18/09/2026
Living as Well as I Can: My 26-Year Masterclass in Managing my MS
In April 2000, my life split cleanly into two halves. Before that spring, I was defined by two things: I was fiercely, relentlessly active, and I was mentally sharp. I was astute, a quick thinker, and accustomed to a body and mind that moved at supersonic speed.
For 26 years, multiple sclerosis has tried to slow that pace down. But while it has forced me to adapt, it has failed to stop me. Today, I am still walking unaided, still doing most of what I have always done - albeit at a much slower pace. I estimate it takes me four to five times longer to do something than it used to. Oh well. All I can do is live as well as I can with MS, and after more than two decades, I have cracked the code on what works for me.
The Elite Athlete of Exhaustion
To the outside world, fatigue sounds like needing a nap. The reality of my MS fatigue is vastly different. I imagine it is like being a high-performance athlete who trains from the moment they get up to the moment they go to sleep. Every single second of my day requires a conscious, grueling expenditure of energy.
Even extreme concentration completely wipes me out. For someone who used to rely on a quick, analytical brain, coming to terms with the onset of brain fog and memory loss was a devastating blow. It took me a long time to process that grief, and it eventually triggered a period of severe depression. It is heartbreaking to feel a brilliant mind clouding over. But over time, I chose to stop mourning the past version of my intellect and focus entirely on maximizing the present.
The Physical Hurdles: Foot Drop and the Battle of the Bladder
As the heavy blanket of fatigue settles in over the course of a day, my physical body begins to rebel. I have one leg that simply refuses to do what I want it to do. The more tired I get, the worse my foot drop becomes, and I find myself tripping more and more.
But of all my frustrating symptoms, few matched the indignity of an overactive bladder. For a long time, my life was a stressful military operation: planning my movements from toilet to toilet, constantly leaking, and always on high alert. That was until I started receiving Botox injections in my bladder. It has been an absolute game-changer, restoring a sense of freedom and control that MS tried to steal away.
The Night-time Battle: Pain, Spasticity, and Sleep
Pain and spasticity, and how they prevent me from sleeping, are also challenges I have to manage carefully. These symptoms, like so many others, are heavily exacerbated by how bad the fatigue is on any given day. Staying busy during daylight hours helps me distract my mind and manage the discomfort, but when it comes to the night, finding sleep can be incredibly difficult.
Magnesium helps ease the tension on standard nights. However, when it gets truly bad, the spasticity can make it feel as though I’ve dislocated a hip, and the pain feels exactly how I imagine it would feel to have my feet submerged in molten lava. When it reaches that level, a simple supplement won't cut it, and I need something a lot stronger to get through the night.
My Four Pillars: Why I’m Still Standing
I put my longevity and mobility down to my strict, non-negotiable four-pillar blueprint:
• The Best DMTs: I have always advocated for myself and taken the highest-efficacy, best disease-modifying therapies available.
• A Targeted Diet: I eat exceptionally well, having severely cut down on sugar and starch to reduce systemic inflammation.
• Smart Supplementation: I utilize specific dietary supplements that really help and directly target my symptoms.
• Targeted Exercise: I deliberately exercise the very muscles I cannot control well. By forcing those pathways to work, I maintain my mobility.
At My Own Pace
MS may have slowed me down, but it has not defeated me. I might take five times longer to finish a task, but the victory is in the finishing. Twenty-six years into this diagnosis, I am still walking, still thinking, and still thriving. I am living proof that you can live well with MS—know your limits and manage them, and above all don’t give into it.
Alan
To learn more about Multiple Sclerosis and the services provided by MS Waikato visit our website www.mswaikato.org.nz . If you wish to make a donation to support our services, select ‘Donate now’ on the website or alternatively donations can also be made by visiting https://givealittle.co.nz/org/mswt
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