MS is diagnosed by exclusion of things , Lyme one of them. There is no test for MS right now. The beginning is scary and confusing. I read way too much it and waited in dread for everything they said. Slowly MS became my new "normal". (very slowly)

Its difficult to diagnose MS. It's basically the elimination of other conditions. MS mimics so many other conditions that sometimes it just takes time to work your way through all of them.

The McDonald Criteria shows the guidelines for an MS diagnosis. Has your Neurologist discussed this with you?

Guidelines for MS diagnosis: McDonald Criteria - Multiple Sclerosis News Today

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I have heard of and seen the McDonald Criteria before, but no my doctors have not brought it up.

Nothing seems to bring on my symptoms, I don’t seem to notice my facial symptoms when I am walking around though.

The McDonald Criteria is what a diagnosis of MS is based on, with clear MRIs you do not meet the criteria for MS. Your Drs. have included many tests which have all come back normal. For this reason your Drs. cannot find a cause for your symptoms including MS.

Symptoms are subjective (things you experience/feel) and your Drs. have not been able to find objective (positive testing pointing your Ds. in a certain direction) evidence for the subjective symptoms.

Do you deal with anxiety? Anxiety can cause body wide physical symptoms and can cause symptoms similar to MS.

MS symptoms are not positional.