Staying active with Multiple Sclerosis

MS can make movement feel uncertain. Some days you feel energetic. Other days, symptoms like fatigue, stiffness, numbness, or balance changes can take over. That unpredictability can make you unsure about what’s safe or how much to do, even if you want to care for your body.

The reassuring truth is that the right exercises for MS can play an important role alongside the rest of your care. Gentle, steady movement can reduce stiffness, boost coordination, build strength, and help you feel more in control of your body without worsening symptoms. We offer calm, one-to-one guidance. This helps you move in a way that suits your abilities each day. It supports long-term function and protects your energy instead of draining it.

Common situations we support

People with MS often come to us when day-to-day movement starts to feel different – not necessarily worse, just less predictable. You might be:

  • Finding fatigue harder to manage
  • Feeling less steady on your feet or more aware of balance changes
  • Noticing muscle stiffness, spasms or weakness affecting your confidence
  • Experiencing numbness or altered sensation that makes movement feel less certain
  • Dealing with fluctuating symptoms that make exercise feel confusing or inconsistent
  • Wanting to stay active but unsure how much to do, or how to pace yourself
  • Looking for one-to-one support from someone who understands MS rather than generic fitness advice

Start with a free 15-minute enquiry call

If you’re not sure how to start exercising with MS or adjust to new symptoms, a quick chat can help clarify things. We’ll discuss what’s been going on for you. We’ll answer your questions and suggest easy, safe first steps that fit your energy, confidence, and daily routine.

Prefer to talk now? Call 020 8226 0034

What we work on in sessions

Our MS exercise sessions target four main areas. These areas boost strength, stability, and confidence in daily life. Because symptoms can vary from day to day, each session is paced gently and adapted to your energy, mobility and comfort on the day.

Cardiovascular

Gentle cardio exercise, like walking, swimming, or cycling, boosts overall health. It enhances heart, lung, and brain function. Also, when done at the right pace, it helps manage fatigue. We use short, steady bouts of movement to lift energy, stabilise mood and support independence without leaving you drained.

Strength

Strength training is one of the most effective ways to slow the muscle loss associated with MS and maintain mobility. We use simple movements like sit-to-stands, seated rows, and glute bridges. These exercises build strength and endurance. They feel safe and controlled, and they match your current ability.

Balance

Changes to coordination, sensation and muscle control can affect balance for many people with MS. We use accessible exercises to help reduce fall risk and boost stability. These include yoga-inspired movements, supported single-leg stances, and heel-to-toe walking. This way, we can rebuild confidence in daily movement.

Pelvic floor

MS can affect bladder and bowel control due to changes in how messages travel through the body. Targeted pelvic floor exercises like glute bridges, deadbugs, and gentle leg raises can improve control. They support core stability and help you stay comfortable and independent in daily life.

“At 75, living with MS, I decided to take control of my physical health for the first time. I found Longevity online, and they connected me with Gabriella, who has been fantastic, knowledgeable about my condition, thorough, and always encouraging. Each session leaves me with a real sense of achievement. I highly recommend her and Longevity!”

James

“I’ve had MS for 20+ years and I’ve been training with LH&F for a year now. I am stronger, my movement is better and I’m much more physically confident than I’ve been for ages. I wholeheartedly recommend them.”

Danny

How our MS exercise programmes work

Because MS can change from one day to the next, we build a plan that moves with you. Supportive on low-energy days, progressive on better days.

Initial consultation and assessment

We begin with a relaxed conversation about your MS history, symptoms, energy levels, medication and what you’d like to improve. You’ll do a few gentle movements in everyday clothes so we can understand your mobility, balance, fatigue patterns and confidence. Together, we agree on clear, manageable priorities for your first few weeks.

Your personalised plan

Your plan focuses on the areas that matter most to you. Everything is tailored to your symptoms, pacing needs and daily routine. You’ll know how to start safely, how to avoid overexertion and how to adapt exercises on lower-energy days.

One-to-one sessions

Regular 60-minute sessions (weekly or fortnightly) at home or online. We adjust every session to your energy, coordination, fatigue and symptoms that day. Sessions are calm, supportive and flexible. You’re never pushed beyond your comfort zone, and we adapt instantly if something changes.

Home practice &
check-ins

Your home exercises flex with your symptoms: simple when energy is low, slightly more challenging when you feel able. We review progress regularly and, with your permission, keep in touch with your GP, neurologist or MS nurse so your exercise plan stays aligned with the rest of your care.

Neuro-Rehabilitation for MS

Our neuro rehabilitation sessions are designed specifically for people living with MS. Each programme includes strength work, balance training, mobility, cardio, and pelvic floor support. All of this is tailored to your symptoms, energy levels, and daily changes.

If you want to improve coordination, manage fatigue, feel steadier, or build confidence in movement, we guide each step calmly and safely. This way, progress feels achievable and lasting.

Multiple sclerosis success stories

Julian began working with Longevity at the age of 75, having lived with multiple sclerosis for many years. Until this point, he had limited experience with structured exercise and was unsure what was safe or appropriate given his condition. Despite this uncertainty, he was motivated to take greater control of his physical health and remain as active and independent as possible later in life.

Julian, 75

Susan, aged 60, has been working with Longevity Health and Fitness while managing multiple sclerosis alongside two traumatic brain injuries. When she first started, her main challenges centred around walking stamina, balance, and confidence. She experienced foot drop and weakness through her right leg related to MS, had reduced confidence on stairs, and felt anxious walking.

Susan, 60

Fiona began working with the team while managing multiple sclerosis, alongside foot drop and a noticeable reduction in walking speed. At the time, everyday walking required more effort, foot clearance felt unreliable, and there were understandable concerns about maintaining mobility and fitness long term as neurological symptoms fluctuated.

Fiona

Why choose Longevity Health & Fitness

At Longevity Health and Fitness, we specialise in supporting people with long-term and complex health conditions through safe, personalised exercise programs. Every program is designed around you, your condition, your energy levels, and your day-to-day reality. Our focus is on meaningful progress, helping you move better, feel stronger, and maintain independence, with care that adapts as your needs change. We work collaboratively with healthcare professionals when needed, ensuring your exercise plan fits seamlessly alongside your wider care.

Specialists in MS-focused exercise

You’ll work with clinical exercise professionals experienced in supporting people with MS. We know symptoms can change from day to day and even hour to hour. So, we customise each session to fit your energy, mobility, balance, and fatigue levels.

Safe, supportive sessions

With MS, pacing is everything. Sessions are calm, flexible and adjusted instantly to how you’re feeling that day. You’ll never be pushed beyond your comfort zone. Our goal is steady progress without triggering flare-ups or overwhelming your energy.

Progress you can feel in everyday life

We focus on meaningful, real-world improvements: steadier walking, easier transfers, better balance, stronger legs, reduced stiffness and more confidence in daily movement. Small, consistent steps become genuine changes in independence and wellbeing.

Joined-up care when you need it

We can work with your neurologist, MS nurse, or healthcare team. This way, your exercise plan will match your medical advice. You’re fully supported, with everyone working in the same direction.

Exercise for MS FAQs

There isn’t one “best” exercise for MS. The most effective approach is a mix of gentle cardiovascular work, strength training, balance exercises and mobility. Walking, cycling, swimming, supported strength movements, and pelvic floor exercises can all help improve strength, coordination and fatigue management. The key is choosing exercises for MS that match your energy and symptoms on the day.

Yes, exercise is considered an important part of MS management alongside medical treatment. While exercise cannot cure MS, it can support many areas affected by the condition: strength, mobility, fatigue, balance, cognition and overall function. Many neurologists now recommend exercise as part of a holistic multiple sclerosis treatment plan.

Yes, with the right pacing. For many people with MS, fatigue is one of the most challenging symptoms. A multiple sclerosis therapist helps you adjust sessions to your energy levels, introduce rest at the right times, and avoid overexertion. On low-energy days, we focus on gentle mobility, breathing work or simple strengthening so you can stay active without worsening fatigue.

MS often affects coordination and nerve pathways, which can make balance harder. Targeted balance exercises (like heel-to-toe walking, supported single-leg stance and simple stabilisation drills) help retrain these systems. Regular practice can improve stability, confidence and reduce fall risk.

No. Most exercises for MS can be done at home with everyday items or bodyweight. If equipment becomes useful, we keep it simple: light weights, resistance bands, a sturdy chair or household objects. We adapt everything to your space and comfort.

Yes. Strength training can slow muscle loss, improve mobility, support balance and reduce stiffness. Exercises such as sit-to-stands, glute bridges or seated rows can be adapted for any ability level. A multiple sclerosis therapist will guide you at a pace that feels safe and manageable.

Most people feel benefits such as better energy, steadier movement or improved confidence within a few weeks. Larger changes build gradually, especially when exercise is paced well and aligned with your MS symptoms and treatment plan.

Home visits in London & Surrey (online everywhere)

Home visits across London, Surrey and nearby areas, with flexible online appointments wherever you are. Not sure if you’re in range? Contact us or call 020 8226 0034 and we’ll confirm.

Home visits in London & Surrey (online everywhere)

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