Tattoos were once seen as unusual, but now they’re a common sight. About 24 percent of Americans under 60 have at least one — and the number is even higher for younger adults. This growing popularity has led people in the multiple sclerosis (MS) community to wonder if it’s safe to get a tattoo. Some MyMSTeam members have shared their questions and curiosity on the subject.

“I want to get a tattoo that represents me with this disease. Wondering if anyone got one after they were diagnosed and if it’s a good idea?” one member asked. Another said, “I’ve always wondered if it’s ever a safe or good idea to get any tattoos with MS.”

Can Someone With MS Get Tattoos?

There isn’t enough research to say for sure that no one with MS should ever get a tattoo. MS itself isn’t considered a deal-breaker for tattoos. In fact, most health conditions aren’t.

However, tattoos come with risks. And everyone should take time to weigh those risks carefully with their healthcare provider’s input. Understanding what’s known (and unknown) about tattooing’s health effects can help you decide for yourself.

Are Tattoos Dangerous?

Tattooing penetrates the outer layer of skin and places ink into the dermis at depths ranging from 1 to 5 millimeters. These tiny stabs can happen fast, at a rate of 50 to 3,000 times per minute.

Tattoos are generally considered safe. But researchers are still learning more about their potential short-term and long-term complications. For example, you could wind up with an infection when getting a tattoo. Skin reactions may also appear years after the tattoo has healed. These risks exist whether or not you have MS.

Tattooing should be done only by a licensed, experienced professional. It’s important to do your research to find a tattoo artist you can trust. According to one study of 90 licensed tattoo artists in New York City, only 56 percent had training on tattoo-related skin conditions. You should always reach out to your healthcare provider (rather than the tattoo artist) for medical advice if you’re concerned about how your body is reacting to a tattoo.

Short-Term Complications

Tattoos hurt. It’s normal to have some discomfort as your skin recovers from getting a tattoo. Following your aftercare instructions can help you heal faster and more safely.

You can expect to have some oozing of blood and ink in the first 24 hours of getting a tattoo. Your skin will be sore. After two weeks, scabs will start forming. The top layer or skin will feel itchy and flake off. These symptoms should all improve within two months. If they don’t, there may be an issue.

Short-term complications may include:

• An allergic reaction to tattoo ink that causes a rash
• Skin infections (either from the tattoo process or during healing)

Avoid picking at scabs while your skin is healing. Call your doctor if you notice any signs of an infection, such as:

• Fever
• Skin that smells unpleasant or feels hot
• Significant drainage from the tattoo site
• Worsening pain

Long-Term Complications

If the equipment used for tattooing isn’t sterile, there’s a higher chance of complications. About 7 percent of people have long-term complications after getting tattoos. These could include:

• Granulomas — These areas of inflammation can form immediately around fresh inking or may appear years after the tattoo is placed.
• Keloids — This type of raised scar forms where the skin is broken (in this case, the tattooed area) and overproduces scar tissue.
• Bloodborne diseases — Common examples include staph infections or hepatitis.
• MRI complications — Some inks can affect the quality of MRI images and, in rare cases, cause a burning sensation during scans.

Although there are risks and complications associated with tattoos, many MyMSTeam members shared having few to no symptoms after getting a tattoo. “I have six tattoos already, and they have never interfered with the MRIs I have had,” wrote one member. “I have a few tattoos and have not had any issues,” said another.

Other Complications With MS

One common trigger of MS symptoms is heat. Although heat doesn’t increase demyelination or nerve damage, it can make MS symptoms worse. A fever, hot or humid weather, sunbathing, exercise, or even very hot showers can trigger symptoms.

Small studies suggest that tattooed skin may sweat less and have changes in salt levels, which could point to differences in how the sweat glands work.

In one study of 10 people with tattoos, researchers found that inked areas of skin produced 15 percent less sweat than non-tattooed skin. They suspect that the tattooing process may damage sweat glands in the top layer of the skin. A second small study also found that tattooed skin released sweat with more salt, which suggests decreased sweat gland function. Injury to sweat glands can affect the body’s natural cooling system and raise the risk of overheating. This theory could benefit from more research.

Researchers believe tattoos that cover a higher percentage of the skin’s surface could cause long-term side effects. However, more studies are needed to understand all the factors involved.

Everyone is different. You may need to take special precautions when getting a tattoo, depending on your health and the medications you take. It’s always a good idea to talk to your neurologist and understand your risks before getting a tattoo.

Aftercare of Tattoos

Caring for your skin after getting a tattoo is crucial. Some general recommendations include:

• Keep the tattooed area covered for 24 hours.
• Keep the skin clean by gently washing the area with soap and water, and patting it dry.
• Apply a thick layer of a mild ointment like petroleum jelly to the tattooed skin several times a day.
• Wear loose-fitting clothing to avoid sticking material to the tattoo.
• Avoid sun exposure for at least a few weeks.
• Refrain from swimming in pools, hot tubs, rivers, or lakes as the tattoo heals.
• Avoid scratching skin or picking at scabs that form to prevent damaging tattoo design, scarring, or risk of infection.

MS Tattoos and Self-Esteem

MS can affect how you feel about yourself and your body. Some people find that body art improves their self-confidence and body image.

Getting a tattoo to commemorate MS may help you cope with your disease and can also be a great reminder that you’re still in control. Many members shared how getting tattoos has helped them feel empowered with their MS diagnosis.

“I have a tattoo of a compass and rose on my shoulder. It signifies the time in my life when I had no idea which way I was heading with my MS,” one said. Another wrote, “I have an ‘MS Warrior’ tattoo with the orange ribbon because it will remind me of all the warriors I have met on MyMSTeam and in person.”

If you’re concerned about the effects of tattooing, you could also consider getting a special piece of jewelry or another symbol of your MS journey.

Meet Your Team

On MyMSTeam, people share their experiences with multiple sclerosis, get advice, and find support from others who understand.

If you have any tattoos, how was your experience at the tattoo parlor? Share your story in the comments below.