the bigger 'key" here is, for your primarys 'need' purposes is that this simply IS a very needed type of test(contrasted MRI or the 'entire" CNS, brain/spinal cord) in order to simply find the base of the main issue here, what IS creating a very solid definite type of pronounced symptom in your body at this point? it simply IS NEEDED. quite honestly, if i had what you have going on, i KNOW without a doubt in my mind, my primary would in a freaking heartbeat simply 'do' whatever was needed to find out what is causing such a really profound symptom to even be there at all let alone actually IN 4 seperate extremities too? that just IS what our primarys are supposed to do for us. they ARE the overall coordinators of our care and are the ones who should be sending us to other specialists or for certain types of testing when they simply cannot tell us what is wrong, or causing a particular symptom in us. thats their job they took on when they took us on as their patients.
if your primary, when you just very simply ask her "what is causing this in me", cannot actually give you that ONE solid answer(not guesses, answers), tell her well then send me for the right tests that CAN tell me. as your primary care doc she simply owes you that answer or the best types of testing in order to even begin to try and give you that answer. she has no freaking clue til that inner you gets a good looksee down to that cord and brain level since sooo many possible things could actually create what you are experiencing at all?
this is just WAYYY more than 'a' pinched nerve issue, not when you actually have this very same symptom in 4 seperate extremities, the innervation(just A nerve alone) just could not possibly match with the wide spread symptom pattern you are displaying right now? ya know what i mean? the only real true possible connections actually lie within that spinal cord level or the brain level, with only one realistic 'other" type possible, some "type' of deep inner bloodflow issue that can impact out to the periphery. like i mentioned before? two very basic underlying things could be pretty much the "onlys" when it comes to even having any level of sensory loss or 'numbness? and they both would in certain ways always breakdown and eventually be tracked back to one of or possibly even both with certain conditions, innervation loss/impairment or bloodflow impairment.
the best test to check the entire CNS and also would check the actual bloodflow too when using contrast as far as seeing whether or not there just IS actual flow upon a scan pic, a contrated MRI. and to check actual bloodflow thru all extremities would only take a doppler ultrasound being done on all four extremities. that just should be done to simply see how well the vessls are doing their jobs there,esp with regards to overall venous return? but as you just already KNOW here and your primary does too tho she may not actually 'know' what to do, something just is not 'right" here at all at the peripheral ends of all extremities which if left unDxed in you, depending upon just what is creating that loss of sensory could lead to other bigger issues down the road.
i would give her one more chance here by simply asking her to tell you whats wrong, if she cannot which i know she can't then tell her to PLEASE send me for the appropriate types of testing to FIND OUT for me. if she wont, then be prepared to fire her and simply move onto a much more caring type of primary who would actually WANT to help their patients, which just IS their job afterall. and i would most definitely let her know that too. if you are not going to try and find out whats wrong,i guess i will have to actually find a primary who WANTS to care for their patients and actually send them for NEEDED tests. see what she does.
i have been thru a medical nightmareathon here since 99 with first my son, when he suddenly went into liver failure and needed transplant(12 years old), alot of other just totally off the wall insane types of other medical issues with him, then MY crap started which was another round of just insane Dxs or "incidental findings" docs, hospitals and ongoing testing. the one HUGE thing i found out during all of this is some docs are just plain stupid and make you wonder just how in gods name they actually even got their MDs. some are too held back in how they choose to even look at what needs to be done with certain types of testing despite certain symptoms just screaming at them 'test me'?? helloo? and that as a patient you just DO have many many rights to actually demand certain things from your own healthcare providers anytime you just 'feel" they are not paying enough attention to your conditions as a whole or the oh sooo needed testing to even find a real reason or Dx of what is creating profound symptoms.
you just seriously do have very profound sensory losses stemming from somewhere. and it IS up to anyone doc to just see the symptoms and send for the appropriate types of testing to fully define it or Dx a problem somewhere. period. and that just IS the additude you need to approach this to with any treating doc you may have(this IS your right as anyones patient). baseline testing is just badly needed here just to even find out the whys in all this. if she wont do this part of her actual job for you, tell her sorry but i am moving onto someone who actually gives a damn and do it. it may be the best thing you could ever have done for yourself. i wish you luck with this and do hope she gets her crap togehter and does the 'common sense thing here? this is just soo freaking crazy i cannot even begin to tell you. not with what you are displaying and no testing yet? FB