Multiple Sclerosis (MS) Support Group
This community is a place where members can discuss current events and weigh in on what's going on in the world.
Anne8
In another post, someone mentioned being really scared of their MS changing to Secondary Progressive. I guess I can see where a person has originally been diagnosed with RRMS hopes their MS goes into a 'dormant' state for years, decade, maybe forever. I have to admit that that would be nice, but that won't happen in my case.
So, I just would like to describe here what progressive has meant for me. I started occasionally tripping up when I walked, so I at first used nearby walls for support, then eventually bought myself a cane which has been a great help.
Then, gradually, the distances I can walk without a rest have gotten shorter. About a year ago, my left leg started to regularly give me problems with getting up stairs, which I have finally dealt with by moving to a building with an elevator (in fact, I am still unpacking!) I also use a Dictus band on the left foot to keep my toe up to avoid tripping.
Because of the stairs issue, I became very house-bound, only going out to work. Thanks to having moved to a more accessible building and having bought myself a mobility scooter (a relatively light-weight, compact model), I don't feel like I am trapped in my building.
All of these changes have happened gradually over 6 years. Do I feel frustrated? Of course, but having a fit about it doesn't change things, so I have gradually learned to accept it and myself. As they say that 50% of RRMSers end up changing to progressive (seems like in people late 30s, 40s+), if I was diagnosed with RRMS, I would want to know what to expect.
So, I just would like to describe here what progressive has meant for me. I started occasionally tripping up when I walked, so I at first used nearby walls for support, then eventually bought myself a cane which has been a great help.
Then, gradually, the distances I can walk without a rest have gotten shorter. About a year ago, my left leg started to regularly give me problems with getting up stairs, which I have finally dealt with by moving to a building with an elevator (in fact, I am still unpacking!) I also use a Dictus band on the left foot to keep my toe up to avoid tripping.
Because of the stairs issue, I became very house-bound, only going out to work. Thanks to having moved to a more accessible building and having bought myself a mobility scooter (a relatively light-weight, compact model), I don't feel like I am trapped in my building.
All of these changes have happened gradually over 6 years. Do I feel frustrated? Of course, but having a fit about it doesn't change things, so I have gradually learned to accept it and myself. As they say that 50% of RRMSers end up changing to progressive (seems like in people late 30s, 40s+), if I was diagnosed with RRMS, I would want to know what to expect.
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Apart from my legs feeling so crappy all the time, I have had no other symptoms and have only ever had three very minor flares since dx.
I wonder if there is a definitive observation of when RRMS becomes secondary?
Also, if the MS has progressed, is rebif still effective?
(these are Qs for my neuro but I wont be seeing him till the New Year.)
I started falling a bit lately and my legs are pretty wobbly most times. I have my cane and a rollator that I use for longer walks...which doesn't seem to be all that far these days. The stairs can sometimes be a bit tricky, too. It makes me a bit concerned about progression.
My next neuro visit is in October and we'll see what he says.
Thanks so much for taking time to write. I know you are going through quite a rough time. Praying for you.
What I read said it is not just 50% of people who convert from RR to SPMS.... The part about 50% was ... 50% of RRMS patients become SPMS within 10 years of the initial RRMS diagnosis. What I remember reading originally said "within their lifetime almost all RRMS becomes SPMS at some point" and that sentence stuck in my mind, and I had to "hit pause" on the research...
But I just looked it up quickly to find where I read that sentence and, I guess there is some difference in opinions about the second 50%.....the 50% within 10years of initial diagnosis IS on every page but, then what it says about the other 50% differs a little
National MS society says:
"Of the people who are diagnosed RRMS Most will eventually become SPMS".
MSconnection .org says:
It used to be assumed that 80 to 90% of people with RRMS would eventually develop SPMS within 25 years (50% within 10 years) of diagnosis, although people living with MS were not followed for a sufficient length of time to really know what was happening.
...
It goes on to say that researchers are trying to get more accurate numbers, but that the older you get with RRMS the lower the chance of conversion is (dropping below 1% at age 75),
and that article is 2 years old
.....
Sometime in the first year after I was diagnosed someone asked me about the types of MS and I couldn't remember all of them, so I googled it and accidentally came across the info about SPMS and it kinda shocked me because I had no idea. (My doctor was giving me information slowly, because that's what I needed ... it was too much all at once..)
I had to let it absorb before learning more... When I was diagnosed with MS it all happened very quickly, I think it was only 2 or maybe 3 months between the first mention of the possibility of MS and being diagnosed with it. (That's insanely fast). So, it was the first time something medical came up and I didn't "do the research" right away and let myself just focus on 1 thing at a time.