my hands get really hot

My hands get so HOT it's insane. I also get needle pinch sensation (but not all the time). I got an MRI of my brain last Oct and they found a small mass that could indicate MS, but that was "ruled" out when no lesions were found in the Spinal cord. The pain...well it’s weird, hard to explain, it comes up to my forearm and lingers there for a few days. I really stopped paying attention but this time, it’s been there for almost 6 days. I drunk water, just in case I had too much sodium and was dehydrated (like I read on some forum) but that didn’t take care of the problem. Not sure if it’s relevant but this doesn’t happen on both hands at a time, usually my right arm. I was also tested for carpal tunnel and was negative. Basically, I want to make sure I am NOT loosing it. Please help me.

[Dr Sharma]

Hi there. You need to be evaluated for cervical spine degenerative disc disease or bony spurs, spondylosis causing compressive neuropathy. Consult your neurologist for evaluation of spine and MRI cervical spine to check for any degenerative changes in the discs causing these symptoms. You need to be evaluated for multiple sclerosis too. Multiple sclerosis is a chronic demyelinating syndrome where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. You have many of these symptoms. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI and a spinal tap. Therefore, it would be prudent to consult your neurologist with these concerns. Take care.

[Bobo1o1]

Placebo effect. It occurs a state that you thing you are in. Just imagine that your hands are cold, they will become freezy.If its not the case, changes in your sensation could indicate on a genetic disorder  

[Dr Sharma]

Hi there. You need to be evaluated for cervical spine degenerative disc disease or bony spurs, spondylosis causing compressive neuropathy. Consult your neurologist for evaluation of spine and MRI cervical spine to check for any degenerative changes in the discs causing these symptoms. You need to be evaluated for multiple sclerosis too. Multiple sclerosis is a chronic demyelinating syndrome where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. You have many of these symptoms. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI and a spinal tap. Therefore, it would be prudent to consult your neurologist with these concerns. Take care.