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    Should I get this MRI or just drop it

    Sorry for dumping all this here. I haven't been able to talk to anyone about this IRL.


    TLDR: Neuro says probably not MS. Should I get brain MRI to be sure, or just let it go?


    About a year and a half ago, I began experiencing numbness and tingling down the length of my left arm. At first, it would just randomly "fall asleep" with no reasonable explanation, then after a few weeks of that the tingling and reduced sensation were constant. It eventually seemed to settle into my hand and forearm, then the tingling all but stopped. I am left with reduced sensation and reduced dexterity in the hand.


    Meanwhile, a few months after the initial arm symptoms began, I started to feel intense pins and needles in my feet and lower legs. This has worsened over time and I have periods where my feet are like blocks and it's difficult to walk. My right leg goes numb and tingly at times all the way from hip to toes. I often have a stabbing feeling in the thigh and the leg seems to wear out very quickly.


    Other weird, maybe relevant things:


    Migraines - never had them before this started. Was having several/week at some point but they've tapered off
    Numb/tingly patch on back for 4+ years
    Attacks of rib pain (feels like being pinched, I guess?) either side or both sides, lasts an hour or so
    Weird sensations - feel like a candle's been lit under a body part, feel sunburnt when I'm not, buzzing, TENS-like feelings, part of scalp feels like hair's been pulled, stabbing pains in cheek and temple


    I am overweight and have gained about 50lbs since this started. Need to lose nearly 100 lbs for normal BMI


    Bloodwork checks out. Normal A1C, negative ANA, rheumatoid factor, lyme test, normal sedimentation rate, normal thyroid


    Normal neuro exam. Symptoms seem to all be sensory.


    EMG shows mild carpal tunnel syndrome, nothing in legs.


    Nothing remarkable on spinal MRI (cervical and thoracic). Thoracic epidural lipomatosis is noted, but the neuro did not seem to take note or be concerned.


    I had an appointment with the neuro today and pretty much asked for a brain MRI. I want to rule out MS once and for all. Dr. agreed and wrote the order, but I'm not sure if I should bother. I have been to two neurologists, and they both agree that MS in unlikely. I am comfortable that everything else I was worried about has been ruled out, but MS still haunts me. I just want to be sure it's nothing serious or that needs to be treated to keep damage from getting worse. I just don't want to waste my family's time and money. What should I do?

    #2
    Hi TinglyRG

    Originally posted by TinglyRG View Post
    Sorry for dumping all this here. I haven't been able to talk to anyone about this IRL.
    This is a good place to dump this stuff, not to worry!

    Originally posted by TinglyRG View Post
    I have been to two neurologists, and they both agree that MS in unlikely.
    Did they say what could be the cause of so many symptoms?

    Originally posted by TinglyRG View Post
    I had an appointment with the neuro today and pretty much asked for a brain MRI. I want to rule out MS once and for all. Dr. agreed and wrote the order, but I'm not sure if I should bother. I have been to two neurologists, and they both agree that MS in unlikely. I am comfortable that everything else I was worried about has been ruled out, but MS still haunts me. I just want to be sure it's nothing serious or that needs to be treated to keep damage from getting worse. just don't want to waste my family's time and money. What should I do?
    Sounds like you've been thoroughly tested, except for a brain MRI scan, and two neuros have said that MS is unlikely. If the neuros haven't given you any possible or probable explanations for all of your symptoms, and you will be haunted or stressed until you know that your brain scan is clear, then maybe a brain MRI would be a good thing to do.

    If you don't get a brain scan, would you be able to let it go and be in peace with that decision?

    Also, if you can get anxiety under control, maybe your symptoms will subside over a period of time?

    I guess I'm giving you more questions than answers, but hopefully you will know what to do after careful considerations.

    Maybe more feedback from other members here will also help.

    Wishing you the best, and good luck.

    Take Care
    PPMS for 26 years (dx 1998)
    ~ Worrying will not take away tomorrow's troubles ~ But it will take away today's peace. ~

    Comment


      #3
      Hi TinglyRG.

      I agree with everything KoKo said.

      Your Neurologist's very well may be right and you don't have Multiple Sclerosis, but if you don't have the brain MRI you may always wonder and worry.

      Best wishes
      Diagnosed 1984
      “Lightworkers aren’t here to avoid the darkness…they are here to transform the darkness through the illuminating power of love.” Muses from a mystic

      Comment


        #4
        KoKo, thank you so much for taking the time.

        The neurologist believes it's a "sensory neuropathy" and wants to take a watch and wait approach.

        I do think that if I can rule everything out, I can move on in a way. I think worrying about the symptoms is holding me back more than the symptoms themselves; I've been stuck in a holding pattern waiting to find out what's wrong. I need to focus on diet and lifestyle, see how much losing weight helps, go to the hand surgeon for the CTS, get treatment for the migraines, etc. if there truly is no underlying condition.

        I guess the question is whether MS is already ruled out or do I need the MRI?

        Thanks for letting me get this all out.

        Comment


          #5
          Originally posted by SNOOPY View Post
          Hi TinglyRG.

          I agree with everything KoKo said.

          Your Neurologist's very well may be right and you don't have Multiple Sclerosis, but if you don't have the brain MRI you may always wonder and worry.

          Best wishes
          Thank you! I think you are right. My husband says the same.

          I am leaning towards just getting the MRI.

          I really appreciate the advice.

          Comment


            #6
            Hi Tingly,
            Since a diagnosis of MS is a diagnosis of exclusion, you need to do all of the tests to exclude it.
            I was diagnosed with CTS and I did have my left hand relieved and I was diagnosed with PPMS after all.
            I suggest that you do the MRI's and give the doctors more info to work with! Good luck

            Comment


              #7
              Hello Tingly,

              I'm sorry you are having all these sx's and still not getting a diagnosis. I agree with the others, I believe you should get the brain mri.

              Are the two neuro's ms specialist?

              I hope you feel better and get answers soon.
              God Bless Us All

              Comment


                #8
                They are general neurologists.

                I scheduled the MRI for next Tuesday. I will update with the results.

                Thanks so much, everyone!

                Comment


                  #9
                  Originally posted by TinglyRG View Post
                  They are general neurologists.

                  I scheduled the MRI for next Tuesday. I will update with the results.

                  Thanks so much, everyone!
                  TinglyRG

                  Yes, please do update us on the results of your MRI.

                  Wishing you a very clean, unremarkable scan!

                  Good luck.

                  Take Care
                  PPMS for 26 years (dx 1998)
                  ~ Worrying will not take away tomorrow's troubles ~ But it will take away today's peace. ~

                  Comment


                    #10
                    Originally posted by KoKo View Post
                    TinglyRG

                    Yes, please do update us on the results of your MRI.

                    Wishing you a very clean, unremarkable scan!

                    Good luck.

                    Take Care
                    I certainly will! Thanks so much!

                    You all have been so helpful

                    Comment

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