Natural treatments for multiple sclerosis can play a role in managing MS symptoms and possibly slowing the advance of the condition. Options include diet, exercise, and stress management strategies. Some herbal supplements have been studied for possible benefits, too, though more research is needed.
There is no cure for multiple sclerosis (MS). Disease-modifying therapies (DMTs) can limit symptom relapses and slow the progression of the disease. Other medications are used to address specific symptoms. Talk with your healthcare provider about the ways that natural techniques can support an existing treatment plan.
In the United States, the Food and Drug Administration (FDA) does not regulate supplements the way it regulates prescription drugs. That means some supplement products may not contain what the label says. When choosing a supplement, look for third-party tested products and consult a healthcare provider, registered dietitian nutritionist (RD or RDN), or pharmacist.
Diet & Supplements
Research has shown that nutrients and diet play a role in the progression of MS. Taking certain supplements or making dietary changes can help manage the disease.
1. Vitamin D
Vitamin D is a fat-soluble vitamin (it is absorbed through fats and stored in fatty tissue and the liver). Since vitamin D affects how well the immune system functions, it is thought that it can help people with MS by reducing inflammation, encouraging proper immune function, and reducing the breakdown of tissue within the nervous system.
Vitamin D assists the body in absorbing calcium, so if too much vitamin D is taken for a long time, it can lead to a buildup of calcium in the blood. Excess calcium can cause symptoms such as nausea, vomiting, weakness, and frequent urination. If the problem is not addressed, bone pain and kidney problems can also develop.
2. Calcium
Although more research is needed, some preliminary studies have found that a type of calcium called vidofludimus calcium can help to prevent MS lesions (areas of nerve damage). Clinical trials continue into how this therapy might benefit people living with MS.
Calcium also plays a role in how your body uses vitamin D, so ask your healthcare provider about getting your levels checked if you have MS.
3. Vitamin B12
Vitamin B12 plays a vital role in the production of myelin. Since vitamin B12 deficiency is common in people with MS, supplementing can help maintain proper levels in the body.
Research suggests that taking vitamin B12 can help people with MS improve their overall well-being and may have a protective effect on the nervous system.
There are no documented side effects associated with the use of vitamin B12, and since it is water-soluble, any amount that does not get used by the body is flushed out.
4. Vitamin B6
Vitamin B6 keeps the brain, immune system, and nervous system healthy. While the research is limited on the use of vitamin B6 as a possible complementary treatment for MS, some studies have found it to be beneficial in reducing inflammation and repairing myelin.
Vitamin B6 Risks
You should always speak to your doctor about taking vitamin B6 because taking high amounts for a year or longer has been shown to cause severe nerve damage in some people. Other symptoms of too much vitamin B6 can include increased sensitivity to light, nausea, heartburn, and painful skin patches.
5. Vitamin A
Vitamin A may slow the progression of MS by reducing inflammation and suppressing the action of immune cells that cause damage. Some studies suggest vision benefits in people with MS.
Since vitamin A is fat-soluble, it can build up in the body. If levels become too high after long-term use, people may experience coarse hair or hair loss, cracked lips, and dry and rough skin. In severe cases, liver damage can also occur.
6. Vitamin C
Research has found that vitamin C plays a role in stimulating the formation of myelin. It is thought that the vitamin also has the ability to act as protection for the neurological system.
The exact dosage of vitamin C for MS is not established; however, high doses are unlikely to cause problems because any amount that the body does not use is excreted quickly.
7. Vitamin E
Some studies have found lower levels of vitamin E in people with higher Expanded Disability Status Scale (EDSS) scores used to assess MS. Taking vitamin E may offer antioxidant benefits, which makes it a good choice for a complementary MS treatment option.
Vitamin E Risks
There are also other supplements that might be beneficial for people with MS that are not vitamins.
8. Coenzyme Q10
Studies have found that people with MS might be able to better manage symptoms of fatigue, inflammation, and depression if they supplement with coenzyme Q10.
Although not everyone will experience side effects when supplementing with coenzyme Q10, there are some to look out for, including nausea, stomach upset, loss of appetite, and diarrhea. It has also been shown to lower blood pressure and cause skin rashes.
9. Lipoic Acid
The progression of MS is largely influenced by inflammatory processes in the body. Oxidative stress (an imbalance of dangerous free radicals and good antioxidants) can enhance those processes.
Taking lipoic acid may improve oxidative stress in the body, thus reducing the overall levels of inflammation. That being said, more research is needed on the use of lipoic acid in people with MS.
10. Selenium
Selenium is typically associated with its protective role against heart disease and cancer, but it has also been shown to help with the health of the immune system and eyes.
Some research suggests that selenium may regulate the immune response against the central nervous system, which would be a benefit to people with MS. That being said, more research is needed to confirm the effects of selenium on MS.
11. Cranberry Juice
Although cranberry juice cannot slow disease progression or reduce relapses, it has been shown to improve bladder function and reduce urinary tract infections (UTIs). In people with MS, drinking pure and diluted cranberry juice (with no added sugar) may relieve bladder symptoms.
There are no known side effects associated with drinking cranberry juice for the bladder symptoms that many people with MS experience.
Is There an Ideal MS Diet?
The National Multiple Sclerosis Society suggests that people make positive and healthy changes to their diet that would be beneficial to their overall health. These include eating more whole foods and fruits and vegetables, as well as avoiding processed foods and added sugars. Some people with conditions like MS benefit from an anti-inflammatory diet.
Some tips for eating well on an MS diet include:
- Preparing your meals at home as often as you can
- Using colorful and fresh vegetables and fruits in your meals every day
- Eating whole grains as opposed to refined grains
- Avoiding processed foods and added sugars
When considering your intake of vitamins and minerals, there are specific foods that you can add to your diet that will help you get the proper amount of each every day. Foods that are high in each nutrient include:
- Vitamin D: Fatty fish, foods fortified with vitamin D such as dairy products or orange juice, beef liver, cheese, egg yolks
- Calcium: Milk, cheese, curly kale, okra, other dairy products such as yogurt
- Vitamin B12: Beef liver, chicken, fish and shellfish, low-fat milk, yogurt, cheese
- Vitamin B6: Pork, chicken, turkey, peanuts, soy beans, oats, bananas
- Vitamin A: Beef liver, sweet potato, carrots, black-eyed peas, spinach, broccoli
- Vitamin C: Citrus fruits, berries, bell peppers, broccoli, Brussels sprouts, cauliflower, spinach, cabbage, turnip, sweet and white potatoes, tomatoes
- Vitamin E: Sunflower oil, almonds, peanuts, beet greens, collard greens, spinach, pumpkin, red bell pepper
Herbal Supplements
There is some evidence that taking herbal supplements might be beneficial for some people with MS in terms of managing their symptoms. These supplements include:
12. Valerian Root
Although there is no research showing that valerian root slows disease progression in people with MS, it could help treat insomnia in those who have trouble sleeping because of their symptoms.
13. St. John’s Wort
The use of St. John’s wort for MS has not been heavily researched; however, some studies have shown that the herb may help address symptoms of depression and inflammation (both of which can occur in people with MS).
14. Ginkgo biloba
This is another herbal supplement that people with MS can take to help address symptoms such as fatigue and a decline in brain function. One study showed that the herb can reduce fatigue without any adverse side effects. The dosage used in the study was 240 milligrams (mg) per day.
15. Green Tea
The plant compound epigallocatechin gallate (EGCG), which is found in green tea, has been shown to improve muscle metabolism in people with MS. The study gave participants 600 mg of the compound per day for 12 weeks. No adverse effects were reported.
16. Ginseng
Taking ginseng has been shown to reduce fatigue in people with MS, which improved their quality of life. There were no known side effects reported in the study (the dosage taken was 250 mg/day).
17. Boswellia
People with MS who took 600 mg of boswellia were found to have an improved memory at the end of an eight-week study.
18. Cannabis
Cannabis has been gaining traction as a potential treatment for MS. Recent research has shown that people with MS who use cannabis in the form of capsules saw an improvement in muscle stiffness, memory, bladder control and urination frequency, and sleep.
Caution on Herbal Products
Using some herbal products, such as echinacea, may lead to drug interactions. Echinacea also may add to MS difficulties due to the underlying overactive immune system. St. John’s wort may interact with antidepressants or blood thinners. Talk to your healthcare provider before using any supplement that could actually do more harm than good.
Exercise
Exercise is another way to manage MS, but it has to be the right kind and intensity for you. Below are some exercises that have been shown to aid in the management of MS symptoms include.
19. Strength Training
Strength training can strengthen the muscles, which leads to an improvement in fatigue and disability in people with MS. Range of motion is also improved by strength training.
20. Yoga, Qi Gong, Tai Chi
Practicing these exercises can affect your physical and mental wellness. They can reduce stress and help you feel more focused, as well as improve balance, strength, and alignment (areas where people with MS may experience difficulty). They can also help people with MS maintain mobility.
21. Aerobic Exercise
Aerobic exercises like walking, gardening, or dancing can improve heart health in people with MS as well as boost their mood and quality of life. They can also reduce fatigue and improve lung health.
Exercise can be beneficial, but doing strenuous or intense exercise for long periods can exacerbate symptoms, bring on fatigue, and lead to injury. You should aim for 30 minutes of moderate exercise three days a week.
Mental & Physical Stress Management
Research has shown that stress—mental as well as physical—can be a trigger for MS symptoms. That is why managing your levels of stress is crucial to managing your disease. Some mental stress management techniques can include:
22. Therapy
There is a plethora of research on the positive effects of therapy for MS. Engaging in psychotherapy can help people manage the stress and mental/emotional aspects of the disease and help them learn to cope more effectively.
23. Meditation
Meditation has been proven to calm the mind. People with MS could benefit from the practice because it reduces stress. A 2018 study suggests meditation could help to improve overall health and quality of life in people with MS.
24. Journaling
Engaging in journaling or another form of self-expression can help you cope with having MS. The activity you choose does not have to be specific; anything from writing in a journal to painting can reduce your stress and bring you mental calmness.
25. Massage
More research is needed to confirm the effects of massage therapy on people with MS, but one small study published in 2016 found that it could reduce pain and fatigue. This, in turn, improved the quality of life for the participants of the study. Another study looked at massage therapy or managing emotional stress and found that the participants had an overall feeling of well-being after having a massage.
26. Essential Oils
Using essential oils for treating MS symptoms can be beneficial if you choose the right oils and use them correctly. Limited research suggests that the best essential oils for MS symptoms include rosemary and sweet orange.
27. Acupuncture
According to the National Multiple Sclerosis Society, people who undergo acupuncture therapy may experience a reduction in MS symptoms such as pain, muscle stiffness, numbness and tingling, depression, and bladder problems.
28. Magnet Therapy
Magnet therapy involves the use of magnets to treat MS symptoms. Studies on using magnet therapy for MS symptoms have shown it can reduce the numbness and tingling sensation symptoms that many people with the disease experience.
29. Reflexology
A 2017 study showed that reflexology—a type of massage that focuses on certain pressure points to help restore energy flow in the body—can relieve feelings of stress, anxiety, and depression in women with MS.
30. Isolation Tanks
Isolation tanks (sensory deprivation tanks) are designed to restrict the amount of stimulation around you. By cutting off all external forms of stimulation, the tank is thought to relieve pain and reduce anxiety symptoms such as depression, fatigue, and difficulty sleeping. However, there is limited evidence on the use of isolation tanks specifically for MS.
Summary
The use of natural treatments can be a great way to augment your MS treatment, but keep in mind that these options will not replace any medications that your doctor wants you to take. You need to stick to the treatment plan your doctor has given you to help manage and slow the progression of the disease.
Talk to your doctor before trying any supplements or making lifestyle changes to help address your MS symptoms. They can work with you on finding the best natural and pharmaceutical treatment plan to address your symptoms and manage the disease.
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