That is what a lesion looks like my folks. I’m riddled with them.

PPMS is defined by the progression from the onset of the disease; SPMS is reached after an initial course of RRMS. Most people will eventually transition to SPMS after RRMS.

Could be PPMS or SPMS. So many of us have this disease for years before being diagnosed. If I were you, I would talk to my doctor about switching to a different DMT. Ocrevus can treat PPMS as well as RRMS. Kesimpta treats both RRMS and SPMS.

I can’t walk, and haven’t since diagnosis day. In 2014 Aug. But 25 or more lesions.