<s>[INST] My husband is suffering with a neouropathy that came on very fast this winter.  He has pre-diabetes but the blood sugar is usually kept at under 100.  He has had MRIs and they found spinal stenosis and spurs, but no MS.  His neuropathy has steadily moved upward from his feet all the way to his groin area and even hips.  It at times is very painful as well as the numbness and stabbing pains.  We are at wits end of what to do next.  Why would it come on so fast.  His doctor doesn't seem to think it is all caused from the pre-diabetes.  His lower back is numb as well, and it hurts.  Any suggestions? [/INST] Hi,Thank you for posting your query.I can understand the discomfort your husband is facing. In order for me to make a complete diagnosis, I would like to see the MRI and nerve conduction studies reports.I think his symptoms are a combination of neuropathy and lumbar canal stenosis.For neuropathic symptoms, pregabalin or gabapentin would help.Lumbar stenosis, if severe, may require surgery.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website:   My email: drsudhirkumar@yahoo.comMy blog: </s>