What are the contraindications to exercise with someone who has multiple sclerosis?

There are a few contraindications to exercise with someone who has multiple sclerosis (MS). These include:

* Unstable or rapidly progressive disease. If someone with MS is experiencing a flare-up or their symptoms are getting worse, exercise may not be safe.

* Severe fatigue. Exercise can worsen fatigue in people with MS, so if someone is already feeling very fatigued, it may be best to avoid exercise.

* Uncontrolled pain. If someone with MS is experiencing severe pain, exercise may make the pain worse.

* Spasticity. Spasticity is a common symptom of MS that can make movement difficult. If someone with MS has severe spasticity, it may be difficult or impossible for them to exercise safely.

* Cognitive impairment. Some people with MS may experience cognitive problems, such as difficulty with memory or attention. These problems can make it difficult to follow exercise instructions or to stay safe while exercising.

* Cardiovascular or other medical conditions. People with MS may also have other medical conditions, such as heart disease or diabetes, that may affect their ability to exercise safely.

It is important to talk to a doctor before starting an exercise program if you have MS. The doctor can help you identify any potential contraindications and develop an exercise plan that is safe and effective for you.