<human>: i have acute numbness, tingling and severe pain from shoulders to fingers with now very limited use. shortly after onset my knees and feet and toes were also affected. my left knee frequently gives out from pain and weakness. it s becoming increasingly difficult to care for my 3yr old autistic twins. i have seen ortho, neuro. rheumatoligist and spine specialist. awaiting results for lyme disease and if negative will have brain mri but neuro didn t think of ms. i desperately need a diagnosis. any thoughts. thank you
<bot>: Hi, I am Chat Doctor.  I have read your question and understand your concerns. Let me try to help you Question : What causes numbness, tingling and pain from shoulder to fingers? Suggestion : We need to do an MRI of Cervical Spine before fixing the diagnosis. It could be a CV In Namely Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care.