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I think I’ve entered it. Big relapse in September - November but starting to ease. Off DMDs for 5 yrs after using them for 30 years or more.Had stable MRIs for that long.

November 19, 2025
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MyMSTeam

What symptoms did you notice when entering secondary progressive MS?

It sounds like you're navigating a significant change after years of stability. That must feel unsettling, especially after such a long period without active disease progression.

When people transition to secondary progressive MS (SPMS), they often Show Full Answer

What symptoms did you notice when entering secondary progressive MS?

It sounds like you're navigating a significant change after years of stability. That must feel unsettling, especially after such a long period without active disease progression.

When people transition to secondary progressive MS (SPMS), they often notice symptoms becoming more persistent rather than just appearing during relapses. Common symptoms that people with SPMS experience include:

* Pain
* Numbness
* Walking difficulties and mobility issues
* Muscle weakness
* Balance problems
* Bladder control issues
* Vision changes
* Fatigue
* Cognitive changes affecting concentration and memory

The key difference with SPMS is that symptoms may gradually worsen over time rather than appearing suddenly during distinct relapses and then improving during remission periods.

Your experience of a significant relapse lasting several months could indicate increased disease activity. Since you've been off disease-modifying therapies for 5 years after decades of use, it's really important to discuss this with your neurologist. They can evaluate whether you're experiencing a relapse in the context of active SPMS or if your previously stable disease has become more active.

The fact that your symptoms are starting to ease is encouraging, but given the length and severity of this relapse, a thorough evaluation with updated MRI imaging would help clarify what's happening and guide treatment decisions going forward.

November 19, 2025
A MyMSTeam Member

My major symptoms are mobility-related. 15 years ago, I could probably walk 500 metres with my wheeled walking frame. 10 years ago, I could probably walk 200 metres. 5 years ago that was down to 50 metres. Now, I'm full-time in a wheelchair.

November 27, 2025
A MyMSTeam Member

I don’t typically have flares anymore, but I suffer the debilitating fatigue, the unrelenting spasticity, bladder ‘issues’, etc, that has just worn out it’s ‘unwelcome’ over the last 25 years…..
@A MyMSTeam Member, while I do drive myself to work & back ( 25 miles, each way) whenever I go places with others, they typically do the driving!

November 20, 2025 (edited)
A MyMSTeam Member

It crept up on me with symptoms becoming more persistent until they were 24/7. I developed sensitivity to temperature (hot and cold) and now can’t regulate my body temperature at all. I am only driving locally and expect to stop soon.

November 20, 2025 (edited)
A MyMSTeam Member

Foot drop and falls were the first glaring clue, but also noticed I couldn't walk as far before started dragging my left leg and only mow the front or back or instead of being able to mow my whole lawn, I could only do a quarter. I knew somethng was up but never considered SPMS until I ended up i the ER after a fall.

November 19, 2025 (edited)

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