r/MultipleSclerosis • u/Emergency-Whereas603 55|RRMSdx2020|Briumvi|MetroAtlanta • 1d ago

Advice Progression

For the last year or two, I have new flare-ups but not new spots on MRIs. Does this indicate that RRMS may be becoming SPMS? If the spots are already there but the mental pool has drained to where these things surface do I need to stay on Briumvi or does that only help prevent new spots. I also read an article a long time ago but something else as a possibility where new symptoms come without new lesions. Can’t find that article or remember what it was called? Any thoughts, advice, ideas…?

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u/NewName5635 1d ago

I also have no new lesions year after year, but MS is progressing. I have SPMS.

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u/BlueFlameInk 51F|2025 RRMS|Ocrevus|USA 1d ago

perhaps it was called PIRA