Muscle aches, stiffness, and spasms are common and uncomfortable symptoms of multiple sclerosis (MS). Because heat can help relax tight muscles, some people wonder whether an infrared sauna or other forms of heat therapy might provide safe relief.
The answer is: It depends on the individual. While there currently isn’t any evidence that infrared saunas specifically improve MS muscle aches and other symptoms, some members of MyMSTeam have reported personal benefits when they use heat therapy carefully and within their comfort level.
In this article, we’ll explore why heat can trigger or temporarily worsen MS symptoms and what MyMSTeam members say about their experiences with infrared saunas and other forms of heat therapy.
Many people with MS experience Uhthoff’s phenomenon, a temporary worsening of neurological symptoms caused by an increase in body temperature. This can happen from hot weather, exercise, fever, hot showers, or sauna use, but symptoms typically improve once the body cools down.
Research estimates that about 60 percent to 80 percent of people with MS are affected by heat sensitivity.
Heat may worsen a number of MS symptoms, such as:
Doctors sometimes call Uhthoff’s phenomenon a pseudoexacerbation. Unlike a true MS relapse, a pseudoexacerbation doesn’t involve new disease activity or permanent nerve damage. Instead, existing symptoms temporarily get worse because heat makes it harder for already-damaged nerves to transmit signals.
Interestingly, heat sensitivity was once used as part of the MS hot bath test, an older diagnostic method in which doctors observed whether symptoms worsened after exposure to hot water. The test is no longer used because modern diagnostic tools are much more accurate.
Unlike traditional saunas that heat the air around you, infrared saunas use infrared light to warm the body more directly. They also operate at lower temperatures, generally around 110 to 135 degrees Fahrenheit, compared to traditional dry saunas that can reach 150 to 195 degrees.
In general, it’s best to keep infrared sauna sessions to less than 30 minutes at a time so that you don’t put too much stress on the body. You also shouldn’t use an infrared sauna more than three or four times per week.

Some people prefer infrared saunas because the lower temperatures may feel more comfortable. However, infrared saunas still raise body temperature, which means they can still trigger heat-related MS symptoms in people who are heat sensitive.
Research in the general population suggests heat can increase blood flow and promote muscle recovery, which may temporarily reduce feelings of soreness. However, research hasn’t established that sauna therapy specifically improves muscle aches caused by MS.
Although scientific evidence on infrared saunas for MS is limited, MyMSTeam members have shared a wide range of experiences with heat therapy. Some find it soothing and pain-relieving, while others find it worsens their symptoms. Many have landed somewhere in between, making it work for them by adjusting how they use it.
“My infrared sauna has been helping me a lot,” shared one MyMSTeam member. “It has eased my pain and helped my brain fog and fatigue. I just started working out again.”
“I too enjoy a good sit in a sauna. It did make my joints feel so much better,” added another. “I started to notice that I couldn’t stay in very long. I could feel the life being sucked right out of me, so I went to the locker room and took a cool shower.”
Another member described using infrared heat at home, adding, “I did an Epsom salt bath and used infrared heat on my back, neck, shoulders, and legs. It really helped, so I’m doing OK. A little slow moving today.”
Others have found that limiting heat therapy to target areas helps them manage pain flare-ups. “When I woke up this morning, my back was killing me. I lay down on my infrared heating pad and took ibuprofen. Soon the pain subsided to the point I could get up,” wrote one member.
For many people with MS, the challenge isn’t muscle pain itself. It’s what happens when body temperature rises.
One MyMSTeam member wrote, “I can’t do saunas, baths, etc. because I’m extremely heat sensitive. I need to stay cool to keep me strong.”

“I only tried a sauna once. I should try again, but I can’t get too hot because then I’d faint,” noted another. “My body hates heat. If there was a sauna that deals with the cold, then I would definitely do it!”
Not everyone experiences an all-or-nothing reaction to heat. Some members have also reported modifying how they use heat to their advantage rather than avoiding it altogether.
“I haven’t tried a sauna, but I have done hot tubs only at night,” stated someone. “I have heat sensitivity, but it’s worth the relaxation of my muscles and sleeping through the night to wake up feeling refreshed.”
“I can’t use a sauna because of the excessive heat,” another agreed. “I’ve never been able to tolerate it. But a spa/jacuzzi, absolutely!”

Others prefer localized heat instead of full-body heat exposure. One even added, “My joints are in bad shape today. I’m leaning into a deep infrared heating pad that should warm my core.”
Remember, each person’s experience with MS is different, including when it comes to heat therapy.

If you’re interested in trying an infrared sauna or other heat therapy for your MS muscle aches, be sure to talk with your neurologist or healthcare provider first about using it safely.
If your healthcare team gives you the green light to try heat therapy, there are a few things to keep in mind:
Keeping these precautions in mind can help you gauge whether heat therapy is worth trying for your own symptoms.
An infrared sauna may help some people with MS feel more relaxed or temporarily reduce muscle discomfort, but there’s currently no strong evidence that infrared saunas specifically treat MS muscle aches.
For many people with MS, heat exposure can actually worsen symptoms, but everyone’s body is different. If you’re interested in trying a sauna for body aches, the safest approach is to work closely with your healthcare team to determine whether heat therapy is right for you.
On MyMSTeam, people share their experiences with multiple sclerosis, get advice, and find support from others who understand.
Have you tried an infrared sauna or another type of heat therapy for your multiple sclerosis muscle aches? Let others know in the comments below.
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What about bio mats?my wife has lupus and swears by them for pain.Anybody use them for Ms symptoms? I'm sure
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Never did it this my first time hearing about it and reading about Ms
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