<s>[INST] Hello my name is Lisa Pennington 49 yrs of age. I am experiencing horrif pain down right leg, leg giving out on can hardly walk at times. I am experiencing black spots vision at times. Muscle pain all over arms, legs, spinal cord, neck along with twitching in limbs, hands. I have had test of emg today which is negative for ms, als. Blood test only thing showing is inflamation level is elevated. X ray mild arthritus in hips, hand. Mri white spots on brain, not enough to confirm ms i was told. I am currently on lyrica perscribed by OSU Neurologist for fibromyalsia. I have had in the past a hheart ablation 4 years ago. I am in sever pain, was told today at hospital need another spinal tap. Help me please! [/INST] In my opinion its more likely MS, however you need to do immunoglobulin test for lyme disease (if you have rash ) also another spinal tab should be done for gallian barre and MS If you wear eye lenses then i recommend you do a urine analysis to check for renal failureGood Luck </s>