Balance Exercises for Multiple Sclerosis: A Physiotherapist’s Guide
Updated: Sep 5
Balance problems in multiple sclerosis can come from several different sources, including weakness, altered sensation, vision, coordination, vestibular problems, fatigue and reduced confidence. That is why the best balance exercise is the one that targets the main problem safely.
Start with support if you need it
If standing balance is limited, use a stable worktop, rail or chair and practise controlled weight shifts, sit-to-stand, supported marching or stepping. The aim is to challenge balance without creating unnecessary falls risk.
Progress the task gradually
Balance can be made harder by narrowing the base of support, reducing hand support, changing direction, stepping over small obstacles or adding head turns. Progress one variable at a time so you can judge how fatigue and symptoms respond.
Include strength and walking
Balance is not trained in isolation. Hip, knee and ankle strength, foot clearance and walking endurance all influence stability. A programme may therefore combine resistance work with stepping and gait practice rather than relying only on static standing.
Adapt for fatigue and heat
On a more fatigued or heat-sensitive day, reduce the duration, use more support or choose a seated alternative instead of abandoning movement completely. New or clearly worsening neurological symptoms should be discussed with your MS team rather than assumed to be an exercise problem.
Prefer guided group exercise? Book the strength and balance exercise class.
If you need advice tailored to you, book a physiotherapy assessment.
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