I am a 53 year old female. I am having intermittent numbness, tingling on my face, hands and feet, sometimes it would be right side, sometimes left. Sometimes I would feet heaviness in my arm, then it would go away. It's not sudden but a gradual sensation. I went to the ER twice. My MRI with contrast showed that I have chronic eschemic small vessels changes. They observed me overnight and put me on aspirin. What should I do now, what specialist I need to see?
Great question. We see people like you in clinic every day of the week. Intermittent, multifocal paresthesias (“tingling”) and numbness are a common complaint associated with a long list of diagnostic possibilities. In patients over the age of 50 at onset of symptoms, MS is a less common cause of this symptom. You need to see a neurologist who will take a detailed history and examination followed by a thorough review of your MRI. Ask your primary care doctor for a referral and good luck.
Revere Kinkel MD
Director of the UCSD Multiple Sclerosis Program