Early signs and symptoms of multiple sclerosis (MS) can vary for each person. MS onset symptoms can include vision issues, weakness, tingling, numbness, and more.


MS is a relapsing or progressive condition affecting the central nervous system (CNS). It occurs when the body’s immune system mistakenly attacks the healthy nerves of the brain and spinal cord.

Early intervention offers the best chance at preventing long-term disability. Therefore, it is crucial to recognize the initial symptoms of MS and seek prompt medical attention as soon as a person has concerns.

Read on to learn more about the possible early signs and symptoms of MS. This article also looks at risk factors for MS and when to contact a doctor.

The National Institute of Neurological Disorders and StrokeTrusted Source reports that vision problems can be early symptoms of MS. Inflammation and demyelination disrupt vision when it affects the optic nerves.

Possible early vision changes include:

Learn more about how MS can affect vision.

For many people, fatigue and muscle weakness are the main symptoms of MS. Nerve damage in the spine and brain results in long-term (chronic) fatigue. This is called primary fatigue.

Secondary fatigue can also occur as a result of other MS symptoms, such as pain or sleep problems.

Learn more about fatigue and MS.

Tingling and numbness are other common early warning signs of MS. These symptoms most often occur in the:

  • arms
  • legs
  • face

Tingling and numbness can be mild or severe. These symptoms can also come and go.

Up to two-thirds of people with MS worldwide report that they experience pain with MS.

Pain relating to the early stage of MS can affectTrusted Source the:

  • arms
  • legs
  • trunk
  • face
  • eyes

Dizziness and balance problems affect many people with MS. With early MS, dizziness can beTrusted Source constant or intermittent.

This can cause a person to:

  • feel off balance
  • fall frequently
  • experience near-falls or tripping
  • lose their balance
  • find it difficult to walk

Most people with MS experience some degree of bladder dysfunction, which can beTrusted Source an early symptom.

Bladder issues occur when lesions affect nerve signals that control the bladder and urinary function.

Symptoms typically include:

Cognitive (thinking) changes can be the first symptom of MS for some people.

Over half of people with MS will experience cognitive changes at some point. These can include:

  • difficulty finding words
  • memory loss
  • difficulty with the speed of processing information

Symptoms of MS can be different for each person and can also develop at different times.

Some other symptoms that may occur with MS include:

MS is an autoimmune condition that damages the CNS. The exact cause is not clear, though genetic and environmental factors likely play a role in its onset.

Factors that may increase the likelihood of developing MS include:

Anyone with early symptoms of MS should consult a doctor. Early diagnosis and treatment can provide the best chance of preventing disability.

Many treatments can help slow the progression of MS, and medication can help ease symptoms such as pain, fatigue, and bladder problems.

Can multiple sclerosis make a person dizzy?

Dizziness is one of the most common symptoms of MS.

What kind of dizziness do doctors associate with MS?

MS can cause feelings of dizziness and vertigo. A person may feel lightheaded or as if their surroundings are spinning.

How do doctors treat dizziness in multiple sclerosis?

Doctors may recommend motion sickness medication or short-term corticosteroids to treat dizziness due to MS.

Does MS cause dizziness and nausea?

MS can cause dizziness but does not typically cause nausea. Other conditions, such as anxiety, migraine, and stomach illnesses, may cause dizziness and nausea, but people need to contact a doctor for a diagnosis.

The signs of multiple sclerosis (MS) can vary widely. Early signs include vision changes, numbness and tingling, and muscle weakness. However, people may experience these symptoms at any point, although these issues may recur throughout the course of the disease.

Symptoms typically begin between the ages of 20 and 40, but they can develop at any point.

Anyone with concerns about symptoms that may indicate MS needs to talk with their doctor. A prompt diagnosis and early treatment may help reduce the likelihood of the condition progressing or causing disability.