Primary Progressive MS

People, often middle-aged men, steadily decline after a first attack. Obvious relapses or remissions are not common.

Approximately 10-15% of people with multiple sclerosis have primary progressive MS (PPMS). This type of MS commonly affects middle-aged men, although it can affect women and other age groups too.

In this type of MS, disability typically increases steadily over time, usually without periods of relapse and remission.

Symptoms include progressive weakness without obvious attacks or recovery, balance issues, and problems with walking, speaking, swallowing, vision, fatigue, bladder, or bowels.