In this powerful conversation with Herb Karpatkin, PT, DSc, we dig deep into the role of movement, fatigue, and rehabilitation in navigating life with Multiple Sclerosis. Herb brings over four decades of clinical and research experience in neurologic physical therapy, specializing in MS, and he shares how he crafts individualized exercise programs that not only counter deconditioning but transform quality of life. Together we explore why fatigue in MS is more than feeling tired and how it sabotages function, how targeted, progressive movement can slow disability and improve balance, the art of listening to the body, and real world recommendations for safe strength, interval training, and mobility work, along with how mindset and consistency become anchors in chronic illness.

• Understand why MS fatigue differs from typical tiredness
• Explore how progressive movement reverses deconditioning and improves balance
• Discover practical ways to pace, cool, and protect energy during daily activities
• Learn simple strength and interval ideas you can tailor to your needs
• Find motivation to build consistency and confidence over time

Dr. Herbert Karpatkin, PT, DSc, NCS, GCS, MSCS, is a board certified specialist in neurology and geriatrics, and a Multiple Sclerosis Certified Specialist. He teaches in the Department of Physical Therapy at Hunter College and runs a private practice in New York that focuses on neurologic conditions including MS. His research centers on fatigue, balance, walking endurance, and individualized rehabilitation for people living with chronic illness.