A neurological history is needed to establish an MS diagnosis

Here is My Question:
Although I have been seen and had multiple tests I am not confident of the diagnosis. It all started a year and half ago. My general doctor thought I had MS and sent me in for testing. My symptoms are pins and needles and sometimes hot burning sensations in my hands and feet. Restless leg sometimes and whole body fatigue and sometimes fatigue just in my legs. I have dry eyes and pain in one eye. Sometimes in my eyes I have pain and it is foggy and I always have a constant dull pain. However it gets better when I wear my glasses. I have facial issues where it feels like someone is placing a feather on my face as well. I have lower back pain that is sharp but then goes away shortly after. And now my lower biceps have sharp pain and I am honestly not as strong as I used to be. Up to 50% difference. Lastly my neck is very tight and does not move as very well. Feels as stiff as my biceps now. I have been clumsy and off balance at times. Difficulties sleeping and when I wake up I am always exhausted. So I have had MRI of my brain and neck. The exam showed no legions. Back X-rays and mutiple blood tests including gluten sensitivity, vitamin b issues, Lyme's disease, 2d cardio gram in case I had a stroke, nerve conduction test, and a skin biopsy. The only test that came back positive was skin biopsy test. So the doctor diagnosed me with idiopathic small fiber neuropathy and no known cause. However he cannot explain eye pain and lower bicep pain and stiffness in my neck and lower biceps. Looking for any thoughts... Thanks! 

Answer:
You’ve described a collection of fleeting, vague neurological symptoms. This rarely helps us establish a specific diagnosis in neurology. What is missing is a neurological history which can only be elicited by a competent neurologist. He or she should also perform a thorough examination to help determine the source of your problems. No amount of testing can substitute for a thoughtful evaluation by a skilled clinician

Revere (Rip) Kinkel MD
Director of the Multiple Sclerosis Program
Director of Hillcrest Neurology
Professor of Clinical Neurosciences
University of California San Diego