Approach to Symptom Management in Multiple Sclerosis with a Focus on Wellness

Myla D. Goldman, Rebecca Spain

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


PURPOSE OF REVIEW This article describes an approach to symptom management in people with multiple sclerosis (MS), emphasizing healthy lifestyles and evidence-based treatments. RECENT FINDINGS Growing evidence supports healthy nutrition, exercise, and emotional well-being (wellness) as foundational for MS symptom management. A stepped approach starts with healthy lifestyle practices and adds nonpharmacologic, pharmacologic, and procedural-based therapies balancing levels of evidence, risks, and potential benefits. The growing availability of cannabis and widespread use of dietary supplements in self-management of MS symptoms raise both therapeutic promises and challenges. SUMMARY Wellness approaches for MS symptom management foster self-reliance and should be reinforced early and often. Recognition of symptom clusters and medical comorbidities helps limit polypharmacy.

Original languageEnglish (US)
Pages (from-to)1052-1082
Number of pages31
JournalCONTINUUM Lifelong Learning in Neurology
Issue number4
StatePublished - Aug 1 2022

ASJC Scopus subject areas

  • Clinical Neurology
  • Genetics(clinical)


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