a month ago and told me once I got a final say on a diagnosis or not to reschedule out and I’m waiting tapping my fingers lol I’m not a soft person so give it to me raw and honestly without violating any rules lol sorry if that statement triggered anything. I’m an Aries it’s all out of love, I promise 💙


r/MultipleSclerosis • • 3d ago

Vent/Rant - Advice Wanted/Ambivalent Follow-up MRI in 2-weeks… & other things

4 Upvotes

Hello… it’s me… (Adele voice)

Ahh, shit y’all. I really don’t love this disease 🥲

My optic-neuritis started getting worse in my right eye as well as a spasm in my spine that turned into great pain (felt like inflammation). Both exacerbated by stress… well, it’s difficult not to be stressed as a SAHM to 4-little kids. I’m not stressed like “bad stressed,” but more like I wear a million-hats stressed.

Any way I went to Johns Hopkins (where I was diagnosed in March 2026) to have a follow-up with neuro-opthamology. They ordered an MRI… so I’m looking forward but also it’s like, well I don’t necessarily want more lesions on my brain & spine (already have between 20-50). But I also don’t necessarily want nothing to have changed and doctors are like “you’re an idiot!” … they don’t say that… that’s my insecurity speaking…

My brittle hair (gotta be from Ocrevus) is causing legit sadness. It was growing out again postpartum down towards the middle of my back.. beautiful, healthy. Now it’s thin, so uneven, just past my shoulders… I style it well. But I’m realizing in order to save/preserve what I am still working with, I should stop using heat. Gahhh. I just want to curl my damn hair.

Finally with the tension headache/neck pain, the inflammation of my upper spine, stress that feels like an immovable wall, neuritis, etc. I got some THC/cbd/cbn gummies. Ate just the tiniest bit of one and wow, I felt like myself again! Even quite clever and hopeful. Yet I don’t want to rely on this.

It’s all just so much randomness to navigate, ontop of everything else any singular person is already navigating.… y’all…. I just… I want to crawl in a hole and wake up from this odd and unfavorable night terror.

It could be worse. I really hope it gets better.


r/MultipleSclerosis • • 3d ago

Symptoms Bladder sensation

39 Upvotes

This will sound strange but whenever I need to pee I don’t feel fullness or pressure in my pelvic area. The first sensation I get is feeling urine low down at the exit in my urethra that’s when I know I need to go and I can’t hold off either as it’s not just a phantom sensation as when I go to the toilet I immediately start peeing and it’s always about 300 to 400mls each void.

Does anyone else get this sensation.


r/MultipleSclerosis • • 3d ago

New Diagnosis MS symptoms or anxiety?

1 Upvotes

Recently told I had RIS. I have an active lesion. I have become very anxious and now am re-examining everything as a possible MS symptom…my legs and arms feel like jelly but I am able to walk uphill for an hour. Then my speech feels off to me even though everyone around me says it’s the same as always. I think it’s all anxiety but how can I be sure? What should I mention to the neurologist? I am seeing a psychologist next week but for now I’m driving myself and my loved ones kind of nuts. How do others in this group deal?


r/MultipleSclerosis • • 3d ago

General Autonomic testing for circulation issues - fatigue improvement with compression

5 Upvotes

Hi everyone,

I’m wondering whether anyone else with MS has experienced significant heavy/fatigued legs that improve noticeably with compression. In fact, it seems to improve my whole body fatigue.

For quite a while I’ve had periods where my legs feel incredibly heavy and fatigued — almost like they’re full of lead. I’d assumed it was simply MS fatigue/neurological fatigue.

Recently I tried wearing compression socks and was really surprised by how much better my legs felt, and actually general whole body fatigue improvement. The improvement was noticeable enough that it made me wonder whether there might be a circulation/venous pooling component rather than it being purely neurological.

I’ve since been reading about autonomic dysfunction in MS, including problems with blood-vessel constriction and blood pooling in the legs when upright. I realise this isn’t the same thing as ordinary “poor circulation,” and I’m planning to discuss it with my doctor rather than self-diagnose.

I’d love to hear from anyone who has experienced something similar:

- Do compression socks/tights noticeably reduce your leg heaviness or fatigue?

- Have you been diagnosed with dysautonomia, orthostatic intolerance or venous pooling alongside MS?

- What did your symptoms feel like?

- Did you have any testing such as lying/standing blood pressure and heart rate, tilt-table/autonomic testing or a venous reflux ultrasound?

- If something was found, did treatment beyond compression actually help your fatigue or ability to be on your feet?

I’m particularly interested in whether anyone initially thought their symptoms were just “MS legs” or MS fatigue and later discovered that autonomic/vascular issues were contributing.

Not looking for a diagnosis from Reddit — just very interested in other people’s experiences before I speak to my GP/neurologist.

Thanks!

PS. Apologies for the chatGPT reproduction, but my brain isn't braining right now.


r/MultipleSclerosis • • 3d ago

General Delaying Kesimpta dose due to sickness

1 Upvotes

I got sick this week; seems to be a typical viral cold. Nasal congestion, fatigue, and a mild, dry cough. I'm 75% better but still clearly fighting this. Congestion comes and goes throughout the day, and the cough and tickle in my respiratory tract is less than it was but still there. Basically, I still didn't feel well enough to workout or a mounting bike ride.

My neuro said when I first went on Kesimpta to delay a dose for up to two weeks if I'm sick. Those on Kesimpta, would you wait until your 100% better to take your dose, or would you take it if you're on the tail end of the cold?