Multiple sclerosis (MS) affects the central nervous system and shows up differently in every person. Common challenges include fatigue, muscle weakness, balance problems, stiffness and changes in walking. For many years, people with MS were told to rest. We now know that regular, appropriately dosed exercise is safe for most people and can support strength, fitness and everyday function.
What Physiotherapy Can Do for MS
A physiotherapist assesses how MS is affecting your movement, then builds a program around your goals. This may include:
- Strength training for the legs, hips and core
- Balance and coordination training to help reduce falls
- Walking practice and advice on walking aids or footwear
- Stretching and positioning for stiffness or spasticity
- Strategies for managing fatigue, including pacing
Where Exercise Physiology Fits In
Exercise physiologists specialise in using exercise to manage chronic health conditions. For people with MS, they can design longer-term programs that build general fitness and strength while taking fatigue and heat sensitivity into account. Physiotherapy and exercise physiology often work well together: the physiotherapist focuses on movement quality, balance and walking, and the exercise physiologist helps you keep building fitness and strength over time. We explain the difference in our physio vs exercise physiology guide.
Managing Fatigue and Flare-Ups
Fatigue is one of the most common MS symptoms. Good programs use short, regular sessions, rest breaks and cooler environments, and are adjusted if symptoms change or you are recovering from a relapse. Always tell your physiotherapist how you are feeling that day so they can adapt your session.
MS and the NDIS
Many people with MS are NDIS participants. Physiotherapy and exercise physiology can support goals in a plan such as improving mobility, staying independent at home, maintaining fitness and reducing falls risk. How these supports are funded depends on your plan and how it is managed, so it is worth discussing your goals with your support coordinator or plan manager before you start.
This article is general information, not personal medical advice. Funding depends on your individual NDIS plan, goals and the supports the NDIA considers reasonable and necessary.
Frequently Asked Questions
Is exercise safe if I have MS?
For most people, yes. Exercise should be tailored to your symptoms, energy levels and any relapses, and is best guided by a physiotherapist or exercise physiologist who understands MS.
Will exercise make my fatigue worse?
Poorly planned exercise can, but well-paced, gradually progressed programs often improve energy and function over time. Your clinician will help you find the right amount.
Can I use NDIS funding for physio and exercise physiology?
Both may be funded if they are linked to your plan goals and considered reasonable and necessary. Check your plan details and talk to your plan manager.
Book NDIS Physiotherapy at Burwood Physio
We can help you build a safe, well-paced program that fits your goals and your energy. Call 02 8322 9022 or book online. We are open Monday to Friday 7am–7pm and Saturday 8am–6pm, at Shop 2, 36–38 Victoria Street East, Burwood, one train stop from Strathfield.
Related: NDIS Physiotherapy at Burwood Physio | NDIS Physiotherapy: What You Are Entitled To | What to Expect at an NDIS Physiotherapy Appointment
Reviewed by the Burwood Physio Clinical Team
BPhty (Hons) | AHPRA Registered Physiotherapists | Member, Australian Physiotherapy Association
Our clinical team has over 20 years of combined experience in musculoskeletal physiotherapy, sports rehabilitation, and pain management. All content is reviewed for clinical accuracy and updated in line with current evidence-based practice guidelines. Meet our team →
