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The participation of a student with Multiple Sclerosis (MS) in recess can often be both challenging and rewarding for the student and teacher. This paper will address common characteristics of students with MS and present basic solutions to improve the experience of these students in the recess setting. Initially, the definition and prevalence of MS will be presented. This will be followed by a brief discussion of MS in regards to special education law. Next, the benefits of the recess setting for all students will be addressed. The paper will then address the modifications for specific MS symptoms in the recess setting. Lastly, specific methods of proactively including a student with MS in three recess activities will be discussed.