People living with multiple sclerosis are at increased risk of sleep disturbances, which can lead to daytime sleepiness and fatigue. The most common sleep problems associated with MS include insomnia, obstructive sleep apnea (OSA), and restless legs syndrome (RLS). Other sleep problems may include periodic limb movement disorder (PLMD), rapid eye movement (REM) sleep behavior disorder (RBD) and narcolepsy.
Fatigue vs. sleepiness
Fatigue and sleepiness are similar, but may have different causes. If you start the day energized, but lose physical or mental energy over time, it’s probably MS-related fatigue. If symptoms are worse during sedentary, monotonous activities, rather than during extended physical or cognitive activity, the excessive sleepiness (hypersomnolence) is more likely caused by sleep disturbances and needs to be assessed with an overnight sleep study.
Insomnia
Insomnia occurs when you have trouble falling asleep or staying asleep. It can contribute to symptoms of fatigue, impaired concentration or memory, mood disturbances, excessive daytime sleepiness, behavioral problems, reduced motivation or energy, impaired social, family, academic, or occupational performance, proneness to errors, and concerns or dissatisfaction with sleep.
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The Many Ways MS Can Mess With Your Sleep
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