Multiple sclerosis (MS) is a complex neurological disorder that leads to multifactorial disability, with balance impairments being among the most prevalent and debilitating symptoms. These impairments may impede mobility and contribute to secondary complications such as increased fall risk. Using bibliometric methods, this study aimed to systematically assess the global research landscape on balance rehabilitation in MS patients. To conduct a comprehensive bibliometric analysis of global research trends, contributors, and thematic focuses related to balance rehabilitation in individuals with MS. A bibliometric analysis was conducted utilizing data retrieved from the Web of Science database on November 5, 2024. Using the search keyword “MS and balance rehabilitation,” we identified 1,400 initial records. After applying the inclusion criteria, 895 original research articles published between 1995 and 2024 were included in the final analysis. Bibliometric indicators examined included publication trends, geographic and institutional distributions, research categories, article types, leading authors, citation metrics, and keyword frequencies. Few publications were recorded before 2010, after which there was a sharp increase between 2020 and 2022, peaking at 95 publications in 2022. The observed decline in 2023-2024 may represent the lasting impact of the coronavirus disease 2019 pandemic. The United States led with 265 publications, followed by Italy (149) and Turkiye (77). The University of Illinois emerged as the top institution (40), followed by Hacettepe University (27) and Oregon Health & Science University (20). Elsevier was the leading publisher (262), ahead of Taylor & Francis (95) and Sage (83). Davide Cattaneo was the leading contributor with 48 publications and 2,060 citations. His 2002 study, “risks of falls in subjects with MS,” was the most cited, with 202 citations. Common keywords included “MS” (552), “balance” (186), and “walking” (109). This bibliometric study presents an in-depth assessment of the evolution and current state of balance rehabilitation research in MS. The findings highlight the significance of enhanced global collaboration and continued research efforts to foster innovation and advance evidence-based interventions in neurorehabilitation.