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tingling, crawling sensation in the feet

I've been experiencing constant tingling, crawling sensation in my feet for a month now. It started with the right foot, and then in a few weeks the left one. Also the palm of the left hand has burning sensation once in a while as if I slapped something. No B12 deficiency, thyroid is normal, no diabetes, periods every month. My family doctor thinks that I don't need MRI of the head for MS because I don't have any other symptoms related to it. Any advice?
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Avatar universal
MEDICAL PROFESSIONAL
Hi there. You need to check for any degenerative disc disease to rule out compressive neuropathy or bulging disc causing these symptoms. If the MRI spine rules out this, you will need an MS evaluation. MS is a chronic demyelinating disorder where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. You also need to be checked for small vessel ischemic disease, cerebral ischemia etc for these MRI lesions. Therefore, it would be prudent to consult your neurologist with these concerns. Hope this helps. Take care.
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I have recently just started getting these same symptoms , how ever this was my recent Lumbar spine CT results. mild-moderate L5/S1 disc degeneration with a right paracentral disc protrusion potentially irritating the descending  S1 nerve root in the lateral recess. Possible small associated disc extrusion extending superiorly is potentially irritating the descending L5nerve root in the lateral recess .  I have been referred for a MRI and  referred to a neurosurgeon . I was told this would happen as I was told to expect surgery to try and prevent further damage. any advice ? my back was now injured near 3 months ago but these are new symptoms as aposed to the usual restricted movement and constant winding sensation in my hips . regards Dusty
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