new symptoms of neuro origin and spinal not FND
Referal to neuro but due to past fnd dx they have triaged me as non urgent and won’t be seen fir 12-16 months unless Gp updates them . My previous neuro dr was reluctant to say fnd in my notes saying an organic spinal condition with small functional overlay . Didn’t want to do more tests despite autonomic dysreflexia reaction after bladder Botox treatment in 2016
He kept me on his clinic list and would see him if anything new came up
Lovely dr but anti mri have since moved and due to corona virus now huge delays in being seen. I’ve seen a private neuro physio who says spinal issue with neurological symptoms , have developed a contracture of right leg and hyperreflexia of knee both , bilateral sciatica with leg pains and cramps
Babinski is silent on left and only partial on right ie only 3 toes slight downward movement , ankle reflexes are there but subtle , sensory changes and increased weakness in my better leg so much so I can’t lift my foot and have had to have my car adapted to hand controls . Right sides trunk weaknesss .
I am already in a wheelchair and have been active and gym goer re upper body
I had optic neuritis in 2012 left eye eye neuro said mri was not normal and radiographer missed a bright white spot on optic nerve but dr didn’t record this in notes
I was told if I didn’t get another attack in 12-24 months I was unlikely to progress to ms however 5 months later I think I had it in the other eye but milder as my DVLA sight test showed a marked diff in vision of left and right eye . Mri showed 4 age related white spots. I was unable to te see the eye neuro as he was away on leave
I am not saying I have ma but new symptoms indicate upper motor lesion due to spinal cord or brain
My urologist ordered me an mri of lumbar and pelvis urgently and awaiting results
I’ve had a central disc cervical buldecatvc4/c5 for some years no nerve route involvement but previously neuropathic pain. That’s been stable but ideally I need an mri of thorasic and neck
Previous wrong height walking stick after rta in 1994 caused thorasic rotation and curvature of thorasic spine which physio could not address and this has caused facet joint stiffness and neuropathic pain mri in 2o15 rules out and disc issue or compression of spinal cord .. however due to my history of whiplash injuries and two head injuries who knows how this can impact long term
My right eye has sensory loss of cornea and I’ve had opcillopsia in 2012 when I had optic neuritis and I think it’s now back in the right eye as is the sensory loss
I was misdiagnosed with complex regional pain in left leg in 1997 when in fact the eying height walking stick was making use of left leg impossible with a 2.5 inch difference in stick heigh on what it should have been . I am not bitter but at the same time I saw a couple of drs who did not twig the stick was the issue abd gait was due to this not FND it wasn’t picked up till I went for rehab 2 years after rta scan results 3?months post rta in1994 were not normal but I was told it was at the time
Got report in 2010 fir neck dr re disc bulge it noted. Lesion of lumbar spine , smorles nodes lumbar ( poss due to rta ) birth defects of spine sacrum an extra lumbar vertebrae and missing lower ribs from birth
My current Gp feels I have not been properly investigated ever and that even though my previous neuro dr was lovely he wasn’t proactive and it’s clear this neuro didn’t hold up a FND issue but equally wasn’t willing to explore either but observe changes over time
I also think drs are affraid to give an organic dx for fear of getting it wrong and being sued or the patient then having the wrong treatment and that has become more clear over the last 20 years I’ve lived with undiagnosed symptoms abd just tried to get in best I can my last neuro suggested inpatient rehab for two weeks to see if I improved but after the autonomic dysrefkexia reaction he was clear in saying I could get worse in the process. Autonomic dysrefkexia cannot be FND its to do with a spinal cord injury complete or in complete
I declined rehab because I didn’t want to get worse after many years working in my upper body fitness to prevent muscle imbalance and I know deep down that it won’t be possible for them to undo the thorasic spine issue abd deal with my pelvis and lower back either
Past rehab has been awful with physios who are not interested and yet if people have FND they should be referred to a centre for evaluation and they would soon be able to say if def rather than many people being labelled FND due to negative test results
Interesting that since the launch of Covid 19 vaccination many people are suffering adverse reactions neuro wise abd because mri and other tests are negative they too are being given FND diagnosis which is very wrong when you are talking about an experimental vaccine that by its nature targets the neurological pathways re spike proteins vaccine damage is real
Any comments or feee back would be appreciated
Due to the corona virus it seem neuro departments are overwhelmed and are only seeing acute triage referals
My physio feels I should be seen ASAP as I could be suffering a organic spinal issue which requires immediate evaluation abd yet that is not happening and unless my Gp can update then and ask for a re triage I will be waiting a year at least
Sorry fir the long post but people wrongly labelled with FND are later treated badly re new symptoms which could be needing urgent review abd if that does not happen there is a delay in diagnosis and treatment which could lead to poor outcomes and avoidable long term disability