After my last TM attack, I didn't recover well. I was left with a lot of damage, and although I was still having relapses, they thought I had headed into Secondary Progressive. I had MS for 14 yrs at that point, although perhaps as many as 26 yrs including (if I include symptoms before dx).

The beginning of SPMS can include relapses, but they usually stop occurring after a while. As I understand, the important factor is if you do not improve much after relapsing (in the beginning of this stage), and then gradual worsening without relapses (after a short while in this category).

RRMS:


SPMS:


http://www.mult-sclerosis.org/whatisms.html

After being on LDN for 9 months, and dropping one EDSS point, they decided to keep my classification at RRMS. I think that was correct, in retrospect.

Cherie