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Neurology (Expert Forum)
Multiple symptoms -where do I go from here?
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Multiple symptoms -where do I go from here?
by Limmy, May 08, 2004 12:00AM
Hello. Over the course of a year, I begin have strange tingling sensations in my left arm. Eventually they traveled to my hand, and I would feel pricks in my fingers or see the fleshy part twitch.
Later same symptoms traveled to left foot,followed by ankle and heel pain.
I have had left sided headaches, primarily in the temple area. The headaches were constant, throbbing, or would feel like a crawling sensation. My current headache has lasted about five weeks. Occassionally, there is twitching around the eyes, and a tingling sensation in the face, particularly near the lips. Also ear pain,tenderness behind ear and jaw.
Add to these symptoms general twitches throughout the body, a very stiff feeling left hand and sore left arm,leg pain, achy knees, back pain -upper and lower, shoulder and neck pain, often both sides-more pronounced on the left.
I have had a nerve conduction test on the left arm, an MRI of the cervical spine, and a brain MRI, plus consults with a orthopedic Dr (physiatrist?), and a neurologist. All negative results. The neuro Dr. said he saw what might be a small bone spur on the MRI. Some blood work five months ago - CBC normal, thyroid normal but have a history of Graves disease - untreated now but thyroid is still irregularly shaped. Also have hypertension - 25 mg Atenolol.
Physiatrist doesn't know what to do with me - do I just let my body heal naturally with rest (he suggested stress) or do I pursue something further?
Please advise. Sorry for length -wanted to be clear
Later same symptoms traveled to left foot,followed by ankle and heel pain.
I have had left sided headaches, primarily in the temple area. The headaches were constant, throbbing, or would feel like a crawling sensation. My current headache has lasted about five weeks. Occassionally, there is twitching around the eyes, and a tingling sensation in the face, particularly near the lips. Also ear pain,tenderness behind ear and jaw.
Add to these symptoms general twitches throughout the body, a very stiff feeling left hand and sore left arm,leg pain, achy knees, back pain -upper and lower, shoulder and neck pain, often both sides-more pronounced on the left.
I have had a nerve conduction test on the left arm, an MRI of the cervical spine, and a brain MRI, plus consults with a orthopedic Dr (physiatrist?), and a neurologist. All negative results. The neuro Dr. said he saw what might be a small bone spur on the MRI. Some blood work five months ago - CBC normal, thyroid normal but have a history of Graves disease - untreated now but thyroid is still irregularly shaped. Also have hypertension - 25 mg Atenolol.
Physiatrist doesn't know what to do with me - do I just let my body heal naturally with rest (he suggested stress) or do I pursue something further?
Please advise. Sorry for length -wanted to be clear
Doctor's Answer
by CCF-Neuro-M.D.-CS, May 11, 2004 12:00AM
The normal MRI's help to exclude structural problems and visible inflammation within the brain or spine. Systemic disorders such as connective tissue diseases, and inflammatory conditions (such as other auto-immune disorders) should be excluded. This can be done with blood work (sedimentation rate, C-reactive protein, ANA panel, and a rheumatoid factor to start with). If these are negative, and your neurologic exam is normal then perhaps a diagnosis of either complicated migraine (if you have a history of headaches) or perhaps stress could explain the symptoms. If you have any questions, perhaps a second opinion with another neurologist would be reasonable. Good luck.
Member Comments (4)
by nikkilud, May 10, 2004 12:00AM
My aunt also had alot of the symtpoms that you are referring to. She was hospitalized and tested for everything from lyme disease, stroke, MS and almost every other disease there is. Nothing was showing up on any tests results. Finally a rheumatologist gave her some answers. They believe she is suffering from Fibromyalgia which is a pain disorder that is usually only diagnosed after checking for everything else. My aunt would have the numbness on her left side of the body almost daily. Now the numbness isn't as frequent, but the pain has set in. I urge you to do some research on it and contact a rheumatologist (only them and a psychiatrist can diagnose it, because at this point with no real findings you think your going crazy). Good luck and keep me posted.
by whimsical, May 30, 2004 12:00AM
you need a qualifed chiropractor. get x-rays and follow his advice and treatment plan. work with him you will receive help.
by mkhkid, Jun 25, 2004 12:00AM
For about a year and a half I have had numbness and tingling in the left side of my face. It feels full or almost swollen. And in the heat it has almost a burning sensation. Behind and below my left ear is a knot and it is sensitive to touch. My left eye twitches and I have bad headaches in the temple area on my left side and behind my eye. I have pain in the left side of my neck and shoulder and have been diagnosed with carpal tunnel in both hands and arms. I have been to a Rhuematologist with no results and an ENT on the face thing. I have had a MRI of the Brain with contrast and they saw nothing. It is really starting to get to me. I know I am not crazy.
