instruction: hello doctor I have been experiencing numbness in my left foot it comes and goes sometimes throughout the day and sometimes it is completely normal this has been happening for the past year at night when I lay down the back of both my calves feel like they are rhythmically pulsing only when lying down I am freaking out that it might be the start of is I am a 36 year old female I have also had a mild case of mono age 20 and have read that can increase my chances as well as being of scottish descent I very occasionally have neuralgia in a spot right above my collar bone and it is always in the same spot and very random the shock lasts for about a few seconds then disappears this has been happening for probably for the past seven years I have also read this can be an is symptom I am trying to decipher if my symptoms are anxiety related or if I truly need to be concerned with is
output: hello your symptoms are not typical of is multiple sclerosis the numbness in your leg may be related to a pinched nerve the pulsating feeling in your legs may be psychological or related to venous insufficiency regarding the pain in your face it is not typical of trigeminal neuralgia which lasts for minutes and irradiated in the nerve branch territory I recommend consulting with a neurologist for a careful physical examination if suspicions are raised a brain mri magnetic resonance imaging may be needed I also advise performing a nerve conduction study and a doppler ultrasound of your legs to exclude the above mentioned disorders I hope this helps