HomeAnswersNeurologymultiple sclerosisI am worried I might have multiple sclerosis. Please help.

Is pain and weakness in the knee while walking associated with multiple sclerosis?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At February 20, 2018
Reviewed AtFebruary 18, 2024

Patient's Query

Hello doctor,

I have been referred to a neurologist by the general practitioner but the appointment is six weeks away and I am worried.I would like to know if this sounds like multiple sclerosis (MS) and what scans I might likely to have? The complaint started with numbness in the distribution of the femoral nerve two weeks ago. Now with some pain and weakness in the knee while walking. Thigh pain when stretched back, lower back pain. There are no hard neurological signs in me. Lower limbs reflexes are normal. SLR (straight leg raising) test is 90 in both legs. I have some subjective altered sensation around left knee and further down in the left leg. I have soreness in left hip at night and hot and cold sensations around the leg and behind the knee. I have had on and off hip pain since my first pregnancy, eight years ago. I have three children and younger one is 1.5 year old. Please help.

Answered by Dr. Aida Abaz Quka

Hello,

Welcome to icliniq.com. I read carefully your question and would explain that your symptoms do not seem to be related to multiple sclerosis. So, just relax and do not worry about it. In my opinion, your complaints are related to a possible bulging disc in the lumbar vertebral column, which is causing radiating nerve pain and numbness in the leg. It is also the main cause of back pain. For this reason, it is necessary performing a lumbar column CT (computerized tomography) scan or MRI (magnetic resonance imaging) to investigate this disorder. Meanwhile, I would suggest having some rest, avoiding prolonged standing up or sitting position. Take painkillers (Acetaminophen, Ibuprofen) coupled with a muscle relaxant (Flexeril - Cyclobenzaprine) would help improve your situation. Consult your specialist doctor, discuss with him or her and take the medications with their consent.

Patient's Query

Thank you doctor,

I am going for a lumbar magnetic resonance imaging (MRI) tomorrow and hope this will confirm just that. I had to push for this from my general practitioner as she seemed to think that it was not this due to reflexes being good, movement good, I think. And because she thought it should be gone after two or three weeks if it was trapped nerve. So when she said it could be neurological and wanted to consider multiple sclerosis (MS) or related, I was aghast. And have been so anxious I am imagining all sorts of symptoms. I really hope it is a bulging disc or related. Do you think that could account for cold tingles in wrists or hands? I think I will sleep better tonight.

Answered by Dr. Aida Abaz Quka

Hi,

Welcome back to icliniq.com. In case of an L4-L5 disc, the reflexes are well preserved. As you have lumbar back pain with radiating pain in the leg, it is very likely to have a bulging disc in this level. Regarding the tingling in your hands and wrist, it could be related to carpal tunnel syndrome. Do you have these symptoms frequently during the night and the need to move or shake your hands to remove the tingling or pain? This would be another argument in favor of carpal tunnel syndrome. A nerve conduction study (electroneurography) would help examine the nerves in your hands and legs and investigate for this disorder, as well as the pinched nerves in your legs.n You should discuss with your doctor on the above tests. I would be happy to review your magnetic resonance imaging (MRI) report for a second opinion, whenever you will be able to upload it.

Patient's Query

Hi doctor,

Thank you for the reply. I have no bulging disc after a lumbar magnetic resonance imaging (MRI). I was able to see a neurologist last week. She said extremely unlikely to be ms as numbness in L4 distribution only. She examined me etc but no brain MRI. I am just contacting you for some reassurance regarding multiple sclerosis (MS). I suffer from anxiety and I have got myself in a panic over my symptoms again. Currently, I am having physio for nerve tethering in the left thigh (part of my femoral nerve). My numbness hasn’t subsided as yet and getting a lot of hot sensations and mild electric shock-type feelings in my calf and thigh. Some pain around the knee. No pain in my back or hips at the moment. I know this can take a long time to come right but what is bothering me is that I am feeling tingling/slight numbness in my right fingers and right toes. Slight numbness in the sole and slight tingly shocks in the right calf and lower right arm. I think I have a little sensation around my forehead! I think I’ve had these symptoms before but always put it down to anxiety. It’s only that I have this problem with my left leg that I am getting into a tizzy. I also have tinnitus but get this all the time on and off. I should also mention that I lost my dad a year ago to cancer and my mother thinks my bereavement might be at play here. Sorry to be asking you again, I know that these are all probably anxiety symptoms but my mind is running riot since the doctor mentioned me (plus googling), and feel I need your opinion again.

Answered by Dr. Aida Abaz Quka

Hi,

Welcome back to icliniq.com. I am glad that your spine magnetic resonance imaging (MRI) is normal. As the numbness persists, I would suggest performing a nerve conduction study (electroneurography) to investigate for a possible pinched nerve, as the numbness persists, and the bulging disc has been excluded. I would exclude MS (multiple sclerosis), considering your symptoms. So, just do not think about it anymore. I would recommend performing a lot of physical activity.

Patient's Query

Hi doctor,

Thanks for your reply. Do you mind saying why you think it is not multiple sclerosis (MS)? I am feeling very concerned about this in particular.

Answered by Dr. Aida Abaz Quka

Hi,

Welcome back to icliniq.com. Your symptoms are not suggestive of multiple sclerosis (MS). Multiple sclerosis is characterized by spread symptoms through the body (limb weakness, gait imbalance, troubles with vision, double vision, paralysis, etc.), which occur as different isolated episodes which last for some weeks and disappear. You have no such clinical history. In my opinion, it could be just a pinched nerve. That is why it is necessary performing electroneurography. If these tests result are normal, you should consider anxiety as the main cause of your complaints. Fibromyalgia can not be excluded either. Anyway, both these causes are quite benign and can be treated successfully. So, there is nothing to worry about. The probable cause can be pinched nerve or fibromyalgia

Patient's Query

Hi doctor,

Thank you for the reply. That is the sort of information I needed to help mine over anxious mind. I feel I need more information than most for reassurance. My neurologist has not given me so much detail. That’s what’s feeding my doubt I think. Although she feels ms is not the problem, since giving her extra info the same as I gave you, she thinks I should have an magnetic resonance imaging (MRI) brain scan to give definitive no to multiple sclerosis (MS). She thinks it’s the only true way I’ll be reassured. I am so worried in the meantime and have the worst anxiety I have ever had about this. Since the other day, my right hand and right foot feel horrible burning/tingling/numbness, especially around the knuckles and little finger. Also unusual numbness sensation (although different from the left leg) top of the foot to the knee and top of the hand and forearm. It sort of comes and goes. I feel generally sensitive all over. I do not feel any loss of strength and am walking fine etc. I am so sorry to be asking for some reassurance about MS again but I have never felt such horrible symptoms before and I am hoping it is all anxiety based on the ms seed that was put in my head. I am sure once I have my brain MRI my anxiety will lift. Wish it was today.

Answered by Dr. Aida Abaz Quka

Hi,

Welcome back to icliniq.com. Your symptoms are not typical of multiple sclerosis (MS). I am afraid that these symptoms are related to anxiety, as I already told you about possible MS symptoms in other patients and your brain is probably stimulating these feelings without being conscientious about this. Anyway, as a neurologist, I would like to reassure you that your symptoms are not typical of MS. I agree with your doctor's decision on performing a brain magnetic resonance imaging (MRI) as this will definitely help you to calm down and put your mind to peace. In the meantime, I would recommend taking alprazolam 0.25 for some days and avoiding caffeine intake to help manage your anxiety.

Patient's Query

Hi,

Thanks for the reply. Thankfully, my general practitioner (GP) interpreted the results as completely fine and as you can see, the neurologist has dispatched the scan and report to me. I suppose I am seeking some definite closure from you regarding multiple sclerosis (MS). It seems crazy but because I still have unexplained/uninvestigated symptoms, my mind bounces back to multiple sclerosis (MS) (or should I say - I searched for numbness, etc and MS pops up). I have developed Ulnar syndrome in my right hand (GP says symptoms are definite - ring and little finger burning/numbness edge of the hand. Other fingers totally fine. Sore forearm, upper arm, and elbow.) My leg symptoms as described before are still the same - pain in the knee when I crouch and numbness in the knee and bottom leg inside - stops at the ankle. I am getting slight numbness around my nose and lips which comes and goes. I believe this is stress from all the worry this year about health. When I searched for Ulnar Entrapment with multiple sclerosis (MS) etc it pops up and the fear sets in again. I know I shouldn't do this but I need reassurance from a Neurologist that these symptoms aren't related to MS and that it hasn't been missed in a scan. I promise that I am not a neurotic person normally, people would describe me as very level-headed and laid back. I just can not seem to think logically regarding this matter since the MS seed was planted. My anxiety has decreased dramatically since my brain scan results but it pops up now and again when my symptoms annoy me and I make the mistake of turning to the internet. My GP has told me about it. He thinks that my arm and leg symptoms are similar - and due to wear and tear possibly. I was a dancer in my younger years and have had physical jobs since as well as three children.

Answered by Dr. Aida Abaz Quka

Hi,

Welcome back to icliniq.com. I reviewed carefully your brain and spine magnetic resonance imaging (MRI) report and would agree with your general practitioner (GP) that they are perfectly normal. So, we can completely exclude multiple sclerosis (MS). Coming to this point, you should try not to think about it. Ulnar nerve entrapment and other pinched nerves syndromes are related to a wrong posture, sometimes due to the profession or housework, etc. MS is out of the question, as all your tests have resulted in normal and this diagnosis is usually based on certain MRI findings (which is not your case). Anxiety seems to be playing an important role in all this clinical scenario. Regarding the ulnar nerve, correcting your posture can help. Anyway, nerve conduction studies are necessary to determine the degree of ulnar nerve compression and determine if there is a need for decompressive surgery (which is mini surgery).

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aida Abaz Quka
Dr. Aida Abaz Quka

Neurology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Neurology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy