240. 10 Common Triggers That Worsen MS Symptoms: A Physical Therapist's Guide

In this episode, I’m diving into the 10 most common triggers that can worsen MS symptoms and sharing practical tips on how to manage them! As a physical therapist who specializes in helping people with multiple sclerosis (MS) get stronger and walk better, I break down factors like heat, fatigue, stress, infections, diet, and more.  You’ll discover actionable strategies to identify your own MS symptom triggers, plus expert advice for improving mobility, strength, and energy. If you want to take control of your MS, boost your quality of life, and learn how to minimize flare-ups, this episode is for you! Join me for an empowering conversation packed with research-driven insights to help you live your best life with multiple sclerosis.   Additional Resources: https://www.doctorgretchenhawley.com/insider  MS Conference Research Made Simple Course Waitlist - https://www.doctorgretchenhawley.com/cmsc-2025-waitlist Reach out to Me: [email protected]  Website: www.MSingLink.com Social:  ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

In this episode, I’m thrilled to welcome back Dr. Aaron Boster, a renowned MS neurologist, to dive deep into MS nerve pain and the impact of menopause on multiple sclerosis. We break down the different types of MS pain, including neuropathic pain, the infamous “MS hug,” and even symptoms like pathologic itching and formication. Dr. Boster also shares expert strategies and treatment options for managing MS nerve pain, including physical therapy, medications, topical creams, and non-pharmacological approaches. Plus, we discuss how hormonal changes during menopause can influence MS symptoms and progression, and what MS warriors need to know about hormone therapy. This episode offers actionable tips, practical advice, and hope for those navigating pain and menopause with MS. Whether you’re looking for ways to reduce pain, manage menopause symptoms, or improve your quality of life with MS, you’ll find valuable insights here!   Resources mentioned in this episode:  The MSing Link Episode 10, Live Your Life, Not Your Diagnosis with Dr. Aaron Boster - Apple Podcast || Spotify The MSing Link Episode 33, MS Neurology Assessment with Dr. Boster - Apple Podcast || Spotify The MSing Link Episode 34, Sexual & Bladder Dysfunction with Dr. Boster - Apple Podcast || Spotify The MSing Link Episode 233, Dr. Boster's 5 for 5 MS Management Framework: Evidence-Based Strategies to Slow Multiple Sclerosis Progression - Apple Podcast || Spotify Connect with Dr. Aaron Boster: Twitter: https://twitter.com/aaronbostermd Youtube: https://www.youtube.com/c/AaronBosterMD Facebook: https://www.facebook.com/AaronBosterMD/ Website: https://bosterms.com/   Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: [email protected]  Website: www.MSingLink.com Social:  ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

In this episode, I’m taking you behind the scenes of my recent experience at the annual MS Conference in Phoenix, Arizona! Even though I was sick the whole time (yes, really!), I couldn’t miss the chance to learn about the latest in multiple sclerosis research, mobility breakthroughs, and MS exercise strategies.  If you’re looking for new ways to improve your strength, mobility, and quality of life with MS, you’ll love this inside look! Join me for expert insights, practical tips, and a few travel mishaps as I recap everything you need to know from this jam-packed MS conference.   Resources mentioned in the episode: MS Conference Research Made Simple Course Waitlist - https://www.doctorgretchenhawley.com/cmsc-2025-waitlist   Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: [email protected]  Website: www.MSingLink.com Social:  ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

In this episode, I’m joined again by my twin sister, Samantha Hawley, a mindset and clarity coach, as we dive deep into the topic of performance anxiety for people living with multiple sclerosis (MS).  We discuss the emotional and mental struggles that can come from worrying about how you walk in public and what others might be thinking.  Samantha shares practical journaling and mindset strategies you can use before, during, and after challenging situations—helping you shift your focus away from potential judgment and toward self-compassion, confidence, and inner peace.  If you’ve ever felt anxious about your MS symptoms being visible, this conversation is filled with actionable MS tips, exercises, and mindset tools that will empower you to manage anxiety, overcome self-doubt, and improve your quality of life with MS.  About Samantha: Samantha Hawley is a journaling coach who guides women through challenging transitions to help them feel hopeful and validated. She brings her personal experiences and professional insights to the conversation, providing valuable tips on how to recognize and disrupt self-sabotaging patterns. Connect with Samantha: Instagram: https://www.instagram.com/samantha.s.says/ Website: https://www.samanthapenkoff.com/ Email: [email protected] Samantha's Podcast - Journal Entries Podcast (Spotify): https://open.spotify.com/show/3mpi2ClLG6T7xtlUs274O0?si=4d353a9a4a1744e8Journal Entries Samantha's Podcast - Journal Entries Podcast (Apple): https://podcasts.apple.com/us/podcast/journal-entries/id1651843607 Resources mentioned in the episode: Calm Mind Blueprint - https://www.samanthapenkoff.com/calm-mind The MSing Link, Episode 107, Journaling to Uncover Your True Voice - Apple | Spotify The MSing Link, Episode 219, How Self-Sabotage Is Impacting your MS (And How To Stop) With Samantha Hawley - Apple | Spotify Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: [email protected] Website: www.MSingLink.com Social:  ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

In this episode, I’m sharing how your cane, trekking poles, or rollator can actually make you stronger—not weaker!  As a physical therapist specializing in multiple sclerosis (MS), I often hear concerns about becoming dependent on mobility aids. But with the right exercises for MS and strength-building strategies, these aids can help improve mobility, balance, and confidence while walking with MS.  Tune in as I break down four specific MS-friendly exercises you can do with your mobility aid, tips for transitioning between devices, and adaptive modifications for all abilities—including seated options. If you’re looking for expert MS physical therapy advice, practical movement tips, and resources on using canes, rollators, or trekking poles for MS, this episode will empower you to use your mobility equipment as a tool for independence. Let’s debunk the myths together and help you get stronger with MS, one step at a time!   Resources Mentioned In This Episode:  The MSing Link, Episode 146, How to Transition to a Different Mobility Aid - Apple / Spotify The MSing Link, Episode 189, Exercises for MS: Wheelchair/Seated Edition - Apple / Spotify MS Mobility Guide - https://www.doctorgretchenhawley.com/ms-mobility-equipment-guide-podcast Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: [email protected]  Website: www.MSingLink.com Social:  ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink  

In this heartfelt episode, I share a personal story that beautifully illustrates the quiet courage it takes to live with multiple sclerosis (MS). Reflecting on my nephew’s brave moment at his pre-K graduation, I draw powerful parallels to the daily resilience shown by people with MS.  Tune in as I discuss how living with MS means consistently showing up, even on the tough days, and why it’s so important to acknowledge your incredible strength. Whether you’re managing MS symptoms, seeking MS motivation, or looking for MS resources and support, this episode offers encouragement for your journey.  If you’re searching for MS tips, real stories of perseverance, or a supportive MS community, you’ll find inspiration to keep going and recognize the courage that lies within you every day. Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: [email protected]  Website: www.MSingLink.com Social:  ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink  

In this episode, I’m diving into a heartfelt discussion inspired by a client’s experience with Manual Muscle Testing (MMT) and why traditional strength tests may not always reflect real progress when living with multiple sclerosis (MS). I share practical, research-driven strategies and MS-specific exercises that have helped my clients improve their mobility, walking, and overall strength—even when their medical tests didn’t show the full picture.  Tune in to discover why your own experiences and daily wins are just as important as what your doctor’s test results say, and learn simple ways to track your MS progress at home.  Whether you’re navigating MS symptoms or searching for effective physical therapy and exercise tips, this episode offers empowering advice to boost your quality of life and regain independence on your MS journey! Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: [email protected]  Website: www.MSingLink.com Social:  ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSing

In this episode, I’m thrilled to welcome back Dr. Aaron Boster, he is a board-certified Neurologist specializing in Multiple Sclerosis and related CNS inflammatory disorders. Dr. Boster joins me to share his powerful ‘5 for 5’ framework—five essential strategies to slow MS progression and improve your quality of life with multiple sclerosis. We break down each pillar: smoking cessation, exercise, nutrition, mindfulness, and choosing the most effective disease-modifying therapy.  Dr. Boster offers practical advice that’s easy to understand and apply, covering everything from hydration tips and vitamin D to how to make exercise a sustainable part of your MS lifestyle.  If you’re looking for expert MS management strategies, actionable exercises, and ways to support your MS journey, you won’t want to miss this empowering conversation! Tune in for clear, actionable tips to take control of your MS and live your best life.  About Dr. Aaron Boster:  Aaron L Boster, MD, is a board-certified clinical neuroimmunologist specializing in Multiple Sclerosis. As a neuroimmunologist, Dr Boster provides diagnosis and treatment for all types of MS as well as a wide range of neuroimmunological conditions. He also provides medical management of refractory severe spasticity with expertise in intrathecal baclofen.  Dr. Boster received his undergraduate degree from Oberlin College in Oberlin, Ohio and his medical degree from the University of Cincinnati College of Medicine in Cincinnati, Ohio. Dr Boster completed his internship and neurology residency through the University of Michigan in Ann Arbor, Michigan. He continued his training at Wayne State University in Detroit, Michigan, where he completed a fellowship focused on clinical neuroimmunology and multiple sclerosis. He has over a decade and a half of experience combating MS in the clinic and participating in MS clinical research. Connect with Dr. Aaron Boster: Twitter: https://twitter.com/aaronbostermd Youtube: https://www.youtube.com/c/AaronBosterMD Facebook: https://www.facebook.com/AaronBosterMD/ Website: https://bosterms.com/   Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: [email protected]  Website: www.MSingLink.com Social:  ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink  

In this episode, I’m breaking down the 5 muscle groups most commonly affected by multiple sclerosis (MS)—and what you need to know for better mobility. As a physical therapist specializing in MS, I’ll walk you through why your hip flexors, knee flexors, knee extensors, ankle dorsiflexors, and calf muscles are so crucial to your strength and independence. I share expert tips on recognizing weakness or tightness in these areas, plus practical MS-specific exercises and stretches you can try right away to improve walking and daily function. If you’re looking for MS physical therapy exercises, strategies to boost mobility with MS, or actionable advice for managing MS symptoms, this episode is packed with tools to help you take control of your health. Whether you’re newly diagnosed or living with MS for years, tune in for empowering, research-driven insights to enhance your quality of life with multiple sclerosis!   Resources mentioned in the episode: The MSing Link, Episode 3, Healing the Body with Neuroplasticity  - Apple | Spotify The MSing Link, Episode 39, How Does Neuroplasticity Work in MS? - Apple | Spotify The MSing Link, Episode 96, Neuroplasticity: How Long Does It Take? - Apple | Spotify Muscles & MS: Which Muscles Does MS Attack - Part 1 - YouTube Muscles & MS: Which Muscles Does MS Attack - Part 2 - YouTube   Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: [email protected]  Website: www.MSingLink.com Social:  ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

In this episode, I’m diving into the hidden MS symptoms and early warning signs that your doctor might miss. As a physical therapist specializing in multiple sclerosis, I’ve seen how subtle issues like cognitive changes, autonomic nervous system disruptions, and neurologically based mood alterations often go unnoticed for years before an MS diagnosis. I’ll break down these lesser-known MS symptoms, share real stories from my clients, and help you understand what to look for—so you can have more informed conversations with your healthcare team.    Whether you’re living with MS or supporting someone who is, you’ll find practical tips and expert insight to empower your MS journey and improve your quality of life. Tune in for valuable MS resources, strategies, and the support you deserve!   Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: [email protected]  Website: www.MSingLink.com Social:  ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink