Multiple Sclerosis Massage

A Multiple Sclerosis (MS) Massage is a gentle, adaptive therapy designed to help people living with MS manage symptoms such as muscle spasticity, pain, fatigue, and mood disturbances. It utilizes techniques that promote relaxation, improve circulation, and release muscle tension while remaining sensitive to individual symptom variability and safety needs.​

Signs & Symptoms

  • Muscle spasticity, tightness, and spasms (especially in legs and back)

  • Persistent fatigue, pain, and disturbed sleep

  • Numbness, tingling, or weakness; impaired balance and walking

  • Mood changes, anxiety, and depression

  • Constipation or digestive issues; occasional skin and temperature sensitivity.​

Contraindications

  • Avoid massage during acute MS relapse, fever, infection, or severe inflammation​

  • No deep pressure or vigorous techniques over areas with altered sensation, osteoporosis, or steroid-induced fragile skin​

  • Avoid hot/cold modalities and environments that may worsen symptoms due to temperature sensitivity​

  • Do not overstimulate nerves or overly relax spastic muscles if they are compensating for weakness (can impair function)​

  • Seek physician clearance for massage in advanced MS or when new symptoms develop.​

Assessment

  • Review type of MS, typical symptom variability, and current medications

  • Assess muscle tone, areas of spasticity, pain, and range of motion

  • Palpate for muscle tension, trigger points, and compensatory patterns

  • Monitor fatigue, balance, and ability to transfer or position safely

  • Frequent feedback, as symptom presentation may change day-to-day.​

Treatment

  • Gentle Swedish massage (light effleurage, kneading, compression) and myofascial release to relax muscles and reduce pain​

  • Passive range-of-motion work and gentle stretching for mobility; avoid excessive force or overstretching spastic muscles​

  • Focus on legs, back, shoulders, and feet for spasticity and tension relief

  • Incorporate nervous system-calming techniques (slow, rhythmic strokes) to decrease anxiety, support relaxation, and improve sleep​

  • Use soft lighting, music, or aromatherapy for mood regulation if client prefers

  • Avoid prolonged sessions; tailor length and frequency to energy limits.​

Self Care

  • Gentle stretching and daily movement as advised by a physical therapist

  • Practice self-massage to accessible areas for comfort between sessions​

  • Use warm (not hot) baths or compresses for muscle pain when not contraindicated

  • Employ stress management and relaxation techniques (yoga, meditation, breathwork)

  • Maintain a balance of activity and rest, hydration, and proper nutrition​

  • Communicate closely with a care team if symptoms change, and seek guidance for exercise and homecare modifications