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"The best piece of advice that I've received to manage my MS is to take care of myself."

Physical Activity & Fitness

Exercise does not have to be harsh, sweaty workouts. In fact, the less pain the more gain, because you are more likely to stick with activities that feel good. In MS, demanding activity can do more harm than good. Moderate exercise for 20 minutes or so every day can yield the same benefits as infrequent but intense workouts.

Watch Shiela and other MS LifeLines Ambassadors as they answer questions about diagnosis, family and friends, lifestyle changes and managing their relapsing MS treatment.

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Start by talking with your health care provider about the types of exercise most likely to be good for you. What is "good" exercise for one person may not be good for another. Like medication, exercise should be prescribed by a professional who knows how to develop individually designed exercises.

Fitness

Even a little exercise provides benefits. If you find you can't do what you used to do, don't give up. You can always modify or turn to another type of activity. Physical therapists and fitness instructors can provide expert help. With some changes, people with all types of MS can enjoy the benefits of exercise.

Some people prefer exercise that is free from the stress of competing with opponents or keeping up with others. They might choose an activity such as swimming or walking, which doesn't require a team or partner. People who have a competitive streak may find that adaptive sports or group workouts motivate them. Exercising alone at home may not supply the motivation that a class or a group provides but can be an ideal choice for some.

Types of exercise

  • Aerobic exercise: what most people think of as "real" exercise. Bike riding, brisk walking, and running are all examples of aerobic exercise. Aerobic means that the body is taking in enough oxygen to meet its needs.
  • Balance exercises: muscles must use more energy to maintain an upright stance, and anything that increases balance will reduce weakness. Using such tools as an exercise ball can help improve balance.
  • Relaxation exercises: breathing and visualization techniques should be a part of any overall program to help reduce weakness and fatigue.

Start your routine by talking with your health care provider about the types of exercise most likely to be good for you.

The Heuga Center for Multiple Sclerosis

The Heuga Center for Multiple Sclerosis believes people should be empowered to lead healthy, productive lives even with an incurable disease like multiple sclerosis (MS). Our innovative and world-renowned programs provide leading-edge education, skills, and motivation to help people with MS and their families achieve this goal.

The Heuga Center's mission is to lead the way with comprehensive programs that empower people and families living with multiple sclerosis to transform and improve their quality of life. Our health and wellness programs include five-day CAN DO®, two-day CAN DO 2® and one-day JUMPSTART®.

Brought to you by EMD Serono, Inc. and Pfizer Inc., the co-marketers of Rebif® (interferon beta-1a) in the US EMD SeronoPfizer

Prescribing Information - Medication Guide

This information is intended only for residents of the United States.

Rebif is used to treat relapsing forms of MS to decrease the frequency of relapses and delay the occurrence of some of the physical disability that is common in people with MS. Efficacy has been established in controlled studies up to 2 years in duration. Rebif is not approved for the treatment of chronic progressive multiple sclerosis. Rebif is available by prescription only in 22 mcg and 44 mcg pre-filled syringes and a titration pack.

Before beginning treatment, patients should discuss with their doctor the potential benefits and risks associated with Rebif. Let your doctor know if you have a history of depression, seizures, liver disease, thyroid problems, and blood count or bleeding problems or if you have had previous allergic reactions to medications. Tell your doctor about all medicines you take, including prescription and non-prescription medicines, vitamins and herbal supplements. Rebif and other medicines may affect each other causing serious side effects. Talk to your doctor before you take any new medicines. Rebif is not recommended for women who are or plan to become pregnant.

Potential serious side effects of Rebif include depression, liver problems, risk to pregnancy, injection site problems and severe allergic reactions. Allergic reactions are rare and may be associated with difficulty breathing and loss of consciousness, which requires immediate medical attention.

The most common side effects with Rebif are injection site reactions, flu-like symptoms (fever, chills, muscle aches, tiredness), depression, abdominal pain, increased liver enzymes, and blood cell count decreases. Let your doctor know immediately if you have any of these symptoms or feel sad, tired, hot or cold, experience hives, rashes, bruising, yellowing of the skin, or a change in body weight (gain or loss).

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

This information is not intended to replace discussions with your healthcare provider. For additional information about Rebif, please consult the Medication Guide or Prescribing Information and talk to your doctor. You can also call toll free 1-877-44-REBIF (1-877-447-3243). Rebif is available by prescription only.

MS LifeLines is an educational support service for people living with MS and their families. MS LifeLines and MS LifeLines Ambassadors are sponsored by EMD Serono, Inc. and Pfizer Inc.

Rebif, Rebiject II and MS LifeLines are registered trademarks and the Rebif logo is a trademark of EMD Serono, Inc. or its affiliates.

MS in Balance is a service mark of EMD Serono, Inc. or its affiliates.

Copyright 2008 EMD Serono, Inc. All rights reserved.