2. Secondary Progressive MS (SPMS): The Gradual Onward Journey
Secondary Progressive MS emerges as the sequel to RRMS in many patients. However, the clear distinction lies in its pattern.
Instead of the cyclical symptom-relief pattern seen in RRMS, SPMS showcases a more constant progression. In simpler terms, once RRMS evolves into SPMS, the symptoms no longer subside entirely. They progress, though the speed of this progression can vary from patient to patient.
For most patients diagnosed with RRMS, there is an underlying concern about transitioning to SPMS. Statistics suggest that within 15 to 20 years of an RRMS diagnosis, about 50% of individuals will have transitioned to SPMS. This shift is accompanied by a myriad of emotions, from frustration to anxiety.
The symptoms of SPMS aren’t dramatically different from RRMS. However, their consistent nature is what makes SPMS daunting. Patients might witness increasing muscle spasticity, fatigue, and mobility issues. Over time, walking can become a significant challenge, and many might need aids or even wheelchairs.
Neurologically, SPMS can be taxing. Cognitive challenges such as memory problems, difficulty concentrating, and even mood swings become more prominent.
While SPMS signifies a more relentless progression of MS, hope is not lost. Therapies and medications have been developed and tailored specifically for SPMS patients. These treatments, while not curing the disease, aim to slow its progression, manage symptoms, and improve the overall quality of life. (2)
