SPMS lifestyle changes: Daily habits to support wellness

In secondary progressive multiple sclerosis (SPMS), symptoms tend to gradually worsen over time, sometimes creating new challenges in daily life. While medications and other treatments remain essential, many people find that engaging in certain daily habits can make a meaningful difference in quality of life in SPMS.

SPMS lifestyle changes are not a cure, but following certain wellness tips for multiple sclerosis (MS) may support your energy, mobility, and emotional health. For some people, these adjustments may also play a role in slowing SPMS progression.

Stay active in ways that work for you

As a complementary approach to MS care, exercise for SPMS helps maintain strength, balance, and flexibility while also easing fatigue and boosting mood.

Gentle and consistent activity may support not only physical wellness but also emotional health, both of which are central to MS lifestyle management.

Activities to consider include:

  • walking or gentle stretching, which may help keep the body flexible and support circulation
  • swimming or water aerobics, which may ease strain on the joints and reduce heat sensitivity during exercise
  • yoga or tai chi, which may improve balance, support breathing, and relieve stress
  • strength training with resistance bands, which may help build muscle strength with less risk of injury

How to stay consistent

When introducing a new exercise routine, consistency is key. Here are some tips for staying consistent:

  • Keep sessions short and regular, as they’re easier to maintain than long workouts.
  • Work with a physical therapist who designs SPMS-friendly routines that reduce the risk of overexertion.
  • Pay attention to your body, since fatigue is common in SPMS, and pace yourself to save energy.
  • Use mobility aids when needed to make activities safer and support independence.

Eat well to support your body

A healthy diet is not a cure for MS, but balanced nutrition is a foundation for strength and energy. For instance:

  • Fruits and vegetables provide antioxidants that may lower inflammation.
  • Whole grains and legumes support steady energy and digestive health.
  • Lean proteins maintain muscle and strength.
  • Healthy fats, such as those found in fish, nuts, and olive oil, provide the brain with omega-3 fatty acids.

Here are some practical diet tips:

  • Drink enough water, since dehydration may worsen fatigue or bladder symptoms.
  • Reduce your intake of processed foods and sugars to support your overall health.
  • Prepare meals ahead of time on higher-energy days to make it easier to eat well
  • Choose softer foods if swallowing becomes difficult.

Manage stress and mental health

Stress management and MS are closely connected, since high stress can intensify fatigue, cognitive fog, or pain.

Complementary approaches to MS care — such as meditation or therapy — often focus on emotional well-being alongside physical health.

Mindfulness and meditation can help regulate the body’s response to stress. Relaxation practices, such as stretching, breathing exercises, or listening to calming music, may help reduce anxiety.

You may also find that therapy or counseling offers helpful coping strategies. Social support from friends, family, or support groups can ease isolation and encourage resilience.

Together, these approaches create a stronger foundation for living well with SPMS.

Prioritize sleep and rest

Good sleep is vital for recovery and daily function, as poor rest can worsen SPMS symptoms. Following certain sleep tips for MS can help you build a more effective sleep routine:

  • Follow a set schedule: Consistency regulates body rhythms.
  • Optimize your environment: Keep the bedroom cool, quiet, and dark.
  • Avoid stimulants at night: Caffeine and screens interfere with rest.
  • Use supportive tools: Pillows or adaptive mattresses may ease discomfort.

Short breaks during the day can also conserve energy and help sustain you during important activities.

Stay ahead of everyday triggers

Managing MS triggers helps prevent symptom worsening and supports long-term health. Common triggers include:

  • Heat sensitivity: Hot environments can worsen fatigue and weakness.
  • Infections: Minor illnesses may cause temporary spikes in symptoms.
  • Stress or overexertion: These can drain energy levels.

To stay ahead of your triggers, consider:

  • using cooling tools such as fans and cold drinks to help regulate body temperature
  • engaging in good hygiene practices, such as regular handwashing, to lower the risk of infection
  • conserving your energy by building in rest to help prevent burnout

Incorporate adaptive strategies for daily living

Adaptive strategies for MS can make everyday life safer and less demanding, helping you preserve independence and energy.

  • Mobility aids like canes, walkers, or scooters may improve mobility and reduce the risk of falls.
  • Making ergonomic changes, such as adding supportive seating, ramps, or grab bars, can make daily tasks easier.
  • Energy-saving methods, such as preparing meals while seated, breaking chores into smaller steps, or using voice-activated devices, can also reduce strain.

SPMS lifestyle changes are not quick fixes, but they are daily habits for MS that promote strength, stability, and well-being. From exercise and nutrition to stress relief and adaptive tools, each choice is a building block toward slowing the progression of SPMS and supporting a healthier lifestyle.


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.