Ask the Expert: MS Hug

Featuring Barry A. Hendin, MD

MSAA’s Chief Medical Officer

Headshot of doctor Barry Hendin, chief medical officer for MSAA
Barry Hendin, MD

Question: What causes the pain and tight pressure around the body known as an “MS hug,” how is it treated, and can it be avoided?

Answer: The causes of the MS hug aren’t entirely clear, but we believe it is caused by an inflammation or injury to the nerves of the central nervous system (CNS), consisting of the brain, spinal cord, and optic nerves. This inflammation interrupts nerve impulses and sends mixed signals to the body and the muscles. When experiencing these symptoms for the first time, it is often uncomfortable and disturbing. The term “hug” may sound inappropriate as a hug normally refers to a warm and affectionate feeling, unlike an “MS hug” that can be quite uncomfortable.

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More Than Just the Sniffles: Navigating Colds and Flu with MS

For the average person, catching a cold is a minor inconvenience—a few days of tissues and cough syrup before bouncing back to work. But for those of us living with multiple sclerosis (MS), the narrative is often drastically different. We know that a “simple” bug can feel like a seismic event. As one community member vividly shared, “mundane ailments can knock us down for the count.” What might be a fleeting annoyance for our friends and family can hit us with the force of a freight train, leaving us drained and vulnerable.

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Highlighting the MS Community This Holiday Season and Always

As we approach the season of giving, the Multiple Sclerosis Association of America (MSAA) would like to bring special attention to the many wonderful community members that we serve. With our mission of Improving Lives Today, MSAA genuinely strives to advocate for and prioritize the well-being of all individuals who have been affected by multiple sclerosis. Over the years, we have collaborated with so many inspiring people, and we are honored to be able to highlight their stories.                                             

In the spirit of the holiday season, we would like to share the heartfelt story of mother and son, Monica and Brian, who both live with multiple sclerosis.

“I’ve learned that in any situation, if you are not advocating for yourself, you’re not going to get anything. My name is Monica Proctor Wilson, and I was diagnosed with multiple sclerosis on my 40th birthday after spending several years seeking answers to my symptoms. For four or five years, doctors kept saying that it was fatigue, and that I was overworked and needed to take a break. I believed it was multiple sclerosis, and I started asking about it. People would ask me, ‘Why would you want MS?’ I did not want MS. I just wanted to know what was going on with me,” Monica shared.

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Progressing Through Heartache

By Samuel Fitch

As I write this on December 1, 2025, my mind turns to the year behind me. The first thought that rises is the people we lost. My mother passed away extremely unexpectedly on June 9. Her absence has sent a wave of grief through me, my wife, my four siblings, and her ten grandchildren. Yet as painful as it has been, I am grateful for what grew out of that difficult season. My brothers and sisters are now closer than we have ever been, and that closeness has carried us forward.

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Finding Balance: Navigating the Holiday Season with MS

For many people, the holidays are pictured as a “most wonderful time of the year,” filled with parties, gifts, and endless cheer. But for those living with multiple sclerosis (MS), the season often feels different. It can bring a complicated mix of emotions, ranging from genuine gratitude to overwhelming stress. If you find yourself dreading the calendar flip to December, you are not alone. By acknowledging both the darker challenges and the lighter joys, you can find a way to navigate the season that works for you.

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Sweet Dreams

Proper sleep is a quintessential part of functioning optimally. The average adult needs at least 7-8 hours of proper sleep. A loss of sleep can interfere with an individual’s ability to function at their full capacity, as it can lead to issues like confusion, irritability, exhaustion, and lack of energy. An individual with MS may often have issues with sleeping soundly. In addition to the general discomfort that they commonly experience, sleep disturbances can create havoc in a person’s body who has this condition.

Here are some tips to keep in mind that might help you get more shuteye when you hit the bed:

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When MS Makes It Hard to See: Understanding and Coping with Vision Changes

Dealing with changes to your vision due to multiple sclerosis (MS) can be one of the scariest and most stressful things you face. It’s a core sense we rely on every minute, and any trouble with it can feel overwhelming. If you’re struggling, please know you are absolutely not alone. Your challenges are valid. As one forum member shared, dealing with vision issues can truly “mess with your head.”

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Navigating Bladder and Bowel Dysfunction: A Community Perspective

Living with multiple sclerosis (MS) can be full of surprises. One of the toughest challenges for many people is dealing with bladder and bowel issues. These are things we don’t always feel comfortable talking about, but they’re a very real part of the disease. 

This article, which brings together stories and advice from people who are living with MS, is here to help you feel less alone and more in control. It’s all about sharing what we’ve learned to manage these often-secret symptoms.

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Refresh, Rewind, Release

By Monica Proctor Wilson

Self-care is not selfish.

Self-care is self-love.

It took me many years to not only understand that self-care was not selfish, but self-care was self-love and to also accept this. Of course, I had to learn the hard way. For years, I was the person burning the candle at both ends… and in the middle. I made sure everyone else was taken care of, I checked all the boxes, and I filled in all the roles. My personal theme song was “I’m Every Woman” by Chaka Khan, which I played on repeat in my head. Say amen if you relate.

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Building your Fortress

An individual going through a chronic illness like MS may be hit with a multitude of emotions like loneliness, helplessness, confusion, anguish, anger, and sadness at different points in time. The uncertainty associated with MS can be immensely stressful. Having a support system, whether it be friends, family, coworkers, or therapists, can help you navigate through the toughest times. Reaching out for help from your support network is not a sign of weakness. Rather, it shows that you have a strong support system to back you up in hard times. Below are some tips to build a strong and thriving safety net:

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