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pins and needles with heat

I’ve been getting these painful stabbing pins and needles sensation for several months. It’s always worsened by heat. Sometimes I feel a quick zapping sensation in my lower spine. It’s not just my extremities; the tingling can be all over my chest, stomach, back, or pretty much all over my body. Sometimes if I’m exercising I’ll get pins and needles all over but if I push through the symptoms they’ll start to dissipate. I’m really concerned it could be something like MS because based on google typical neuropathy is not worsened with heat. Anyone have any ideas?
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