General: Pain: ♂ Fatigue ♂ Sleep Disturbance ♂ Restless Legs Syndrome ♂ Impaired Memory ♂ Impaired Concentration ♂ Nervousness ♂ Depression ♂ Leg Cramps ♂ Disorientation ♂ Word Finding Difficulty ¤ Headache   ¤ Suboccipital (below back of brain)   ¤ Migraine   ¤ Temporal (temple)   ¤ Muscle contraction.Tension   ¤ Retro-Bulbar (behind eyes) ¤ Facial ¤ Neck ¤ Chest ¤ Back ¤ Thoracolumbar (mid-back & Lower Back Vertebrae) ¤ Flank/iliac crest (side of body between ribs & pelvis) ¤ Muscle Pain ¤ Joint Pain Appendicular Pain: Spinal: φ Upper Extremity    ˚Shoulder    ˚Burning    ˚Formication (sensation of skin crawing) φ Lower Extremity    ˚Dysesthesiae (sensation impairment), burning pain    ˚Plantar (sole of foot)    ˚Buttock    ˚Thigh    ˚Calves    ˚Ankles φ Burning, aching, dysesthetic electric φ Lhermitte's (tingling, shock-like sensation) φ Intersapular (between shoulders) † Motor    ‡ Upper extremity weakness    ‡ Lower extremity weakness    ‡ stiffness † Sensory    ‡ Upper extremity numbness    ‡ arms only    ‡ chest    ‡ trunk only    ‡ Lower extremity Numbness    ‡ Legs only    ‡ Hemisensory (slight paralysis of sensation)    ‡ Parasthesiae (abnormal sensation-burning, prickling) † Ataxia (failure of musle coordination) † Bowel dysfunction † Urinary    ‡ Incontinence (inability to control excretory functions)    ‡ Frequeny    ‡ Hesitancy † Sexual dysfunction Cranial Nerve/Brainstem: Drop Attacks: ε Ocular (eye)    л Sixth nerve paresis (slight paralysis)    л Diplopia (double vision)    л Blurred Vision ε Nystagmus (rapid eye movement) ε Otoneurological (having to do with ears)    л Hearing loss    л Hyperausis (abnormally acute hearing)    л Tinnitus (noise in ear)    л Vertigo (sensation of spinning)    л Dizziness    л Dysequilibrium (imbalance) ζ Drop Attacks Myelopathic: Autonomic Changes: § May be asymmetrical (dissimilarity in corresponding parts) § Often worse with exertion § Worse in the A.M. § Worse at night § Burning § Usually bilateral § Feeling of "tightness" § Feeling of "stiffness" § Legs about to "collapse" ∞ Facial    £ Flushing    £ Lacrimation (secretions/discharge of tears)    £ Sweating    £ Pupillary change ∞ Sympathetic: Frequent    £ Dry eys    £ Raynaud's Phenomenon (elevated cold sensitivity in the extremities) Other:   ≠ Sleep Apnea ≠ Nausea and/or Vomiting ≠ Syncope (faint, temporary loss of consciousness) ≠ Lethargy (drowsiness) ≠ Dysphagia (difficulty swallowing) ≠ Dysarthria (imperfect tear secretion, skin blotching, emotional instability,    motor incoordination, weakened reflexes)