MS Fatigue: When Your Body Thinks You’re Climbing Everest (Even on the Couch)

Let’s talk about one of the most frustrating, downright maddening symptoms of MS: fatigue. Not the kind of tired you can fix with a nap, but the bone-deep exhaustion that makes it feel like you just ran a marathon, climbed Mount Everest, and wrestled a bear—all before breakfast.

Fatigue and I have a love-hate relationship. Well, mostly hate. I’m someone who likes to stay active, constantly doing something, anything. But fatigue doesn’t care about my to-do list or my hobbies—it shows up uninvited, plants itself on my couch, and refuses to leave. Oh, and did I mention it’s often made worse by the very medications meant to treat other MS symptoms? Yeah, it’s the gift that keeps on giving.

But here’s the thing: while fatigue is stubborn, so am I. Over time, I’ve found a few tricks that help me manage this Everest-sized exhaustion. And if you’re battling MS fatigue too, maybe these ideas will help you.

1. Prioritize Like a Pro

Imagine you have a limited energy budget each day (because, well, you do). The trick is to spend it wisely. I call it the “Pick-Your-Battles Plan.” Some days, you cook dinner. Other days, you order takeout and call it a win. It’s about knowing what’s worth your energy and what isn’t.

Pro Tip: Write down the 2–3 most important things you want to accomplish each day. If you get through those, awesome. If not, hey, there’s always tomorrow.

2. Master the Art of the Power Break

Forget the “power nap” and embrace the “power break.” Sometimes, all you need is 10 minutes to lie down, close your eyes, and recharge—no guilt allowed. I like to call it strategic laziness. It’s not about giving up; it’s about giving your body what it needs to keep going.

3. Caffeine: The Frenemy

Ah, caffeine. It’s a lifesaver… until it isn’t. While a cup of coffee or tea can help kickstart your day, too much can backfire, leaving you jittery and crashing harder than a toddler without a nap. Moderation is key.

Bonus Tip: Green tea has a bit of caffeine but also a calming effect, making it a great middle ground. Plus, sipping tea makes you feel fancy, which is always a plus.

4. Move (Even When You Don’t Want To)

This one feels counterintuitive, but hear me out. Gentle movement—whether it’s stretching, yoga, or a short walk—can actually give you more energy in the long run. Think of it as shaking off the cobwebs. Just don’t overdo it—this isn’t the Olympics, and you’re not competing for gold (yet).

5. Laugh at It (Seriously)

Sometimes, the only thing you can do is laugh. I mean, how ridiculous is it that brushing your teeth can feel like climbing a mountain? MS fatigue might not have a cure, but humor is one heck of a coping mechanism. Find the funny, even in the frustrating moments.

6. Lean on Your People

Fatigue has a sneaky way of making you feel isolated, like you’re the only one running on empty. But you’re not alone. Talk to your friends, family, or even an online group. And don’t be afraid to ask for help—it’s not a sign of weakness; it’s a sign of strength.

7. Listen to Your Body (Even When You Don’t Want To)

This one’s tough, especially for folks like me who want to be doing all the things all the time. But sometimes, your body’s not asking you to rest—it’s demanding it. And the sooner you listen, the sooner you can bounce back.

8. Celebrate the Small Wins

Got out of bed? Win. Made it through a Netflix episode without falling asleep? Win. Cooked dinner and washed the dishes? Call the press—it’s breaking news! Celebrate every victory, no matter how small.

Wrapping It Up

MS fatigue is no joke—it’s relentless, exhausting, and, let’s be honest, incredibly annoying. But with the right mindset (and maybe a little caffeine), it doesn’t have to take over your life. Some days will be harder than others, and that’s okay. What matters is that you keep going, one small victory at a time.

Now, if you’ll excuse me, I’m off to climb my own personal Everest (a.k.a. folding the laundry). Wish me luck!

How do you manage fatigue? Share your tips, tricks, or funny stories in the comments—I’d love to hear them!