Question: I have had bilateral arm ache which moves from tricep to forearm. Additionally have numbness in tongue, hand tremor, and fatigue. MRI a year ago showed nothing. Neuro needle test showed some minor problem with nerves but not muscles. ALS, parkinsons and MS ruled out by neuro doc. Blood tests for other neuro problems also negative. Neuro doc is stumped. I am wondering about cervical stenosis or hyperthyroid. Your thoughts? thanks

Hi Doc, some more info on me. Age 68, history of CFS usually controlled. Last A1c was 8/12, score of 5.4. I am insulin resistant but not diabetic. B-12 on last test was 1375 (high). Calcium was 9.6. My symptoms of mild hand tremor, fatigue (caffein helps with fatigue), numbness in part of tongue, and bilateral arm muscle ache started in January 2013. It seems to be getting worse. Some specifics: tongue numbness is exacerbated when I eat and wanes when not eating. Bilateral arm discomfort is strange, always bilateral and exactly in the same place on both arms from shoulder to forearms. It also tends to wax and wane. Have had MRIs and xrays that show some stenosis comparable to my age. Nothing else remarkable. As I said earlier EMG was ok except for some low readings on hand nerves. Blood tests for Sjogrens and other neuro problems were normal. Have not had Thyroid test for about 3 years. Last one was fine. Thanks for any insight you can provide. Larry

Hello Doctor, I have dealt with CFS for over 20 years. The symptoms I experience now are quite unlike CFS. What would account for the continued bilateral arm ache and weakness? As I said, it is exactly the same on both arms. Numbness in the tongue and lips is almost constant now. Cortisol levels were very high when last checked. My neuro doc ruled out MS partly due to my age. Could cervical stenosis be the cause? thanks