Because physical conditions change, it's smart to repeat your energy audit at least once a year. A good night's sleep is critical. These are all problems that should be managed aggressively by medical means. Sedative drugs are not useful for most of these complaints and may even aggravate daytime fatigue. Like most MS symptoms, fatigue gets worse with increased body temperature.
Environmental humidity can also cause problems.
Keeping cool is the best policy here. For most patients central air-conditioning is a necessity during the summer, and frequent c old showers or dips in the pool help as well. Undoubtedly, exercise is very important in maintaining muscular strength, range of motion, bone health and general well being. The amount of exercise considered beneficial should be determined on an individual basis. A physical therapist familiar with MS can evaluate the limits of fatigue for each patient and tailor the exercise program accordingly.