Hi everyone

This may sound like a really dumb question, but something I have often wondered about.

Is there a definitive sign that you have reached SPMS? Do you get lots more lesions, but no clear relapses - or is it a general decline - no lesions, no relapses, but lots more symptoms?

I don't have lots more lesions, but I am sure that my general capabilities and functions are on a (relatively slow) decline. I have been RRMS for 12 years now - and I may just be paranoid (but hey, that isn't a shooting offense with this stupid illness - I absolutely defy anyone to be totally calm).

My walking, weakness, vision, strength, memory, and fatigue just seem to be slowly drifting down down down.

So, do you have lots of definitive evidence in order to decide whether that progression is happening, or is it based on clinical findings?

Thanks and sorry to be a pain.

Lyn