@johnnyguitar
What did your MRIs show? Do you have any stenosis/degenerative disc disease/myelopathy (spinal cord compression/flattening), disc bulges/bone spurs? Do you have neurogenic clarification in your lumbar spine (I do). I have upper/lower limb weakness/numbness and symptoms started with burning/pins and needles in feet and headaches/neck/shoulder pain and now my whole body is affected. My EMGs are supposedly “normal” except for carpal tunnel like weakness caused by cervical spondylitic myelopathy. I was told by my neurologist that there is no cure for my small fiber neuropathy and only medication. PT does help maintain some strength and vitamin/mineral supplements help with deficiency caused neuropathy. Viruses (active/dormant reactivated) and COVID vaccines/infections have been linked to some neurological impacts. I am having lumbar surgery l4-l5 and possibly more levels due to back/hip/buttock/leg/foot pain/numbness/weakness. I have neurogenic claudication which I understand not only causes neurological impact but also blood flow/circulation impacting lower body.