Hi @kle, for whatever reason they only do that area, foot/ankle. The skin test was done when it was acute. I had burning paresthesias to both my arms without temp sensation changes like in lower body. Similar but not exactly the same. My fushion surgery seems to have helped the arms. I dont require medication for the lower but I did when it was acute. I had Lidocaine patches put on lower body areas and it was enough maybe to distract my mind off the pain but wasnt too helpful. I have a different neurologist who has a high interest in MS. He is doing MRI imaging and serum lab tests. Not done yet but soon. I think the lower sx's could stem from my neck b/c I have been having more burning at the cervical surgery site lately and it is "waking up" some of these other upper and lower area but still not as bad as last year. I dont know if Covid was an initiator or an agitator of these lower symptoms but nervous system can be reactive and activate other areas. I dont know if Ill ever know. I try to eat well, whole foods and more vegetables and less meat. No processed food and I like to exercise. Best wishes to you and can keep the line of communication open as needed. Take Care