hi, thank you for providing the brief history of you. A thorough clinical neuromuscular and musculoskeletal assessment is advised. As you had a previous MRI, we need to understand the report and also the clinical signs and symptoms too. As you age also should give us some input. To be practical , that 90% of MRI taken will not be having a normal results. So worrying for having an MS should be first removed from the mind. Also, the fatigue can be due to another factor and needs an understanding. It may be due to reduced physcial activity of may be due to not a proper diet. A neurologist should assess you initially and go through all the physical examination, chief complaint and diagnostic reports. Understanding that MRI can not be a perfect diagnosis as well. Also many of the Neurological condition will have similar symptoms and to make a differential diagnosis is needed, without which coming to a straight conclusion is not ethical. As you had double vision, fatigue, headache etc we need to perform a proper clinical examination and also the chief complains or the past medical history , family history etc. Much More understanding happens if listened to you initially about you. Also for fatigue you need a proper diet and proper physical exercise to improve the metabolism and immune system as well. Pain and aches in the joints can be Due to lactic acid which is formed at the end of each glycolysis cycle which is the base for the activation of muscle. Also, I will recommend you to perfrom breathing exercises, meditation and physical exercise which will make all the possible things turn down. In my clinical practice I have seen many cases which have a combination of complains and also after proper assessment and understanding of the case we recommend physical therapy and They respond well Regards Jay Indravadan Patel