@hopeful33250 Thank you for the recommendation on a second opinion! Right now the most difficult symptoms are my numbness/tingling, because I don't know what is causing it and my neurologist also does not seem to have anymore ideas. But also my decreasing fine motor coordination and dexterity in both of my hands. I work in Physical Therapy, which is a very hands on field, so my decreasing ability to use my hands for long periods of time makes me worried for the future.