Here is My Question:
I developed foot numbness in 2019 and it went into my hands. Although they felt numb, I could still feel everything. I could still feel pain, cold, hot, etc. It’s 2022 and everything has cleared up except my fingertips which still have a dry feeling. I was diagnosed with MS by just MRI findings of brain and cervical. I later reviewed my own MRI of my cervical to find out I have cervical spondylosis, herniated disc and cervical kyphosis. I’m so confused because I thought spinal disorders must be ruled out before diagnosis. Cervical issues can cause the same symptoms and at times affect the brain as well.
I also had scoliosis surgery in 2006 ( hardware) and suffer from menstrual migraines. My doctor did not give me a spinal tap because of my hardware but my orthopedic suggested I get one.
Otherwise I feel normal and nothing has changed. I’m just wondering if I should get another work up or take the diagnosis? What do you suggest?
Thanks for a wonderful question that gets right at the heart of MS diagnostic criteria. You are correct in your feeling that the rush to diagnosis is often inappropriate. Although I cannot say that about your case without seeing you in person and reviewing your case, I can make some useful comments that may help you.
A diagnosis of MS really requires several criteria to be met and that doesn't seem to be the case with you.
I hope this helps you find the answers you need.
Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences
Director of the Multiple Sclerosis Program
Clinical Neurosciences Director
University of California San Diego
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