Moreover 41.45% presented with daytime sleepiness as well.

Still, these sleep concerns are grossly underdiagnosed in people with MS.

It’s important for you totalk to your neurologistabout any sleep problems you have.

Types and Causes of Insomnia in MS

Verywell / Cindy Chung

This article will explore the links between MS and insomnia, as well as how to get better sleep.

Each affects a different phase of sleep and has different MS-related causes.

Initial Insomnia

Initial insomnia is defined as the inability or difficulty to fall asleep.

Middle Insomnia

Middle insomnia is when you awaken during the night and cannot fall back asleep.

Ironically, people with higher daytime fatigue are more likely to experience middle insomnia.

Other MS-related symptoms such asmuscle spasmsandnocturia(the urge to urinate at night) can also cause this effect.

Terminal Insomnia

Terminal insomnia is simply waking up too early.

It’s safe to say this would also be true among MS patients.

Diagnosis of Insomnia

There is no definitive test for insomnia.

Among its benefits, it may help train your brain to associate your bed with sleep, not wakefulness.

These conditions, though, need to be diagnosed by a healthcare professional first.

Together, you may be able to find the culprit behind your sleep problems.

In some cases, your healthcare provider will refer you to a sleep specialist for proper treatment.

Frequently Asked Questions

Some of them may, especially spasticitywhich can be aggravated by not moving.

Neurologists have the best understanding of how neurological disease impacts insomnia and how to treat both conditions.

Many sleep specialists become neurologists first, then get certified in sleep medicine.

2018;5(3):208-223. doi:10.1080/23328940.2018.1475831

Multiple Sclerosis Association of America.Sleep Issues.

2014;10(9):1025-1031.

Published 2014 Sep 15. doi:10.5664/jcsm.4044