Understanding Relapsing-Remitting MS and How the Samson Centre Supports You

Relapsing-Remitting Multiple Sclerosis (RRMS) is the most common form of MS, with around 85% of people diagnosed experiencing this type. RRMS is characterised by periods of symptom flare-ups, known as relapses, followed by remissions, during which symptoms improve or sometimes disappear. Over time, many people with MS may notice that their condition progresses, leading to cumulative physical and neurological challenges.
Effectively managing RRMS requires a proactive approach that combines physical care, mental well-being, and access to the right therapies. At the Samson Centre, we offer a supportive environment with tailored treatments and activities designed to empower individuals with RRMS to live their lives to the fullest.

What Causes RRMS Flare-Ups?
The exact cause of flare-ups in RRMS isn’t always clear, but several factors may increase their likelihood. Understanding these triggers can help manage and potentially reduce the frequency of relapses:
Stress: Many people with MS report worsening symptoms during times of high stress. While not medically proven, managing stress effectively can help reduce the likelihood of flare-ups.
Infections: Viral and bacterial infections, particularly respiratory infections and urinary tract infections, are known triggers. Proactively managing infections through early treatment and preventative care is essential.
Postpartum Period: Women who have recently given birth are at a higher risk of MS relapses. Pregnancy hormones often have a protective effect that diminishes after delivery, potentially leading to flare-ups.
Smoking: Smoking has been shown to increase the frequency and severity of MS relapses. It also raises the risk of infections, which can exacerbate symptoms. Quitting smoking can significantly improve health outcomes.

Taking care of your overall health—staying active, eating well, and reducing stress—can help mitigate the severity of relapses and, in some cases, extend the time between them.

Understanding Remission Periods
During remission periods, symptoms of RRMS may improve or even disappear. However, remission does not always mean a complete absence of symptoms—some people may experience residual effects, such as fatigue or muscle weakness. Remission offers an opportunity to focus on strengthening your health and addressing any ongoing symptoms through therapies, exercise, and mental well-being.

How the Samson Centre Supports People with RRMS
At the Samson Centre, we understand the challenges of living with RRMS. That’s why we offer a comprehensive range of therapies and support services to help you manage your condition effectively. Here’s how we can help:

1. Oxygen Therapy
Baric oxygen therapy is a proven method for relieving some of the symptoms associated with MS, including RRMS. During these sessions, individuals sit comfortably in a pressurised chamber and breathe pure oxygen through a mask. This increases the level of oxygenated blood in the body, which may help reduce symptoms such as pain, and bladder problems. Oxygen therapy can also improve mobility and enhance overall well-being.
At the Samson Centre, we have two individual oxygen chambers and one multi-chamber that can accommodate up to four people. All our sessions are expertly run by trained oxygen therapy specialists who ensure a safe and comfortable experience. Regular oxygen therapy sessions can be an excellent addition to your MS management plan.

2. Exercise Classes
Exercise is a powerful tool for managing RRMS symptoms. It helps to retrain the brain, promoting neuroplasticity, which can improve movement and coordination. Exercise also prevents muscle atrophy, enhances balance, and reduces fatigue.
At the Samson Centre, we offer:
Small Group Gym Sessions: Led by professional instructors, these sessions are tailored to your individual fitness levels and needs.
One-to-One Training: For a more personalised approach, our trainers work with you to create a bespoke exercise plan.
– Take-Home Routines: For at-home movement exercises, resources like The MS Gym can help.

3. Physiotherapy
Physiotherapy is an essential component of RRMS care. At the Samson Centre, our physiotherapy programmes are designed to help you regain and maintain strength, mobility, and flexibility.
Our offerings include:
Seated and Standing Pilates: Focus on core strength and stability.
Neurofit Circuits: Engaging, targeted exercises to promote neurological and physical fitness.
– Tai Chi: Gentle, flowing movements that improve balance, flexibility, and focus.
Balance Classes: Designed to enhance coordination and prevent falls.
Indoor Kayaking (Ergo Kayak Machine): A unique and enjoyable way to build strength, improve posture, and enhance upper-body mobility.


Classes are available both in-person and online, offering flexibility for those who may prefer to join via Zoom. All sessions are led by experienced professionals who adapt exercises to suit your abilities and goals.

4. Mental and Emotional Support
Living with RRMS can take an emotional toll, which is why mental health support is a key focus at the Samson Centre. We provide a safe and welcoming space where you can connect with others who truly understand what you’re going through. Whether you’ve been recently diagnosed or have been living with MS for years, sharing experiences and building friendships can significantly improve your mental well-being.
Our support includes:
– Social Connections: Join others for a coffee and a chat to share experiences, offer support, and build lasting friendships.
Counselling Referrals: If you need additional emotional support, we can connect you with professional counselling services or other MS-specific support networks.

Additional Support Strategies for RRMS
1. Nutrition
A balanced diet can play an important role in managing RRMS. While no specific diet cures MS, eating plenty of fruits, vegetables, lean proteins, and healthy fats can reduce inflammation and support overall health. Staying hydrated and limiting processed foods can also have positive effects on energy levels and well-being.
2. Fatigue Management
Fatigue is one of the most common symptoms of RRMS. Practical tips for managing fatigue include pacing your daily activities, incorporating rest periods, and focusing on energy-boosting foods like whole grains and proteins.
3. Stress Reduction
Stress can worsen MS symptoms, so learning to manage it is essential. Techniques such as mindfulness, yoga, meditation, and deep breathing can help. Engaging in hobbies or activities you enjoy can also provide an outlet for relaxation.
4. Assistive Devices and Accessibility
For those experiencing mobility challenges, assistive devices such as walking aids, grab bars, or ergonomic seating can help maintain independence. Additionally, making simple home modifications can improve accessibility and ease daily tasks.
5. Involving Loved Ones
Educating family and friends about MS can foster understanding and provide a strong support network. Encouraging loved ones to join you at events, exercise sessions, or social gatherings can strengthen these bonds and reduce feelings of isolation.
6. Staying Informed
Keep up to date with ongoing MS research and potential new therapies. This not only helps you feel empowered but also offers hope for future treatments that could further enhance your quality of life.

Final Thoughts: Managing RRMS Proactively
Living with RRMS may bring challenges, but it also provides opportunities to take control of your health and well-being. By incorporating therapies like oxygen treatment, engaging in exercise and physiotherapy, managing stress, and staying socially connected, you can reduce the impact of relapses and live a fulfilling life.
At the Samson Centre, we are committed to supporting you through every stage of your RRMS journey. Whether you need physical therapies, emotional support, or simply a place to connect with others who understand, we’re here for you.
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Further Resources for MS Support
National Multiple Sclerosis Society (NMSS): www.nationalmssociety.org
MS Trust: www.mstrust.org.uk
MS International Federation: www.msif.org
Take the first step today—contact the Samson Centre and let us support you on your journey with RRMS. Together, we can help you live your best life.