I have tingling sensation all over my body, especially on the right side of my face and chin. Why?

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Considering the findings in your cervical MRI (magnetic resonance imaging), the paraesthesia and tingling sensation in the fingers and your body may be attributable to the cervical canal stenosis but not your symptoms in the face. Accordingly, I suggest an EEG (electroencephalography), especially regarding your old stroke. There is a possibility that all of these tingling symptoms be a kind of aura or simple sensory seizures (seizure attacks without loss of consciousness or abnormal movements) as the consequences of that old CVA (cerebrovascular accident). Kindly inform my opinion to your neurologist. I have had some patients with similar complaints, and their problems were resolved with anti-epileptic treatment. Regarding your drug history, one possible choice, if your EEG supports the diagnosis, would be the consumption of the tablet Gabapentin with an anti-epileptic dosage that would be at least 300 mg every eight hours or even more. However, this dosage can cause sedation, and I do not prescribe it usually in my daily practice. Consult your specialist doctor, discuss with them, and take medications with their consent. Your neurologist can prescribe an alternative treatment if your EEG supports the diagnosis.

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I have read your cervical and brain MRI reports (attachment removed to protect the patient's identity). Do not worry; your MRI reports did not have any specific features that suggest MS. Your question about anxiety is not easy to answer. Stress or anxiety can manifest as any form of subjective symptoms, also known as psychosomatic symptoms. There is no way of evaluating 100 % that the symptoms are psychosomatic or organic. The physician can only test or image organic problems. If the physician does not find any organic causes, he can say that the symptoms may be psychosomatic. In your case, considering your degenerative problems in cervical bones and old stroke, there are organic causes that can explain your symptoms. I hope this helps you.

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Hello,

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Lower back pain is not a sign of multiple sclerosis (MS). One important special feature of MS is dissemination in location. It means that multiple areas of the nervous system in the MRI should show MS-specific lesions to indicate the diagnosis. The usual causes of lower back pain are muscle strain or discopathy. Your MRI was done a year ago, and you may have developed a discopathy now. Coccyx pain needs to be examined by a physician for causes such as pilonidal sinus. I hope this helps you.

Thank you.

Hello,

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I hope I have answered all of your queries.

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