Falling Into Fall: How the Changing Seasons Affect My MS Symptoms

Beth Ullah avatar

by Beth Ullah |

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Changing seasons and MS | Multiple Sclerosis News Today | Stock photo of autumn leaves

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“You’re my summer that fades/ To these cold autumn days/ You’re my keepsake, my friend, and my fears/ You’re the strength that’s inside and I swear on my life/ I will always be there by your side.” — Amber Pacific

Autumn has always been my favorite time of year. I love the changing colors. The obvious shift from the sweltering heat of summer to the crisp sound of frosty leaves underfoot on a fall morning serves as a fantastic reminder that life is ever evolving. Seasonal changes give me hope.

So, how are MS symptoms affected by temperatures dropping in fall or blossoms emerging in spring?

The “snowflake condition,” a particularly apt nickname for multiple sclerosis in this context, isn’t easy to understand. There are visible symptoms, such as mobility problems, spasms, and balance issues, but there are also invisible ones. The symptoms are a minefield to navigate, as they can change daily, or even hourly.

But add in the temperature, environmental, and humidity changes that come with seasonal transitions, and managing MS becomes even more of an enigma.

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Need to Know: Why Do People Have Seasonal Temperature Sensitivity?

Sweltering summer

This summer was extremely variable here in the U.K., where I live. We had heat waves sandwiched between bouts of intense rain and wind. This was difficult for me, as I’ve realized I’m affected more by temperature fluctuations than simply the heat or cold, as I was in the early days.

These fluctuations greatly influence my fatigue levels. During these times, I’d rather watch the world go by from my window than leave the house. Yet this is actually ideal, as the heat triggers my bladder issues. When I overheat, my body gives me significantly reduced notice that I require the bathroom.

The leaves of fall

As the days get colder and the mornings become frosty, I begin thinking about my mobility differently. Donning my fluffy boots and wooly socks means my numb feet have less contact with the ground than when it’s warm and I can wear Dolly shoes with a thin sole. Last fall, I relied on my wheelchair more often, because being unable to feel the ground beneath my feet inevitably leads to falling.

Winter wonder

During my paralyzing relapse in 2018, I watched the seasons change from the red armchair I’d found hidden in the back of a small, cluttered charity shop. We had snow in March that year, which was very unusual for Wales. Snow brings its own trials and tribulations. It magnifies the issues with my numb feet. The frosty cold of winter also exacerbates my spasticity, which again makes me more reliant on my wheelchair for mobility.

Bundling up in cozy coats, scarves, hats, and gloves is one thing I enjoy about winter. It’s also a physical analogy for my cognitive fatigue: I feel disjointed and removed from the world around me because I’m bundled up in so many layers.

Sensational spring

My increased spasticity eases with the arrival of spring. The Dolly shoes come out from the back of my closet. I use my walking stick more as the frosts of winter thaw.

The changing of the seasons brings me hope that things can change, evolve, adapt, and eventually flourish. It’s the same with my MS. Each season, I have to adapt to and embrace the different ways I must manage my changing symptoms — and I wouldn’t have it any other way.


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.


Reg Bavis avatar

Reg Bavis

I have primary progressive ms which I have had since 95 I use a scooter to get around I am still able to do my own shopping and live independently , ms is a very changing disease and can change from one hour to the next, I used to enjoy winter but lately winter is not an enjoyable time.

MARY E GAIN avatar


When I lived in Maryland, the cold made the spasms in my legs really painful. When we moved to Florida, the excessive heat made the fatigue worse. I have had MS for over 40 years and have experienced many symptoms. The latest being I have lost my hearing twice in the last three weeks. Is this an MS problem as my Dr believes or not?

Leanne Broughton avatar

Leanne Broughton

I do feel better, more energy in the fall but I am always cold. I do like the warmth of a moderate climate, as in the late spring and the new growth/life miraculously happening.

heather sheppard avatar

heather sheppard

my mom was diagnosed with MS 25 years ago. She had lymphoma cancer 2 years ago. After her treatment with Chemo and radiation she got better in 6 months. In March she was walking and even taking a Sr exercise pilates class. March 20 out of no where her legs buckled and since then her mobility is minimal. In May she had what I could only describe as a seizure lunging forward and backwards. We have a neurologist but he thinks that this spasm or seizure is caused by her worrying about falling not MS. He doesnt see many lesions so he will not diagnose it. I had to put her in a nursing home due to possible falls. They tried to give her PT but it made it worse so they quit. I decided to get her out of the nursing home and take care of her. Has anybody else had these issues. We just want to know what it is.


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