What is the impact of physical exertion on someone with MS?

Besides temperature changes, physical exhaustion is another common aggravator of multiple sclerosis (MS). It can not only make an old symptom worse but can bring on an attack of symptoms never present before. A typical situation is described in this patient's account: "I had gotten well from weakness in my left leg.

I was in Hawaii and started playing tennis again. One day during a heavy tennis match both legs became so weak they could no longer hold me up. I had to be helped off the tennis court.

I went to bed, and the weakness was better the next day, but it took a full week to completely clear up."The patient had no history of weakness in the right leg, so this was a new attack - and it was brought on by physical exertion.

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