Have you had a lumbar puncture to confir... - My MSAA Community

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Have you had a lumbar puncture to confirm MS? Or just the symptoms in different times/places where they tell you it’s MS?

JMWCO profile image
39 Replies

I’m asking as much as I get they tell me it’s MS occasionally I get a feeling of “what if it’s not?” Because I’ve only had symptoms and my MRI has spits but not the fingers on the scans. What if it’s something else and I take all these drugs for the wrong thing. I’m going to talk to my neurologist again on these thoughts but I’m looking for YOU the community of MSers to tell me do you get these thoughts? Especially if you never had the lumbar test? Do you feel in denial occasionally or are symptoms bad enough where you are like “nope it’s ms”. I get wanting a name for something and the need for wanting it to be something else but I always read how other diseases mirror MS but not MS.

Looking for thoughts 💭 from others…

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JMWCO profile image
JMWCO
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39 Replies
falalalala profile image
falalalala

I did have a lumbar puncture along with MRIs and motor skills evaluation.

Frankly, I was glad (not necessarily happy) to know what my problem was.

I would talk to the doctor again or seek another opinion if you still have doubts.

Good luck :)

OCancer profile image
OCancer in reply to falalalala

Yes, I did have a lumbar puncture. It i best to confirm if you have MS.

Jesmcd2 profile image
Jesmcd2CommunityAmbassador

Agree with falalalala get a second opinion if you're having doubts. I had the lumber and more tests done in the past 6yrs I can't even remember 🤣

They don't have to be long scares either. Mine come in every shape. 🤗💕🌠

kdali profile image
kdali

I didn’t need an LP, but if I had doubts I would get a second opinion with a specialist if possible.

JMWCO profile image
JMWCO

My clink is the specialist clinic where I live but I dunno if it’s just my nature but I have doubts at times but I know my symptoms suck $&@:;!

Jesmcd2 profile image
Jesmcd2CommunityAmbassador in reply to JMWCO

Are you having a relapse? JMWCO ?🤔🤗💕🌠

JMWCO profile image
JMWCO in reply to Jesmcd2

I’m having done migraines lately and my knee has been giving me random stabbing pain but otherwise I think I’m just having a moment 🤷🏻‍♀️

Birdymom3 profile image
Birdymom3

I didn't have lumbar puncture I made my Dr show how I have M.S.. and went medication for it and I started a support group the group disbanded but we still keep in touch .That was twenty years ago I am fortunate I am doing good I workout and have a great doctor and a positive attitude. My advice is to ask your Dr and make him or her explain it to you I know that it can difficult to accept at first but don't forget that you can control some things don't ever give up .

Amore55 profile image
Amore55

I had a lumbar puncture and MRI. Both fully confirmed the diagnosis, which at that point was just a relief. I was tired of trying to figure out what was wrong!

StacyHayward profile image
StacyHayward

Had one. It was negative. But I still have MS. Initial mri was inconclusive. My neuro observed my symptoms for ten months and called it MS and put me on meds. My next mri was ten years later and obviously MS. I’m glad I had ten years of early treatment.

JMWCO profile image
JMWCO in reply to StacyHayward

I think 🤔 I’m having a moment of denial; as I also read:

Cerebrospinal Fluid Test (CSF) For this test, a few tablespoons of spinal fluid are drawn from between the lower vertebrae with a syringe. The spinal fluid of people with MS usually contains elevated levels of certain antibodies, as well as a group of proteins called oligoclonal bands, which indicate there’s inflammation in the CNS. There may also be certain proteins that are the breakdown products of myelin. Not all people with MS have these CSF abnormalities.

Perhaps 🤔 I’m just wanting a different outcome….🤷🏻‍♀️

goatgal profile image
goatgal

After PCPs dismissed my descriptions of episodes for more than 20 years, I finally self referred to a neurologist at a major teaching hospital. She did a walking test, looked at my spine, ordered blood tests, full MRIs and a lumbar puncture to confirm. It took only long enough to do the tests to confirm MS: old lesions on my thoracic vertebrae, one active on my cervical, old lesions in my brain. It was my 70th birthday present. Like dear falalalala, I was glad to finally have an answer.

kwhompus profile image
kwhompus

I did have a lumbar puncture and it confirmed what the neuro thought. My symptoms were so slight at that time, in comparison to what I had read and viewed, that I didn't want to believe it. Now its full blown advanced PPMS and I'm a believer. My suggestion is for you to be proactive not reactive. I wish there had been more I could have done from start. Hindsight is a cruel mistress.

JMWCO profile image
JMWCO in reply to kwhompus

Sadly it is cruel that any of us are living this way. I was diagnosed in 2018; the two years were ok but the past 2 I’ve seen and experienced either aging (not that old 40’s) or ms was was already damaged as I’m told by neurologist I’m on a highly effective medication (o) but I think 🤔 because of all the other things and life the past two years perhaps I wonder 💭 “what if they were wrong?” What if it’s nastier or different and I’m on a different course?

At the time I saw and was shown the few lesions before I had my neurologist appointment to confirm. I even sent them to another radiologist who discussed with a neurologist friend who specializes in MS- as I wrote this I find myself going YES YOU HAVE MS but why am I looking for it not to be true or different?

I agree with plenty of the comments here that said it’s good to get a diagnosis and initially it was….but now I’m like what now what to do now is this really it and if so besides getting my life together what all do I keep having to give up vs have?

Perhaps I just needed a moment to hope that a disease that has no definitive tests but a list of clinical criteria was wrong or inconclusive as there are so many diseases and other things that pop up but if it’s not MS is it worse?

Or perhaps 🤔 I needed to know or reassure that what has happened is the cruel joke life had for us. I get we are lucky to have treatments and to take care of ourselves for the best lives possible.

It’s the burden on my partner and kids. On not being able to work like I did or do things without paying for them physically.

I’m feeling sorry for myself and my loved ones- as ahh the realization that no test is gonna change what is.

I think I needed the moment of hope, to hear from others like me and to say what don’t I know…or am denying that is my truth.

Thank you all….just need to keep living a new normal which I don’t really want. ❤️‍🩹

Jesmcd2 profile image
Jesmcd2CommunityAmbassador in reply to JMWCO

You ok JMWCO ? 🤗💕🌠

JMWCO profile image
JMWCO in reply to Jesmcd2

Just having a moment is what it seems….perhaps stress 🤷🏻‍♀️

kdali profile image
kdali in reply to JMWCO

I keep thinking Ocrveus has aged me, and I don’t mean just “chemo hair” 😒 How old are your kids? I pay the price all the time, but no longer have the reserve to deal with my choices, so my fam pays too 😭

JMWCO profile image
JMWCO in reply to kdali

Right there with you but my family is along for the ride. It’s the regular life things were we all pay - stubborn kids and tired parents 🥺

My kids are 6 & 8 but act like 18 & 20…..

kdali profile image
kdali in reply to JMWCO

Hah, my 4 is sometimes 14 🤣

Weaver9 profile image
Weaver9

Did not have lumbar puncture. Symptoms pretty obvious

sashaming1 profile image
sashaming1

I had the Lumbar test years ago when my having MS was suspected.

Peruzzot profile image
Peruzzot

I've had 2 lumbar punctures. One in the Italian medical system (I do not recommend that system at all. Didn't get any local anesthesia for it. The doctor threw a pillow at me and told me to hold that across my stomach with both arms crossed and bend over. Two nurses, one for each shoulder, then pushed really hard down on me. The doctor, with absolutely no warning, rammed that needle up my spine. OMG!!! PAINFUL!!! It took me almost 2 weeks to recover from that. Mostly due in part to trauma in how I was treated.)

The second one was done the American way and was much better. The doctor had me lay down, and gave me a local anesthesia, and explained everything she was going to do just before doing it. Felt nothing. Recovered enough to drive the 11 hours home within about 2 days. Had to get the second one done because the American military medical system couldn't accept the results from the Italians because none of the doctors or technicians had American certifications. HMPH!! Plus the so called "real doctors" were trying to prove a nurse practioner wrong. She called MS based on my symptoms alone from the start. Almost 5 years of of so many different tests and exams just to prove her right. The Italian doctors called my initial results "probable MS". What the frick does that mean? When I asked if it's not MS, what else could it be? Nothing, because you've tested negative for everything else. Thanks a lot for the non answer.

As long as local anesthesia is used and the doctors treat you with respect and dignity, a lumbar puncture isn't too big of a deal. Massive headache for a few days, just drink lots of water along with any pain meds they give you to help lesson the headache.

I for one was just glad to finally know what it was I was up against.

JMWCO profile image
JMWCO in reply to Peruzzot

Thank you for sharing your story and wholly crud trauma!!! Plus a medical pissing match 🥺

OCancer profile image
OCancer in reply to Peruzzot

Sorry to hear abut your experience. When I had my lumbar puncture, a doctor that I knew told me load up with Mountain Dew because of the caffeine content it will reduce the headaches that occurs when you get a lumbar puncture. I was skeptical but it really helped. I did not get bad headaches.

Ronnie131 profile image
Ronnie131

I had the lumbar puncture I have MRI’s now like every six months I have had MS since 2004

JTZES profile image
JTZES

The 3 test to tell you if you have MS. 1. Lessions on your brain MRI.2. Lessions in your Cervical Spine MRI.

3. A spinal tap is the only way to verify definitely that you have MS.

My nuerologist did not feel I had MS even though I had the first 2 symptoms so he ordered the spinal tap. If you have MS fluids in your spinal tap fluid you have MS. If they're no MS fluids in the tap you don't have MS but it could define some other disease.

JMWCO profile image
JMWCO in reply to JTZES

You are right onThe lumbar being the only definitely hit there is no guarantee there is material to say yes - another one of those things where if you get it just right bonus and if you don’t have material can still have MS 🥺

Katiehawk profile image
Katiehawk in reply to JMWCO

While CSF is a key component in a lot of cases, The way the MS specialist told me that definitive diagnosis are made is per the McDonald criteria nationalmssociety.org/About...

jorrell profile image
jorrell

Yes, I got a spinal tap shortly after the MRI. Lumbar puncture = spinal tap, just one sounds funnier to me.

JMWCO profile image
JMWCO in reply to jorrell

If it helps I called a tombstone a graveyard sign today and my husband looked at me funny.

IFwczs profile image
IFwczs

Have not had any lumbar puncture. My doctor referred me to an MRI right after he pretty much diagnosed me based on symptoms. The MRI confirmed his diagnosis.

JMWCO profile image
JMWCO in reply to IFwczs

That was me after several weeks of drugs and illustrated it wasn’t pinched nerves….

IFwczs profile image
IFwczs in reply to JMWCO

I know MS is difficult to diagnose. But it can't be that difficult! I used to go to doctors for many years who said there was nothing wrong with me.

JMWCO profile image
JMWCO in reply to IFwczs

I thinkLike most medical conditions the person has to connect the dots with the various issues to get it close or right.

I’m looking forward to more machine assisted data learning so people don’t continue to try to memorize everything but support the focus in a persons health with less missed symptoms.

Katiehawk profile image
Katiehawk

I feel like this a lot. Especially since I did have a lumbar puncture, and no bands. But my neurologist said this is not uncommon. I just keep getting more and more brain lesions in very short amounts of time. One thing the puncture can do is rule out mimics. Which is why I’m glad I gave the information. But yeah, I go on the thought train all the time, about… what if it’s something else. It’s hard to control it keeps me up at night like I’m some detective that’s going to figure it out. But then yeah I try to check facts which are that for the treatments that are available for MS are ones that I’m responding to. I don’t want to be on medications or have this at all but regardless of what it’s called, the treatments are working and so I try to focus on that. I try to focus on the fact that every time I go researching around that I’m putting my brain in a place that isn’t helpful too. I’m sorry that you are experiencing this too and I hope you can find some tactics that work for you as well to settle your mind.

JMWCO profile image
JMWCO in reply to Katiehawk

I’m doing better but like you said we all can/could have moments like this. I certainly was abs my pcp thinks it’s a relapse…I see Neuro next week.

I go back to the beginning and have to remind myself I had my mri/tests looked at by my dr and my uncles friend who specializes in neurological radiologist and also confirmed my condition across the country.

I loved that you said “detective” and I never did the puncture to rule things out that mimic as I wasn’t given the option- they seemed really sure what my condition was but then left it up to me to figure out what drug to pick, read up on and decide - the guidance was here are the drug brochures choose what you want 🤦🏻‍♀️🤦🏻‍♀️🤦🏻‍♀️🤦🏻‍♀️🤦🏻‍♀️🤦🏻‍♀️

Hello you are the neurologist and I’m im the overwhelmed patient just tell me my most likely choices and outcomes.

Anyway; I’m pretty sure I’m having a relapse and trying a muscle relaxer as I’ve been in so much pain this past week - it’s like having whiplash from. Bad car accident but I didn’t have an accident. 🤷🏻‍♀️ Numbness in my face like I have a beard but I’m a women. Randomness tingles bug crawling in my arm/leg 🤷🏻‍♀️But nothing there just the effects of the tingles.

I’m going to ask for a full spine mri; they only seem to check my brain lately and I think 🤔 I need more answers. I’ll ask about the puncture but knowing it’s really only good for ruling out mimics since it doesn’t always show MS is also a good thjnh to discuss.

mm1527mm profile image
mm1527mm

I had a lumbar puncture done it was one of the worst experiences I preferred giving birth over it and i was in bed for 2 weeks. The worst part was that it did not give me any more answers or show anything further than what I had known. I originally thought what if it is not ks but my dr did alot of bloodwork to rule out other diagnoses. I got 4 different opinions from doctors in 3 different states because I was in denial and they all said definitely ms due to amount and location of brain lesions. With time I have accepted it. Blessings

JMWCO profile image
JMWCO in reply to mm1527mm

I feel you on the denial- ironically I was more accepting early in and more denial today….🤷🏻‍♀️ Perhaps it just too me this long and my zapped energy impacting my life/family is the triggers for denial?

I do not like the idea of it being worse than childbirth- bin there find that twice and the second time it was rough cause I had flashbacks to the pain from the first and my body was like F this and my sin was like hells no mom on my way out!!

anaishunter profile image
anaishunter

MRIs + neuro evaluation + blood test + lumbar puncture.

Treatments for MS are expensive and can be well or not supported. I would leave no chance for misdiagnosis as you don't want to lose time to get the right treatment.

Many of the tests are done also to eliminate other diseases.

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