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Living with HTLV-1-associated myelopathy-tropical spastic paraparesis

A nervous system disease that affects less than 2% of people with HTLV-1 infection, causing leg weakness and stiffness.

Understanding HTLV-1-associated myelopathy-tropical spastic paraparesis

HTLV-1-associated myelopathy-tropical spastic paraparesis (HAM/TSP) is a progressive nervous system disease linked to HTLV-1 infection.

It affects less than 2% of people with HTLV-1 infection. Why some people develop it is not well understood. It most often begins in adults. Signs include slowly worsening weakness and stiffness in one or both legs and lower back pain. Some people have urinary incontinence and minor changes in sensation.

Signs & symptoms

Symptoms vary from person to person. GARD's summary describes these:

  • Slowly worsening leg weakness
  • Stiffness in the legs (spasticity)
  • Exaggerated reflexes
  • Lower back pain
  • Urinary incontinence
  • Burning or prickling feelings

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    National Multiple Sclerosis Society may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists)
Expert care
Expert lists: National Multiple Sclerosis Society
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Multiple Sclerosis Society
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What tests confirm HAM/TSP?
Which treatments or therapies help with leg stiffness?
Which specialists, such as a neurologist, should I see?

Quick facts

Symptoms usually startAdult

It is linked to HTLV-1 infection, though GARD says the reason some people with the infection develop it is not well understood.

InfectiousNeurological

Also known as: familial spastic paraparesis, htlv-1-associated; ham; ham/tsp; htlv-1-associated myelopathy/tropical spastic paraparesis; htlv-associated myelopathy; htlv-i-associated myelopathy

Patient organizations

Source: NIH GARD · HTLV-1-associated myelopathy-tropical spastic paraparesisGARD ID 8208 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with HTLV-1-associated myelopathy-tropical spastic paraparesis.

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Explore actively recruiting HTLV-1-associated myelopathy-tropical spastic paraparesis studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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