Medical professionals...calm me down

Ok so my wife has been having tremors on her right hand on and off as well as numbness and tingling on her right foot mostly, for about the same time.

We went to our PCP earlier this year and she did some bloodwork that all came back normal and did an MRI of her brain to rule out MS. The MRI was clear so they sent us to a neurologist which took months to be seen and we saw her today.

The Dr is running some bloodwork to Test for autoimmune diseases such as Lupus, Lymes, etc. and also doing an MRI of her neck because sometimes you can have MS and not have lesions on your brain but have it on your spinal cord.

Obviously MS is scary as hell.

From what I read only abou 5% of people who have MS have a clean brain MRI. Is that correct?

She was in a car accident years ago and got hit from the left side and her neck has never been the same. A pinched nerve or bulging disk can also be the problem but my wife didn’t mention the accident to the doctor because she wants her to be thorough.

She’s pretty healthy other than having endometriosis and hashimoto’s. She’s 5’4 and weighs 250lbs.

Really looking for medical professionals who can give me their opinion, seeing as doctors won’t give you an opinion or hunch anymore due to fear of being sued.

Thank you!

There are "resting tremors" where the tremor occurs when you are relaxed, not doing anything and "action tremors" which occur when you are trying to do something like write, pick up a spoon to eat soup or other fine detail work.

It sounds like she may have essential tremors (an action tremor) or early Parkinson's disease (often a resting tremor) which are the two main tremor diseases.

BOTH will come back with normal blood tests.

She needs to be seen by a neurologist. SOME tremors will go away on their own, some to most will get worse over time.

I hope your wife gets some relief.

Hers are not resting tremors, our PCP said she doesn’t believe it’s Parkinson’s.

The neuro said that it can be an auto immune disease, a pinched nerve or bulged disc or MS as worst case scenario.

I just hope that what I read is correct and that the odds of it being MS and having s clear brain MRI are super slim

Could be Lyme disease, lupus, auto immune but Nero will be the best and can handle what's going on. Praying for answers to the problem going on. I would have mentioned the car accident too because there could be scar tissue that's flaring up and causing those issues. I am.only EMT and firefighter so I can only give what I think as I'm not a doctor.

I just hope that what I read is correct and that the odds of it being MS and having s clear brain MRI are super slim

An MRI of the brain and spinal cord can also show signal loss which could be caused by things other than MS. I think (again I am not a doc) the Gold Standard to rule MS in or out is analysis of some spinal fluid.

Best of luck to your wife.

PS - any real docs out there if you catch me making something up please tell me -

Are the paresthesias (tingling and abnormal sensations) confined to a specific parts of her hand and foot, or is it more like a glove or stocking pattern.? Is the tingling for example confined to thumb and middle fingers with the pinky unaffected? Does the tremor coincide with the tingly areas?. Is there any muscle weakness? Finally do these symptoms follow any temporal pattern...that is do they come and go, or is it progressing..getting worse and worse or spreading with time.? Are the symptoms severe enough to impact function, interfering with her doing stuff? So far, I can't offer a quick diagnosis to neatly explain all these things and, in a way, that is good. I can think of a dozen or so things it COULD be...mostly benign stuff. Keep us updated about her workup as you find out more.

The tingling is mostly on her foot. And it goes numb.

Her hand sometimes she feels she can’t grip things as strong.

Only her hand shakes and it’s only when she’s doing something, it does not shake when she’s resting.

Stress does make this worse. The shaking is the consistent one the others come and go at random. She said that sometimes she feels like pins and needles flowing from her arms down to her legs at random. Like a shock. That’s rare but has happened.