MS and Speech
Speech changes in MS may affect up to 45% of people, though often not until later in the course of the disease. Symptoms range from mild slurring to more significant voice or word-finding difficulties, but support is available.
What are the signs of MS-related speech problems?
- Slurred, slow, or nasal speech
- Reduced volume, poor pitch control, or fatigue after talking
- Difficulty “finding words”
- Needing more effort or noticing your speech slows down
What causes MS speech changes?
Changes stem from weakened or poorly coordinated mouth/throat muscles (due to MS nerve damage), or less often, issues with cognition and language.
What should I do if I notice speech changes?
- Seek Speech and Language Therapy (SLT) as soon as you notice a problem.
- Early intervention leads to better management.
- The SLT works with your GP and may get input from neurologists or dietitians.
What techniques help manage speech problems?
- Voice and breathing exercises
- Adjusting speaking pace and volume
- Techniques to conserve energy
- Use of alternative communication: writing, pointing, or electronic devices if needed
- Education for carers/family in the use of technology
What if speech becomes severely affected?
SLTs can recommend, teach, and support communication through multiple means—ensuring ongoing connection and expression.
General Information
For communication support and advice:
- Multiple Sclerosis Society of New Zealand: www.msnz.org.nz
- Regional societies
- Healthline: 0800 611 116
- Disability Connect: 09 636 0351
- Work and Income NZ: 0800 559 009