The conversation between human and AI assistant.
[|Human|] Hi I am suffering from numbness and Plns &needles in both feet and sometimes in my hand, making writing or holding things difficult , I have had a MRI which no to stroke ,MS and brain Tumour, so what is wrong I ve 6 week for next appontment can you help
[|AI|]  Pins and needles pain in both hands and feet can be featured of peripheral neuropathy. Also, few patients with cervical myelopathy can have similar symptoms. I advise you to get NCV all four limbs done 1st. If its show evidence of neuropathy, then need workup regarding cause of neuropathy if NCV turns out to be normal-get an MRI cervical spine. For symptomatic relief you can try Tab Gabapentin 300 mg BD
