Stress (We need this one again right now)

The world feels messy and stressful right now. Between hatred and natural disasters, things going on around us feel somewhat out of control. When this happens, stress increases. While we aren’t in control of where the next Nazi demonstration will be, or where the next hurricane will hit, we are in control of how we react to such events.
Stress. That pesky five letter word that everyone encounters at various points of their lives. And if they say they don’t, they’re probably lying. Stress can manifest itself in numerous ways within our bodies, from pain, to sleeplessness, to forgetfulness, to headaches, and many many others. But how does stress effect individuals who have Multiple Sclerosis?

Types of Stress

First of all, there are two main types of stress, physical and emotional. There are other stresses, but they seem to fall under those two categories. Physical stress is the workout you completed earlier, or your blood pressure response when you got cut off coming home from work, or for us MSers, the physiological changes that can occur with MS (spasticity, weakness, etc.). These types of changes can increase the demand we put on our bodies and possibly set us up for injury if we aren’t being aware and careful. Being consistent with staying active is one way to combat these issues, possibly working with a trainer or physical therapist if needed. Consistently being active helps our muscles stay in shape and conditioned. It also helps to keep up strength, which is always needed, no matter if you have MS or not.
The other type of stress is emotional stress. Emotional stress can be anything that is stressful for you. Having a fight with a loved one, thinking about health issues or thinking about what is going on in the world right now. Between the hatred and natural disasters recently, it’s hard not to feel stressed out!

Stress and MS

Both physical and emotional stress can create a variety of symptoms that I mentioned previously, but since we have MS, we have to be extra careful when it comes to dealing with stress. It seems to be a hotly debated topic, but in the research I’ve read when a ‘stressful life event’ occurs (again, anything that is stressful for you), a relapse can often follow. Now, that’s not to say that it will DEFINITELY happen, but it is something to watch out for, and all the more reason to find ways to manage stress on a daily basis. So when that ‘stressful life event’ does occur, you’re that much more prepared to jump into action and know what works best for you in managing your stress.

Managing Stress

So what are some things that actually work?
  • Obviously I’ll be adding exercise to the list 😉 Engaging in exercise can increase your endorphin’s, which are the feel good hormones. Endorphin’s increase your mood and your natural ability to de-stress. Exercise also will strengthen your muscles and create physical stabilization. Exercise is a one two punch for stress management! However, exercise is also a form of stress. So this is a fine line. If you’re super stressed would I recommend a super hard workout? Probably not. But I would recommend a restorative workout that you’ve already figured out works for you. 
  • Yes, I believe deep breathing works. It’s cliche, but it’s scientifically proven, at least the way I do it and teach it. I like to hold my breath for 4 counts, breathe in for four counts, hold it again for four counts, then exhale for four counts. This is called ‘square breathing’ (I’m sure there’s many other names too) and it activates our parasympathetic nervous system, so our bodies can chill out.
  • Something else that I have been playing around with (and have been loving, btw) has been meditation. I’ve used several apps, (Headspace and Insight Timer are my favorites) and they’ve been great. I like guided meditation, because it’s too hard for me right now to just sit. I need something to focus on besides the noise in my head.
  • Getting enough sleep can be on any list to improve any symptom, in my opinion. But for stress management in people with MS, its extra important. Stress can interfere with getting a good nights sleep, and not having enough sleep can increase fatigue and decrease ability to manage stress and difficult situations. Nasty catch-22 right? During times of increased stress, make sleep a priority, even if that means saying “no” to some things you would normally say “yes” to.
  • Consider alternative therapies or getting professional help. Finding alternative outlets for your stress, including arts, music, tai chi, massage or therapy can be very useful. Talking with a professional about specific techniques, then how to implement them can also be helpful. Mindfulness is another “trending” topic as of late. According to research published in 2014, individuals with MS who engaged in mindfulness stated they had a better quality of life, reduced fatigue and improved mental health. Pretty good reasons to try it out I’d say!
There are many things that can be considered stress-reducing. As long as it brings you comfort and enjoyment, go for it. I like to tell people to make these activities a daily habit, so when you really need them, you already know what works, what doesn’t and how you go about doing them. Because really, when you’re freaking out, do you really want to be learning something new on top of it all? Probably not. Practice makes Perfect!
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