Quote:
Originally Posted by glenntaj
--I suspect that B12 level may have some thing to do with this, as symptoms of B12 deficiency can mimic many other things.
I DON'T think this is an isolated small-fiber neuropathy. A small fiber neuropathy would affect sensory and autonomic functions, but, by definition, it would not cause muscular symptoms, as the small unmyelinated fibers underlie the sensory sensations of pain and temperature and many autonomic functions--they donot enervate muscle. But B12 deficiency can cause problems with both the peripheral nerves and the spinal cord, and given the variety of symptoms reported, it does sound as if you may have some spinal involvement. This could possibly be enhanced if there is any compressive forces in the spine or along the spinal nerve roots (have you had full neck/back MRI for disc bulges/herniations?--you are, after all, working a very physical job).
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Hi Glen , and thank you for your thoughts!
I've taken the MRI of the spine, and it didn't show any compression. Bot I do know that I have issues in my thoracic spine. I do have damage to a disc in my thoracic spine which once or twice a year bulges and affects the dura mater which covers the spine. Its been like this for about 10 years since i damaged it while weight lifting.
After my first spinal tap, they found some slightly elevated levels, which they said could be due to a bulging disc. The tests were normal again after my second spinal tap. (I hadn't had problems in my thoracic spine for a long time then).
Best regards