My ankles are fine, it just affects my upper legs when going up steps. I'm fine going down the steps. I'm having a bad day today, lots of twitching in my eyes and face and it's making me feel sick in the stomach, plus I'm exhausted. My neuro ordered my MuSK test and just waiting for my insurance company to ok it. The neuro said if it comes back negative he wants me to go see a intra muscular specialist down at Penn State Milton S. Hershey Medical Center to see what his opinion is. I just want to start feeling better.