When does relapsing remitting ms become secondary progressive?

Multiple sclerosis (MS) is a neurodegenerative disease that affects millions of individuals globally. The disease can manifest in various forms, including the relapsing-remitting subtype and the secondary progressive subtype. In this humorous piece, we shall delve into when relapsing-remitting MS transforms into secondary progressive MS.

What is Multiple Sclerosis?

Before diving right into it, let’s get to know “what is multiple sclerosis?” First off; don’t worry if you don’t know what multiple sclerosis is – not many people do! But for those who want to learn something serious before digging deep:

Multiple Sclerosis is a chronic autoimmune disorder that affects the body’s central nervous system by damaging myelin sheaths around nerve fibers through immune attacks.

The damage leads to communication breakdown between different parts of your brain and spinal cord causing various physical, cognitive or emotional symptoms such as difficulty with walking or balance , tingling sensation (aka pins & needles) in different body parts among others.

Symptoms typically occur when white blood cells attack myelin-producing cells surrounding nerve fibers essentially scarring them . This prevents nerves from transmitting signals efficiently which hampers their functionality ultimately leading worsening physical impairments over time.

There are various types of MS:

  1. Relapsing-Remitting MS (RRMS) – characterized by episodes during which symptoms flare up followed by periods where either partial or complete symptom relief occurs.
  2. Secondary Progressive Ms (SPMs) – Occurs after RRMS manifests with slowly accumulating irreversible neurological effects with little-to-no relief since all those scars now have accumulated over time
  3. Primary Progressive Ms (PPM)- Characterized mainly as a steady decline on initial diagnosis without any clear remission points unlike RRMS but otherwise similar to SPMS

Contrary to popular belief; “multiple sclerosis” does NOT mean “many scars.” It means “many areas of inflammation and damage” in Latin.

What is Relapsing-Remitting MS (RRMS)?

People with RRMS will experience alternating between periods fluctuations or remission of symptoms from a baseline followed by random onset of new neurological manifestations, which can result in various physical or cognitive impairments.

These episodes are generally unpredictable! Usually triggered by incidents such as an infection/disease exacerbating old symptoms while also fueling the immune system to attack multiple previously untouched lesions (scarred cells) somewhere else in nerve fibers

Relapses vary when it comes to their duration: from days even weeks, but they tend to gradually recover after exhausting recovery periods. In more severe cases / complete disability may ensue before any significant improvement indicating that it’s progressing towards a different type.

So what is Secondary Progressive MS?

Secondary progressive MS (SPMS) is marked by steadily accumulating disabilities; unlike relapsing-remitting ms,(RRMs) there won’t be so much symptom-relief episodes after its usual transition.( It’s sadly like Ringo Starr leaving The Beatles; There ain’t no coming back now).

Although this subtype differs significantly among patients’ experiences, typical walking impairment almost always happens sooner rather than later partially due scarred tissue causing communication breakdowns frequently leading incomplete messages sent between brain and spinal cord making limbs easier to fatigue amongst other reasons .

Significant pain management follow-ups potentially couple surgeries doing nothing for mobility issues lead e Ven further difficulty completing routine tasks without others helping.

Quite often relapses last longer and occur more frequently(), usually ultimately failing only partial restoration between each episode meaning little chance for remission at all). While residual symptoms become increasingly persistent not fading away as quickly anymore reminiscent of fatal attraction minus Michael Douglas (!!) need to be monitored more carefully.

So how does one determine if their relative with RRMS has transitioned into SPMS? Well, usually medical professionals will need to evaluate the physical and cognitive impairments that you have encountered. Once they identify a steady progression of disabilities alongside relapses assuming none have gone away anymore from previous ones, it is apparent that the type of MS patient had initially transformed to SPMS (Well done Michael Douglas, but we can’t ever forget Glenn Close’s performance!)

Additionally by performing MRI scans at mandatory intervals such as once every 6-12 months may detect significant changes in brain composition suggesting likelihoods of new lesions developing adjacent or persistent growth/progression among other possibilities which could lead your doctor towards diagnosis sooner rather than later

How do we Prevent RRMs from becoming SPMS?

There are various lifestyle modifications along with medication alternatives accessible for people living through RRMs (which remarkably works often enough!). Certain medications slow down inflammation before neurological damage occurs(), thus elongating remission periods.

Lifestyle choices – such as avoiding smoking or increased exercise frequencies helps keep symptoms under check whilst also ensuring active timely detection staying on top possible progression early rather than after noticeable backsliding suggests clear signs (such as imbalance) arise leaving little chance to seek treatment!!

In conclusion: While Multiple sclerosis (M.S) isn’t an ideal condition susceptible patients having limited remedial options; spotting the shifting period where “relapsing-remitting” turns into something more debilitating mustn’t be ignored! Taking proactive steps decreasing occurrences reducing negative health experiences improves overall longevity affecting everyone positively . We strongly advised not resorting only to helpful components working best for you & still consulting licensed healthcare professionals frequently.

Happy Learning(!)
Stay healthy y’all! Something tells me getting vaccinated against COVID ain’t so bad now ehh?? /s

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