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Primary Progressive (PPMS)

Primary Progressive (PPMS)

Primary progressive Multiple Sclerosis affects around 15 percent of those with MS.

Primary progressive MS is different from relapsing remitting MS in that symptoms do not appear as sudden attacks or relapses, but instead gradually get worse over time from the first appearance of symptoms. The early symptoms are often much more subtle and develop over time.

Usually PPMS symptoms develop slowly, so although they are getting gradually worse, often the changes are not noticable for some time. The symptoms of primary progressive MS can be similar to those experienced by people with relapsing remitting MS.

Primary progressive MS most often occurs in people in their forties and fifties. This can make it more difficult to reach a diagnosis, as people of this age are more likely to have other conditions which could cause mobility difficulties.

Progressive relapsing MS

It is possible for people with primary progressive MS to start experiencing attacks or relapses in addition to the gradual progession of their symptoms. This is described as progressive relapsing MS.

Managing PPMS

Managing symptoms

Whilst unfortunately there is currently no specific treatment to prevent the development of progressive MS, there are treatment and ways of managing symptoms available to those with the condition.


There are certain ways of managing your progressive MS, for example some people with the condition find excercise and a healthy diet useful

However, if your symptoms change, some people find they require rehabilitation or additional support from professionals to help manage their MS. Physiotherapy and occupational therapy can often help you with mobility issues. Additionaly, an occupational therapist can make adjustments around your home and workplace to make things easier for you.

 Secondary Progressive MS (SPMS)

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