Living with MSA

Living with Multiple System Atrophy (MSA) brings a set of challenges that evolve over time. Every person’s journey is unique, but there are ways to make daily life more manageable, maintain dignity, and find strength in community.

Living with Multiple System Atrophy (MSA) means navigating change. Not just physically, but emotionally, socially, and practically. It’s a condition that may affect movement, balance, speech, bladder control and other parts of daily life. But it doesn’t define you.

Many people describe the experience as a gradual reshaping of routines, priorities and support systems. It’s about finding new ways to maintain independence for as long as possible, while building a safety net for when more help is needed.

What this looks like can vary widely. Some people live with slow changes over many years. Others notice more rapid shifts. The key is to stay connected, stay informed, and advocate for yourself early and often.

What living with MSA may involve

  • Adjusting routines. Conserving energy, planning around fluctuations in symptoms, or modifying tasks so they feel achievable.

  • Building a health team. Involving professionals like neurologists, physiotherapists, speech pathologists, and occupational therapists.

  • Using equipment early. Walking aids, rails, utensils or communication tools can make everyday activities feel more manageable and less frustrating.

  • Tuning in to mental health: This journey can bring grief, frustration, or isolation. Support groups, counsellors, or just honest conversations with friends can help.

  • Staying socially connected. Whether online or in-person, keeping in touch with people helps protect your emotional wellbeing.

  • Being practical about the future. Even when you’re feeling strong, it can help to think about legal planning, housing, or support needs ahead of time.

Living with MSA isn't just about managing symptoms. It’s about protecting the parts of life that still matter most to you. That might mean quiet routines, small victories, or finding new ways to experience joy.