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I've heard that people with multiple sclerosis do better in a cooler climate. Is that true for people with fibromyalgia too?

Heat sensitivity and intolerance are well-known to occur with multiple sclerosis (MS). In other words, when it gets too hot, symptoms associated with MS get worse. This may be due in part to the fatigue that can result from prolonged exposure to high temperatures. High temperatures with high humidity seem to have the worst effects. Fortunately, this symptomatic response is temporary. As soon as the temperatures are cooled down, the symptoms are relieved. And the opposite is also true. Very cold temperatures and sudden drop in temperature can also cause MS symptoms (especially muscle spasticity) to flare up. Experts believe that this response to change in temperature occurs because heat causes nerves to conduct electrical signals even efficiently. This is a problem because the outer covering of the nerves (called the myelin sheath) is destroyed by MS. That means nerve transmission is disrupted or slowed. Without those nerve messages, the brain doesn't keep the body cool (or warm) when it is needed. People with fibromyalgia tend to do better when temperatures are warmer. This was first noted in response to seasonal changes (e.g., pain levels dropped between January and May). The exact reasons for this are not clear yet. But in general, the influence of temperature on fibromyalgia makes sense since fibromyalgia is linked with dysfunction of the autonomic nervous system (ANS). The autonomic nervous system is the part of your nervous system that controls unconscious functions like breathing, heartbeat, blood pressure, and body temperature. Whereas patients with multiple sclerosis are told to keep cool, it may be better advice to patients with fibromyalgia to stay warm. This can be done by dressing warmly, keeping the house temperatures at an even temperature according to the season, and exercising. Exercising raises the core body temperature, improves cardiovascular fitness and circulation, and reduces pain associated with fibromyalgia.

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