Is it possible to have normal strength and yet numbness/tingling in the hands, as well as decreased fine motor skills in early MS? I am still in the process of trying to get a dx to see what's wrong with me, but was just wondering about this.
not usually. when the motor skills go, the strength diminishes as so the reflexes. It might not even be noticable to you, or to others (squeezing their hand, etc) but the tests that most neurologists do show the weakness.
There are isometric and flexion tests which your doctor should have performed in his office manually during your evaluation. There are also tests to measure the nerve reactions done with a machine- Evoked Potentials are also done.
Didnt your doctor do a thorough evaluation at the Duke appointment? Id be surprised if you saw a MS SPecialist who didnt make you walk the line, follow the finger, squeeze the hands, press down when he pushes up, press up when he pushes down...etc etc. Those are all standarized tests for measuring reactions and muscle strength/ coordination.
Yes, he did all those tests, but nothing with a machine. I thought I really had trouble with the heel-toe test. I really had to concentrate to get my feet to move the way they were supposed to. I lost my balance once and had to put my foot out to the side to catch myself.
Although I've had numbness/tingling in parts of my body, I have always
passed the strength tests too. Occasionally I'd loose a little strength in my left arm, however that didn't/hasn't last...At the moment I still have tingling/stiffness in two toes and two fingers, but I haven't really had strength problems......
Thanks for the comments. I'm assuming you have already been diagnosed with MS? I'm still trying to find out what's wrong with me and am in limbo right now, which is really starting to get to me.
I was diagnosed in 1987 - Wow, 20 years and my first symptom was 5 years before that. Things have changed so much. If you have to have MS now is certainly a better time. It can be so frustrating to be in limbo - hopefully soon you will know so you can start appropriate treatment.
I sure hope so! I am going to get blood work done on Friday to check for diabetes...MS specialist from Duke's recommendation, as my father and brother have had adult onset diabetes. I don't know what to think, because some of the symptoms for diabetes are the same as for MS, although I honestly don't feel it is diabetes.
Oh well...I just have to wait until October 19th until I go to Johns Hopkins for another opinion.
Okay, so what I am hearing is that just because a person's strength is tested and is normal, the person could still have MS, right? I have been having more and more ringing in my ears and feeling like I am looking through a thin film, especially when trying to read, as well as all the other symptoms.
Yes, it's a long wait until I go to Hopkins, but at least I have a date and can start counting down. As fast as this year has gone so far, October will be here before I know it.
Just one of the things that make MS difficult to dx is that it is SO individualized. Specifically in regard to strength, we all have our own issues -- as far as I know, strength is NOT one of mine so take that info. as you will... You can't dismiss MS (or Lyme) because you don't have ALL the symptoms that are listed as being potentially suspicious.