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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Relapsing-remitting MS. Cognitive Difficulties, Muscle Spasticity And Fatigue, Trigiminel Neuralgia.Had Taken Steroid Infusions. Numbness In Certain Areas. Suggestion?

Hi: I have relapsing and remitting MS. My MRI's have been stable since my diagnosis in 2008. I do have an array of symptoms such as cognitive difficulties, fatigue, muscle spasticity, muscle fatigue, difficulty sleeping, trigiminel neuralgia, numbness, and several other issues. I have had these symptoms some steadily, and some come and go in occurance and severity but often times can be quite debilitating. How come they never show up on the MRI? The MRI is always stable and no new lesions have shown up. Initially I had three markers in the spinal fluid, a couple lesions in the brain and a lesion in the neck plus half my head was numb and one leg was numb. Initially I had steriod infusions which really helped. Numbness comes and goes in certain areas. Sometimes my whole body tingles numb especially if i am tired. I would think this would show up on the MRI but nothing new ever shows.
Thu, 22 Aug 2013
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Orthopaedic Surgeon 's  Response
Hello.
Thanks for writing to us.
The symptoms that you have are mostly related to the nerve changes. These are not likely to cause much changes on an MRI scan. You can consult a neurologist for a better clinical evaluation.
I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal
Regards,
Dr. Praveen Tayal
drtayal72@gmail.com
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Having Relapsing-remitting MS. Cognitive Difficulties, Muscle Spasticity And Fatigue, Trigiminel Neuralgia.Had Taken Steroid Infusions. Numbness In Certain Areas. Suggestion?

Hello. Thanks for writing to us. The symptoms that you have are mostly related to the nerve changes. These are not likely to cause much changes on an MRI scan. You can consult a neurologist for a better clinical evaluation. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal Regards, Dr. Praveen Tayal drtayal72@gmail.com