During all these years of living with multiple sclerosis (MS), I have internalised certain facts about the disease so deeply that sometimes I just go completely blank when someone asks me something like:
“Does your MS hurt when you walk?”
Of course I’m totally touched that someone has so thoughtfully ventured into the mysterious world of “finding out about a secret chronic illness”.
Then I find myself wondering, slightly amused, how they even came up with such a question.
(Well, obviously. I sigh dramatically and make horrible faces whenever I struggle to get to the top of the stairs!)
And then, finally, it clicks.
Of course you can’t know something you haven’t experienced yourself!
Especially not with MS, which seems to have a new trick up its sleeve every single day.
And besides: no question is a stupid question, so I immediately and enthusiastically grab the opportunity to educate my unsuspecting questioner and start explaining, probably making them regret opening the whole topic of debunking myths about multiple sclerosis in the first place.
Within the next breath, which usually lasts somewhere between fifteen and thirty minutes, I recite everything from A to Z!
Including the answer to the original question: MS itself doesn’t usually cause pain when you walk, although neuropathic pain can occur as a result of multiple sclerosis.
Since I don’t particularly enjoy making people uncomfortable with my intense information-dumping, I’ll instead use this light-hearted post about myths and truths about multiple sclerosis to casually “spam” the inboxes of people who, in my opinion, might be interested.
What do you say?
MYTH #1: MS Means Living Life in a Wheelchair
Multiple sclerosis brings plenty of obstacles into our lives. It takes away certain abilities, makes our daily tasks more difficult to tackle, and yes, we may become users of various mobility aids.
One day with a rollator, the next day with a stick, and on Friday just like that … Freestyle.
Without the help of anything or anyone.
Can you imagine how completely incompatible this is with the quantum calculations of your nosy neighbour, who watches you from behind the curtains every single day?!
(Hey, isn’t that exactly why you’re writing this post!?)
Most people with multiple sclerosis are diagnosed with relapsing-remitting MS.
This form is characterised by sudden worsening of symptoms followed by periods when the disease is relatively quiet.
As someone living with this form of MS, I have a reasonably good quality of life. Sometimes I look as though everything is perfectly fine with me (and it is), while on other days it looks as though I have just taken my final steps (and I have, for that particular day).
Because treatment options have come a long way and awareness of an active and healthy lifestyle has increased dramatically, the chances of a person with MS becoming a wheelchair user are getting smaller and smaller (you can find more detailed data in this study).
But hey, “when and if” you ever reach that stage, the stage where you become a wheelchair user, by then you will have learned quite a few tricks of the disease.
You will have acquired a deep, blue-and-all-knowing understanding of life.
You will know that you haven’t lost any battle.
And you will know that, despite all the obstacles, it is still possible to live an active and fulfilling life.
A wheelchair is a damn good tool for maintaining your independence and mobility.
MYTH #2: MS is a death sentence
Ugh.
Death is still a taboo in our culture. We don’t talk about it very often, and we certainly don’t like talking about it. Mentioning death makes us shiver. We would rather wave it away and postpone the subject until sometime in the future.
We turn towards life instead.
But when we get sick, or hear that someone close to us has been diagnosed with some “I’ve-never-heard-of-that-before” condition, we probably ask ourselves one question first, even if only silently:
“Does this disease mean death?”
Multiple sclerosis is an incurable disease.
You live with it from the appearance of your first symptoms throughout your life, but you usually don’t die from it.
Because MS is a progressive disease, death can occur as a result of complications associated with its symptoms. In general, however, people with MS are more likely to die from other conditions than directly from MS itself (see the WHO publication, page 12).
Life expectancy may be somewhat shorter, although the estimate commonly cited at the time of writing was around six to seven years.
MYTH #3: I Can’t Have a Family Because I Have MS
You can have a family when you have multiple sclerosis.
In the past … well, less than 70 years ago? … it was actually discouraged.
Today, pregnancy and childbirth simply require a little more careful medical attention. After giving birth, you may even be given immunoglobulins as a preventive measure to reduce the possibility of a relapse.
One important fact worth mentioning is that multiple sclerosis is not hereditary.
A child born to a mother with MS does have a tiny increased chance of developing the disease in the future compared with a child whose mother does not have MS. However, the risk is still relatively low and, in principle, should not determine whether someone decides to have children.
I’ll soon write a post on the topic of “Multiple Sclerosis and Family Planning”, where I’ll explain why I personally decided not to have children.
MYTH #4: An MS Diagnosis Means the End of an Active Life
Sports?
Travelling?
Partying?
Hiking?
I disagree!
Regular movement and exercise can help you maintain your physical fitness, muscle mass, coordination and balance, manage the fatigue that MS so generously dropped into your life, and maintain your mental well-being.
It is important to get to know yourself.
To know when fatigue tends to appear.
To know when it is less likely to show up.
It is important to learn how to manage your fatigue and adapt your activities accordingly.
I always like to use my own travel experiences as an example.
Partly because I like bragging about all the places I’ve been, things I’ve seen and things I’ve experienced!
But the real point is that you have to follow the advice above. It is just as important as choosing your destination and your method of transportation.
Your travel companions will probably have to adapt, too.
And if you travel alone, it becomes even more important to plan everything carefully, think about all the little traps MS might put in your path, and find out what kind of accessibility and adaptations are available at your destination.
When it comes to hiking, I will always be grateful to my parents for “forcing” me to walk the Slovenian trails as a child, over hills and through valleys, all the way up to the highest mountains.
Especially now that hiking is so fashionable.
(Yep, I still got myself those hiking leggings that are currently being aggressively advertised all over the internet.)
The peaks you conquer may be lower (or maybe not), your sightseeing tour of a foreign capital may be shorter (or maybe not), and you may not cycle across an entire country but travel through it instead (or maybe not).
But partying?
MS itself has a hard time taking that away from us.
Age might be a bigger problem 🙂 .
MYTH #5: MS Follows the Same Course in Every Patient
Absolutely not!
And this is one of the most wonderful things we can hold on to and believe in as people with MS:
“We are the masters of our own bodies. We will tell this multiple-sclerosis monster how to behave and how much space it is allowed to occupy in our bodies.”
When a relapse hits, let’s trust our doctors.
But in everyday life, it is incredibly important to take control with our own claws and manage the areas of life we actually can control.
With a chronic illness, that can mean nutrition, movement and a healthy lifestyle.
Our disease will develop completely differently from that of our best friend in the MS world.
Our disease will not be defined by the fate of another person who happens to have multiple sclerosis.
That is why multiple sclerosis is the disease of a thousand faces.
Unfortunately, or perhaps fortunately, we have to figure out our own version of it ourselves.
Unfortunately, or perhaps fortunately, we will never be able to figure it out completely on our own.







