A to Z of MS Balance
MS can affect balance in a number of ways, both directly and indirectly.
There are a number of MS symptoms that can worsen balance and increase the risk of falling. These include muscle stiffness (spasticity) and spasms, weakness and numbness, tremor, pain and fatigue.
Balance problems can also be caused by interruptions to the communication between the brain and the rest of the body. If the brain says move but the message doesn't reach the leg, this can result in a fall.
Sensory problems may affect the way in which someone walks and thus affect their balance. For example, numbness can reduce an individual's perception of the way their feet are touching the ground, or over-sensitive feet may mean that someone is more tentative in the way they walk.
MS can also cause dizziness and vertigo. This can make it difficult to remain upright, unsupported, even when standing still.
Balance problems can be managed to some extent by being aware of factors that make balance worse and being aware of potential factors that might increase the risk of a fall. These issues are discussed in the MS Trust's book Falls: managing the ups and downs of MS.

