Coping with cold weather when you have multiple sclerosis

As the weather turns colder, many people with multiple sclerosis (MS) notice changes in how their symptoms feel. While heat sensitivity is more common, some people find that the cold also affects their MS, making symptoms like stiffness, muscle spasms, or numbness feel worse. Understanding why this happens and finding ways to manage it can make the winter months much more comfortable.

How the cold can affect MS symptoms

Cold weather can cause muscles to tighten, making stiffness and spasticity more noticeable. It can also make nerve signals travel more slowly, which may temporarily worsen symptoms such as mobility issues, pain, or tingling sensations. For some, the cold can trigger fatigue because the body uses more energy to stay warm. People who already experience circulation problems might also feel increased numbness in their hands and feet during colder months.

Unlike a relapse, these changes are usually short-lived and improve once the body warms up again. Still, they can make everyday tasks more challenging, and it’s important to look after yourself when temperatures drop.

Coping with the cold

Layering clothing is one of the easiest and most effective ways to stay comfortable. Choose lightweight, breathable fabrics that trap warmth, and don’t forget hats, gloves, and warm socks. Heated blankets, hot water bottles, and electric heat pads can also help, but use them safely and avoid direct heat on numb areas to prevent burns.

Keeping your home at a steady, comfortable temperature can make a big difference. If heating costs are a concern, focus on warming the rooms you use most, and close curtains early to help keep the heat in. Gentle stretching and regular movement, even if it’s just around the house, can reduce stiffness and improve circulation.

Warm drinks, soups, and regular meals can also help maintain body temperature and energy levels. If fatigue or mobility challenges make it harder to prepare food, try batch cooking or using slow cookers for easy, warming meals.

Listen to your body

Everyone’s experience of MS is different, and what works for one person might not work for another. Try to notice how your symptoms respond to temperature changes and plan ahead for colder days. If you find the cold consistently affects your mobility or pain levels, speak with your MS nurse or physiotherapist for tailored advice.

With some preparation and small lifestyle adjustments, it’s possible to stay comfortable and keep enjoying the winter season.

Head over to our Winter Wellbeing Hub for more uplifting resources to help you power through the winter months!