Is time in nature an overlooked therapy for MS symptoms?

A recent experiment with outdoor living yielded results that helped me

Susan Payrovi, MD avatar

by Susan Payrovi, MD |

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As all good things must come to an end, so did our epic overseas adventure in a recreational vehicle that was too tiny to live in and too big to drive into any European village. We devoted those five weeks to quality time with family, unplugging from devices, and living closer to nature.

The inspiration for this trip came from a book I read last year, “The Nature Fix” by Florence Williams. It’s a fascinating exploration of how elements of nature (trees, sunshine, sounds) interact with human physiology to boost our physical and mental well-being.

As a physician and a person living with multiple sclerosis (MS), I’m always hunting for safe and effective tools to add to my MS toolkit. This book had me thinking, “Is nature an overlooked tool that can improve our multiple sclerosis symptoms and quality of life?”

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Here are some fascinating facts that explain how nature interacts with our bodies to support our healing:

  • Natural light entering through our eyes helps sync up our circadian rhythms with the natural environment, supporting hormones, sleep, energy production, and gut function, all of which can be disrupted by MS.
  • As sunlight hits the myriad light receptors sitting on our skin, we produce vitamin D, which helps bring law and order to the disordered immune system of a person with MS.
  • Natural chemicals breathed in from plants and trees have been shown to shift our immune system toward an anti-inflammatory. By allowing our natural killer cells to function better, there may be a tendency toward fewer MS relapses.
  • The human brain is attuned to feel more calm as it hears the chirping and singing of birds, helping us feel less anxious and stressed.
  • Contacting dirt introduces an abundance of friendly bacteria into our gut microbiome, allowing it to thrive in a way that no designer supplement can emulate.

During my five-week experiment in outdoor living, I experienced these natural elements all day, every day. The best part was that I didn’t have to go out of my way to find them because they were an ever-present part of any natural landscape.

So did it help?

What were the results of this experiment in nature exposure? I felt calmer, less anxious, and more in tune with my environment and family. (I was also barely working, so I won’t pretend that didn’t have something to do with it.) I was able to sleep through the night without interruption, which was a huge shift for me given the gifts of perimenopause. My eczema calmed down. Best of all, I was able to eat lots of gluten and dairy, which I can’t do in the U.S. because my face swells into a red hot tomato for weeks.

I also noted changes in my behavior and routines. I loved the ease of waking up early with the sun and turning in early. The background soundtrack of birdsong and chirping cicadas was a lovely companion to meals outside and reading under a tree. I also made friends with dirt and stopped trying to clean up incessantly.

Now that I’m back in the comfort of my home, the challenge is to keep up with outdoor living when the indoors feel so much more comfortable. Here’s a routine I’ve come up with to be more intentional about spending time outside:

  • Start my day with a 10-minute walk outside, rain or shine. Layer up when it’s cold and windy.
  • Set up my laptop outside when working, especially in the earlier part of the day for the circadian rhythm benefits.
  • Hang around the soccer field during kids’ practices instead of hiding in the car or ducking into an air-conditioned library or store. Keep a lawn chair in the car.
  • Eat meals outside, without interruption from devices. Be mindful of the scents and sounds in my environment.
  • Make an effort to watch the sunrise and sunset daily.
  • Plan get-togethers with friends and family in the outdoors rather than home.

I’m thrilled that spending time outside boosts my immune system, soothes my nervous system, and helps me feel more balanced and calm. Nature is one of those tools I’ve needed, and it’s a safe, effective, and free treatment that we all can access (but highly underuse!). I’m convinced that if we’re to truly heal our mind and body, nature must be a part of that equation.

Got other ideas for spending more time outside? I’d love to know in the comments.


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.

Comments

Lisa Kandel avatar

Lisa Kandel

I have had MS for 23 years. I have just recently been spending 15 minutes of my lunch break everyday walking around the building I work in. I have noticed a change, however subtle it may be. I am attributing it to my daily walks. I feel happier and just all around better. I was initially diagnosed with relapsing remitting MS, but have recently in the past several years segued into secondary progressive which is pretty much the norm after 15 or so years. I don't feel as good as I used to, but I feel my walks have been doing me some good. I feel like I have more energy and that my symptoms don't seem as bothersome. I truly believe God's nature is working. Stay blessed!

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Susan PAyrovi avatar

Susan PAyrovi

Uh I love this so much, Colleen! This brightened my evening so much! I'm thinking of you and your Gold Girl housemate hanging out at the pool. How wonderful that you've designed a life that you works for you! It takes intention to solve problems like this, and it takes time. I'm so proud of how you've navigated this and prioritized your health. I love watching the sunrise and sunset too, even if it's just a quick glimpse and enough time to take 3 deep breaths. It never gets old for me! Thank you for sharing!

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Carl Flygare avatar

Carl Flygare

You may be on to something. I was dx’d at 59 yo in Louisiana. I retired, bought a cabin in the mountains in Montana, and spend my summers there. I spend a lot of time in the Forest Service. Walking with dog, ATV, kayaking.

My Louisiana neuro told me that he believes my lifestyle in Montana greatly contributes to the reason my MS had progressed very little in the last 8 years. Only one relapse in that time.

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Jennifer Montgomery avatar

Jennifer Montgomery

I live on 40 acres and have a large garden of plants and flowers in which I spend a good chunk of time. I need to get back to walking daily—although I probably spend 8 hours a day in the garden— and to greeting the Dawn!

Great to hear about your wonderful trip. The relative non reactivity to gluten and dairy may be because in Europe the dairy is likely the A2 protein (unlike the US where it is A1 and highly reactive) and different wheat grains are used. In the US we have become linked to 1, possibly 2, grain types and are therefore highly sensitive!

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Tom A avatar

Tom A

Yes, I think it's important to be aware of the rut you’re in, if there are any negative consequences to it, and to be able to break out of it if desired. Nature is fascinating and we are all part of it, that's where we come from. MS is a genetically based, all natural "booby prize" (in my opinion). Spending more time attuned to nature may feel comforting for some, but for the average MSr, making a big deal of it versus other tested therapy may be borderline "wacko", in may opinion. Respectfully…

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Kelly avatar

Kelly

I found this article very interesting. I have always wanted information on a more natural way (being in nature) to apply with treating the MS. My neurologist only believes in drugs = DM drugs, which can be helpful (Western Medicine) but also, he only uses drugs for every symptom that comes up. I am not comfortable with drugs, drugs, drugs and their side effects. I believe food, exercise, stress reduction, etc. (some Eastern medicine) could be helpful. I need guidance to find this path. My neuro doesn't believe in any of it so there is no help from his office.
I am excited to go online and join Susan Payrovi's online wellness program.

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Susan Payrovi avatar

Susan Payrovi

Hi Kelly!
No matter what someone's DMT regimen, I feel really strongly about lifestyle. This is how you improve overall sense of wellbeing and reach some symptoms that pharmaceuticals can't. Check out "The Nature Fix" to learn about all the ways nature benefits us. It's an incredible book that's kicked me out into nature, no matter how uncomfortable it feels.

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Danielle Spinks avatar

Danielle Spinks

That sounds like a heavenly adventure. I like the idea of trying to watch both the sunrise and sunset every day. Thank you. Hope you can make some of the new habits stick. Best regards,
Dani

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Colleen Oswald avatar

Colleen Oswald

this was a very eye-opening article for me, during the season of life I am experiencing. Diagnosed 10 years ago at the age of 54. Was partially paralyzed, but now only mobility issues. I am a 20 year widow, and felt pressure from my children to be taken care of. So, of course three years ago I moved to an apartment by myself. I felt I needed to prove to myself, I could live alone and takeOf myself.
Sadly, living alone has not been the best protocol for me. I live in Florida, and the heat wipes me out. I changed my eating habits, sleeping habits and begin gratitude journal along with being mindful of myself. For the first time in my life. Everything is heading in a positive direction except being outside. But, I love the outline you gave for do you know where of nature. I have found a golden girl type roommate. She has a pool in her backyard. Bingo! It’s hard to get me out of it and living with someone else who is uplifting and funny has changed everything. But, I am going to make sure to see the sunrise and sunset every day, I just love that idea. Also, my family wants to visit me in my home. I always want to be out and about when they come because I don’t drive and don’t get out like I used to. I am sending your article to my family, to show just small changes make a difference, and it’s not just me wanting my own way

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