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What Causes Unilateral Pain And Tingling Sensation In The Body?

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Posted on Mon, 6 Mar 2017
Question: Hi Doctor,

I am having Left Shoulder that aches and tangling sensation feeling on my left face and my legs. I am concerned that it is MS. Are these symptoms of MS. I have no balance issues or headaches. No vision issue.

Thank you,
doctor
Answered by Dr. Olsi Taka (3 hours later)
Brief Answer:
MS unlikely

Detailed Answer:
Hello and thank you for coming to HealthcareMagic.

Judging from that description I do not think it is a question of MS. Pain is not a feature of MS (unless advanced, immobilized patients who develop spasticity), so the left shoulder pain you describe goes against that possibility.

Sensory sensations such as tingling may at times happen in MS. However they are very subjective, nonspecific symptoms, can also happen for many other reasons, actually most common one is anxiety. If they persist of course you should have a neurological evaluation but judging from the distribution in the face and legs it doesn't look likely to be MS, because it doesn't correspond to a specific brain area.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (3 hours later)
My legs are tingling all over the place and go to my feet I have been very anxious recently I hope thats the result
doctor
Answered by Dr. Olsi Taka (18 minutes later)
Brief Answer:
Probable

Detailed Answer:
Yes it's precisely that widespread distribution of tingling on both legs which makes me doubt to be MS. If you are someone who has anxiety issues that would be the most likely cause.
One should consider also electrolyte alterations and abnormal thyroid function, so some routine blood tests should be done on that regard if symptoms persist, but most probably will turn out normal, anxiety should be the cause.

Let me know if I can further assist you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (27 minutes later)
Sir just so I understand if it was MS it wouldn't be going frim my right leg to my left leg to my arms and so forth it would remain in one spot?
doctor
Answered by Dr. Olsi Taka (37 minutes later)
Brief Answer:
Correct

Detailed Answer:
Yes, you are perfectly right, that goes against a brain lesion. If there is a brain lesion (whether MS or something else) it would produce symptoms in a certain area of the skin corresponding to that damaged brain area. The damaged area would've remained, not move around.

I hope to have been of help.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Olsi Taka (33 minutes later)
Thank you. Hava puno za nadu

My symptom seems to be more concentrated in my right leg then my left it is mostly my right legt that burns and tingles. Still MS unlikely?
doctor
Answered by Dr. Olsi Taka (11 hours later)
Brief Answer:
Yes unlikely

Detailed Answer:
You're welcome (though not sure why you're writing in a Slavic language - my native language, albanian, is a separate language not related to any other language group. But no worry thankfully there is google translate :)

Yes I still think MS to be unlikely. Sensory symptoms are not a common way for MS to initially manifest in general, that alone makes it unlikely. Added to that the distribution which doesn't correspond to a single region, the fluctuations and migration of the sensations make that even more unlikely.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (7 hours later)
I had an MRI done it showed one white spot on my brain. The Neurologist was not concerned and said it was not MS. He states needs to be more then one and the location of mine was more indication it cane from a headace. Thoughts?

Thank you
doctor
Answered by Dr. Olsi Taka (42 minutes later)
Brief Answer:
I agree with neurologist.

Detailed Answer:
Your neurologist is correct, one isolated "spot" is not enough to make a diagnosis of MS. You have to have several lesions in the brain and several clinical manifestations (like weakness or numbness, double vision, vision loss etc) separated in time (taking place in different periods). The lesions also are in certain typical locations usually.
It is true that in migraine patients there may be found changes, spots, in the brain matter, without any functional impairment. So that is certainly possible.

Actually if you had mentioned you had had a MRI before I would have been even more confident in my answer, so regarding MS my opinion remains the same, if anything this additional information reinforces it.

Wishing you good health.


Brief Answer:
Glad to have been of help

Detailed Answer:
Glad to have been of help
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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What Causes Unilateral Pain And Tingling Sensation In The Body?

Brief Answer: MS unlikely Detailed Answer: Hello and thank you for coming to HealthcareMagic. Judging from that description I do not think it is a question of MS. Pain is not a feature of MS (unless advanced, immobilized patients who develop spasticity), so the left shoulder pain you describe goes against that possibility. Sensory sensations such as tingling may at times happen in MS. However they are very subjective, nonspecific symptoms, can also happen for many other reasons, actually most common one is anxiety. If they persist of course you should have a neurological evaluation but judging from the distribution in the face and legs it doesn't look likely to be MS, because it doesn't correspond to a specific brain area. I remain at your disposal for other questions.