In this guide:
Balancing work and health isn’t always easy, especially when you’re living with a condition like Multiple Sclerosis (MS). Fatigue, mobility challenges and unpredictable symptoms can make daily routines feel overwhelming.
That doesn’t mean employment is out of reach. With the right strategies, tools and personalised support, many people living with multiple sclerosis continue to thrive professionally.
Whether you’re already working or looking to re-enter the workforce, this guide shares practical tips for maintaining independence at work and how support workers available through Mable can help.
Key takeaways for maintaining independence at work with multiple sclerosis
- Independence at work is achievable with the right approach. Manage fatigue, mobility and tasks with energy-saving strategies and planning.
- Energy management is key. Prioritise tasks, build in breaks and use assistive tools to reduce fatigue.
- Support workers make a difference. They may help with commuting, daily routines and organising how to balance work with health
- NDIS funding can help. From therapeutic supports, to transport and ergonomic equipment, those with MS may be eligible for NDIS funding that helps with gaining and keeping employment.
- Small adjustments equal big impact. Flexible work hours, adaptive tools and home assistance improve work-life balance.
Challenges of managing multiple sclerosis in the workplace
Living with multiple sclerosis and working comes with unique hurdles. Some are visible like needing a walking aid, while others like brain fog or fatigue are hidden, but just as disruptive.
Common workplace challenges include:
- Fatigue. MS fatigue is different from being ‘tired’. It can hit without warning, making it hard to concentrate or complete tasks.
- Mobility limitations. Issues with balance, stiffness or muscle weakness can make commuting or navigating the workplace difficult.
- Cognitive and mental health challenges. Trouble focusing, memory lapses and emotional fluctuations like anxiety or low mood can affect performance and confidence.
- Workplace misunderstanding or stigma. Not all workplaces are equipped (or informed) about how to support someone living with multiple sclerosis.
Practical tips to stay organised and productive at work with MS
Maintaining productivity while managing MS requires small but effective shifts in your routine. These non-medical strategies can help you stay focused, manage energy levels and protect your wellbeing.
With a bit of planning and the right support, it’s possible to balance your workload in a way that respects both your health and your goals.
Explore more everyday tips in our guide to living with multiple sclerosis.
Managing fatigue during work hours
Fatigue is one of the most common symptoms of MS, which could impact concentration at work. It often feels different from general tiredness, more like a heavy fog that makes it harder than usual to think, move or stay alert.
Tips
- Schedule breaks every 60–90 minutes to rest and reset.
- Tackle important tasks during your personal “peak energy” time (often mornings).
- Use ergonomic chairs or footrests to reduce physical strain.
- Break complex tasks into smaller, manageable steps.
- If possible, avoid back-to-back meetings by building breathing room in between tasks.
If you need support managing your energy or adjusting your workspace, an independent support worker (such as an occupational therapist) can help you design a routine that prioritises stamina without sacrificing productivity.
Planning a flexible work schedule
Flexibility can help you respond to how you’re feeling day-to-day without compromising your responsibilities.
Tips
- Talk to your employer about part-time hours, a staggered start or work-from-home options.
- Use digital planners or apps to structure your workload across the week.
- Build in time between meetings or deadlines to avoid energy crashes.
- Save less mentally demanding tasks like filing or replying to emails for lower-energy times of day.
Flexible work isn’t just about hours, it’s about tailoring your routine to protect your energy and focus. Even small changes can make a big difference.
Communicating your needs to employers
Tips
- Frame conversations around what helps you do your best work (e.g., “I work best in the mornings, so I’d like to change my hours slightly”).
- Ask about workplace accommodations, such as:
- Flexible schedules
- Quiet spaces for breaks
- Task adjustments
- Assistive technology.
If you’re unsure how to start the conversation, a support worker or occupational therapist can help you prepare. Keep notes on what works well and where you might need extra support. Being prepared will make future discussions easier and more productive.
NDIS and employment support for multiple sclerosis
If you’re an NDIS participant, there may be funding available to help you maintain your employment goals. Support for multiple sclerosis and employment is covered across several categories.
NDIS funding for employment support
NDIS funding categories that may apply to working with multiple sclerosis include as follows.
- Core Supports – Helps with daily activities like commuting, personal care or managing fatigue.
- Improved Daily Living – Covers therapies, for example, occupational therapy or physiotherapy, to boost independence at work.
- Social and Community Participation – Can include group-based or community work programs and peer connection. Learn more about NDIS social and community participation.
NDIS funding for workplace adjustments
People with MS may also receive NDIS funding for:
- Ergonomic desks and chairs
- Adjustable lighting or screens
- Communication aids
- Cooling vests or workplace fans (for heat sensitivity)
- NDIS-approved therapeutic supports to manage day-to-day function.
An occupational therapist can help you apply for assistive equipment related to multiple sclerosis and work.
How support workers can help with work-related routines
Independent support workers through Mable can play a crucial role in helping you balance professional and personal life. Their support goes beyond physical tasks; they are also a great support for building confidence, routine and independence.
You can explore options for disability support, NDIS-funded support services and transport services for people with disabilities directly on the Mable website.
Transport and commuting support
- Door-to-door assistance for commuting
- Help to navigate public or accessible transport
- Rest support or post-commute help.
Daily routine management
- Assist with morning routines to ensure an on-time, stress-free start
- Meal prep or home organisation so you can focus on work
- Help setting reminders or managing daily plans for better energy pacing.
Workplace accessibility and task organisation
- Aid with workspace setups such as adjusting a chair or fetching supplies
- Help breaking down tasks or scheduling your workload
- Emotional support to talk through challenging workdays.
Having the right support worker can help you feel more in control, more capable and more yourself.
Learn more about the support services you can find on Mable.
Resources to support independence at work with MS
- MS Plus Workforce Support – Practical guidance, legal insights and tailored support services to help people with MS manage symptoms, access workplace adjustments and thrive in employment.
- NDIS Employment Supports – Information on how the NDIS can fund supports that help you find, maintain or return to work.
- Job Access – A government support service offering advice, resources and financial assistance for workplace modifications and disability employment.
Frequently asked questions
Can you still work if you have multiple sclerosis?
Yes. Many people with MS continue working for years, especially with the right supports and workplace adjustments.
What are the best work accommodations for someone with multiple sclerosis?
Flexible hours, mobility aids, rest areas and assistive tech are commonly helpful. The best adjustments are the ones that suit your personal needs and working style.
What support services can help me stay employed with multiple sclerosis?
NDIS-funded support workers can help with transport, daily routines, therapy and emotional wellbeing. Explore NDIS-funded support services to find the right help for your unique journey.
The information provided in this article is general information only and based on current information at the date of publication. In addition to considering the information shared in this article, Mable encourages you to conduct your own research and seek independent medical advice relative to your circumstances. Mable does not assist with placing people with MS into employment. If you wish to use your NDIS funding on any of the services outlined above, Mable recommends that you check your NDIS Support Plan or speak with your Plan Manager to ensure that the appropriate services are coverable.