Every summer, rising temperatures require me to relearn my limits
My MS symptoms become more pronounced this time of year
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Every year, warmer weather arrives with a collective exhale as people spend more time outdoors, enjoying sunlight that stretches into the evening and patio dinners. But for me, living with multiple sclerosis (MS), the arrival of summer lands more like a quiet tightening in my chest.
I find myself watching the forecast more closely than I want to admit. Not casually, the way people check for weekend plans, but strategically and almost defensively. Once temperatures start climbing, I begin my calculations: How long can I be outside? Will there be shade? Is there somewhere I can sit if my legs suddenly feel too heavy? Heat, for me, isn’t just uncomfortable. It’s also unpredictable, and it turns my body into something I don’t fully recognize.
Taking the temperature
There’s a particular kind of anxiety that comes with knowing your symptoms might intensify simply because the sun is out. My fatigue deepens, as if someone were quietly adding weight to everything. My vision sometimes blurs at the edges, and even simple tasks start to require more negotiation than they should. It’s not dramatic, it’s subtle, and it’s enough to make me hesitate.
I don’t want to be the person who says no to plans because of the weather. I don’t want to overthink a walk or a quick errand. But MS has a way of inserting itself into those decisions, asking me to consider consequences others don’t have to think about, and there’s a quiet grief in that.
At the same time, I’ve learned that bracing myself for the heat doesn’t have to mean surrendering to it. It just means adapting, sometimes in ways that feel almost ritualistic. I carry water like it’s essential equipment. I map out air-conditioned spaces without thinking twice. I’ve become more intentional about rest, even when I’d rather push through. Still, the nerves linger.
There’s a vulnerability in knowing that something as ordinary as a hot day can shift the ground beneath you. But there’s also a strange kind of resilience that grows alongside it. Each summer, I relearn my limits and, just as importantly, I relearn how to move within them.
Maybe that’s what this season asks of me: not to conquer the heat, but to coexist with it. To acknowledge the fear without letting it make every decision. To find small ways to stay present, even when my body feels uncertain.
So yes, I’m nervous about the upcoming hot weather. But I’m also reminding myself that I’ve done this before. I remind myself that I know how to adjust, how to listen, how to care for myself in ways that don’t always come naturally.
And maybe that counts as its own kind of strength — a kind that’s quiet, steady, and enough to carry me through another summer.
Note: Multiple Sclerosis News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Multiple Sclerosis News Today or its parent company, Bionews, and are intended to spark discussion about issues pertaining to multiple sclerosis.
MADELINE l NEWTON
i know the feeling ...going thru it now for we are in the 80's ...that is why i enjoy the snow so much during the winter ...be careful the heat can get to you really fast and if you are like me i want to be with everyone else then i will hit me and i turn into a nasty person if i am out in it way too long ....and legs get wobbley and i am a bitch to husband because of what ever says to me wrong ..sorry but it can really change a person well it can me ...sorry but it isn't pretty so watch out for the change ...i am not proud of it but no one warned me about what it can do to a person or just me ...love and happiness is what i like so much better so does others...hahahha...
Lisa Bowser
Thank you for your article. I used to dread the summers and winters. I am now putting everything in God's hands. It's my only respite. I just recently had a total right hip replacement due to a fall (I suspect it was my MS unbalance that caused it). I have been so busy healing that I haven't given a whole lot of thought to my MS lately. Though my vision is definitely not good right now, and my MS hug is absolutely driving me batty as I write this. Stay blessed my friend and continue to be a blessing through your writing.
Mike McGown
I find my enthusiasm rises with the temperature to a certain point. I don't deal with cold weather well at all. I have a comfort zone for temperature endurance and resilience of 68° to 72° if I have shade available. A gentle breeze helps with the endurance. With my PPMS, I find it hard to stay warm in cold weather. I no longer shiver when I get cold. I lock up and if I don't get some heat,I just shudder or shake, no shivering. Warm weather is much easier on me. Hot weather is a short season here in northern Minnesota. Before moving to Minnesota, my life was spent mostly outdoors in Ohio. Winter was cold but short. Summer was hot and humid and pretty long. That's before I was diagnosed with PPMS. This will be the 18th summer here. Looking forward to it.
Peter
The essential variable is presumably your internal temperature. So cool (vest) after exercise, pay attention to fevers and go on doing what you do: watch the surrounding temp and drink enough water as sweating cools.