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What are the symptoms of secondary progressive multiple sclerosis (SPMS)?

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Relapsing-remitting multiple sclerosis can be unpredictable, but there’s usually a pattern of clear attacks followed by times of recovery. With  secondary progressive multiple sclerosis (SPMS), relapses tend to be less distinct. They may happen less often -- or not at all. When you do have relapses, recovery is not as complete. Along with these signs, there are other symptoms that might show you’re shifting to SPMS:

Your doctor can only diagnose SPMS by comparing your symptoms over time. So, it's important that you tell her about any changes in your symptoms.

  • More weakness and more trouble with coordination
  • Stiff, tight leg muscles
  • Bowel and bladder problems
  • A harder time with fatigue, depression, and problems thinking

SOURCES:

Up-To-Date: "Treatment of progressive multiple sclerosis in adults."

Multiple Sclerosis Society: "Secondary Progressive MS."

Cleveland Clinic: "Secondary Progressive Multiple Sclerosis."

National Multiple Sclerosis Society: "What we know about secondary progressive multiple sclerosis."

Koch, M. , 2010. Journal of Neurology and Neurosurgery Psychiatry

Multiple Sclerosis Society of Canada: "Living with Progressive MS."

Medscape Education: Clinical Review of Management of Secondary Progressive MS."

Reviewed by Christopher Melinosky on August 26, 2019

SOURCES:

Up-To-Date: "Treatment of progressive multiple sclerosis in adults."

Multiple Sclerosis Society: "Secondary Progressive MS."

Cleveland Clinic: "Secondary Progressive Multiple Sclerosis."

National Multiple Sclerosis Society: "What we know about secondary progressive multiple sclerosis."

Koch, M. , 2010. Journal of Neurology and Neurosurgery Psychiatry

Multiple Sclerosis Society of Canada: "Living with Progressive MS."

Medscape Education: Clinical Review of Management of Secondary Progressive MS."

Reviewed by Christopher Melinosky on August 26, 2019

NEXT QUESTION:

How is secondary progressive multiple sclerosis related to relapsing-remitting multiple sclerosis?

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