With the possible exception of the muscle spasms, everything below your neck that you described could
be due to your two bad discs. I would try to get to a physiatrist
, and bring that c-spine MRI with you. In fact, I'd try to see a physiatrist before starting any physical therapy (their thing is all about how the nerves & moving parts work together).
FYI, this is a pretty good summary of what physiatrists do/are: http://www.aapmr.org/patients/aboutpmr/ ... trist.aspxIt seems to me that all your other symptoms could have multiple causes (some possibly even from those bad discs), but probably not in your t-spine.
If your neuro isn't still investigating them and isn't referring you to anyone other than a PT I'd ask them why (and start thinking about finding an MS specialist to consult).
Mark [ NOT A DOCTOR!
Well, scat, it's me again.
I have to agree with what Mark said about trying a physiatrist next. I recommend them regularly when posters are hard to diagnose, especially with no sign of lesions. I think they go at it with a more generalized focus, which leads them into a more open-minded, holistic investigation of the clues your body gives them.
My expanded physiatrist story (big ya-a-a-awn from those who've heard it before...) is that my dad collapsed in pain unable to walk many years ago. After examination, the local physiatrist was observant enough to send him 2 hours away for genetic testing, which showed he was positive for HNPP, a rare hereditary peripheral neuropathy. To this day, not a single one of my many docs (besides neuros) has even heard of HNPP.
Then 8 years ago my GP sent me to the same physiatrist to check whether the teensy tremor in one finger might be carpal tunnel. He did EMGs (BTW, EMGs are to check for peripheral nerve damage, not for MS), & diagnosed me quickly with carpal tunnel blockage, meaning probable HNPP like my dad.
He could have stopped there, but even though I answered "no" to his dozens of symptom questions, he STILL sent me for a brain MRI. The report from that visit shows most all my neuro signs normal - except he wondered about CNS problems due to "asymmetrical reflex in the legs, and the upgoing toe on the left." I was so healthy at the time that I didn't even ask him why he wanted to see inside my brain. Honest! I went alone and didn't even tell my family I was getting a brain MRI.
The MRI showed my brain jammed full of MS-type lesions and my C-Spine and upper T-spine are full of disk bulging and stenosis. Subsequent tests were also positive for MS: O-bands and elevated IgG in the spinal fluid, VEP positive for MS, and the carpal tunnel extends to both wrists and both elbows, confirming HNPP.
So....it's people like me (all tests positive) who make it so hard for people like you (all tests negative) to get a quick diagnosis of anything.
I think you should take a deep breath...and look for someone new to check you out - like a physiatrist.
And one more note about neuros. My experience would suggest not to go straight to an MS neuro, because you're not showing many charactistically obvious MS signs. Neuros hate it when they think you've given yourself an internet MS diagnosis and are barreling straight down that path.
My first neuro (after the dx) was thoroughly abominable about it, and I had even come to him with an official MS dx (or so I thought). He was furious at my claim. I always laugh that they must want to make the 'virgin diagnosis', possibly adding a new notch for every dx to that damn hammer he pounded me with until my arm (yes, my arm) was covered with bruises. (My next neuro fired me...another story.)
Good luck and keep us posted on your progress.