Multiple Sclerosis and Neuroimmunology

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Neurology Evaluation for Multiple Sclerosis, Demyelinating Disease, and Neuroimmune Symptoms

Multiple sclerosis and related neuroimmune conditions can cause numbness, weakness, vision changes, walking problems, fatigue, dizziness, bladder symptoms, cognitive changes, and episodes of neurological dysfunction.

VerityMD Neurology provides evaluation and care planning for patients with known or suspected multiple sclerosis and selected neuroimmunology concerns.

Depending on the clinical history, examination, and MRI findings, additional neurodiagnostic testing may sometimes be needed to clarify whether symptoms are related to MS or another neurological condition.

Symptoms We Evaluate

  • Numbness or tingling

  • Weakness

  • Vision loss or optic neuritis symptoms

  • Double vision

  • Walking difficulty

  • Balance problems

  • Fatigue

  • Bladder symptoms

  • Spasticity

  • Cognitive changes

  • Relapsing neurological symptoms

  • Abnormal MRI concerning for demyelination

Conditions We Help Evaluate or Manage

  • Multiple sclerosis

  • Clinically isolated syndrome

  • Radiologically isolated syndrome when clinically relevant

  • Optic neuritis history

  • Transverse myelitis history

  • NMO/MOG concerns when clinically suspected

  • Neuroimmune symptoms requiring further evaluation

When numbness, weakness, or other symptoms may have a peripheral nerve or muscle cause rather than being explained by MS alone, EMG/NCV testing may be considered as part of the neurological evaluation.

Services and How They Help

Neurology Consultation

Evaluation includes history, neurological examination, MRI review, relapse history, medication history, lab review, and functional assessment.

How this helps:

  • Clarifies whether symptoms and imaging suggest MS or another condition

  • Reviews disease course and relapse history

  • Supports treatment planning and monitoring

MRI and Records Review

MS diagnosis depends on clinical history, examination, MRI findings, and sometimes additional testing.

How this helps:

  • Reviews lesion location and pattern

  • Helps avoid misdiagnosis when MRI findings are nonspecific

  • Identifies whether additional testing may be needed

Disease-modifying therapies require careful selection and monitoring.

How this helps:

  • Reviews prior and current therapies

  • Assesses side effects and safety concerns

  • Supports lab monitoring and infusion planning when applicable

When Multiple Sclerosis & Neuroimmunology May Be Helpful

  • Known MS needing local neurology care

  • Abnormal MRI concerning for demyelination

  • New neurological episodes

  • Vision loss, weakness, numbness, or walking changes

  • Medication safety or monitoring questions

Because MS may require ongoing monitoring and treatment adjustments, some patients benefit from ongoing neurological care coordinated around symptoms, medications, testing, and follow-up.

What to Bring or Have the Referring Office Send

  • Referral from PCP, specialist, or referring provider

  • Medication list, including over-the-counter medications and supplements

  • Relevant office notes, hospital records, imaging reports, labs, and prior neurological testing if available

  • MRI brain/spine reports and ideally images/discs if available

  • Prior lumbar puncture results if available

  • Prior disease-modifying therapy history

  • Recent labs and infusion records if relevant

Important Note

This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.

Emergency Symptoms

Call 911 or go to the nearest emergency department for:

  • Sudden weakness, facial droop, trouble speaking, or new vision loss

  • Severe sudden headache or rapidly worsening neurological symptoms

  • Loss of consciousness, seizure, chest pain, or severe shortness of breath

  • New inability to walk or sudden severe dizziness with stroke-like symptoms

New Patient Referrals

VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.

Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.

We accept the following insurance

What Patients Say About Their VerityMD Experience

Being heard. Finding answers. Knowing what comes next.

Please Confirm Your Appointment Location

VerityMD sees patients at both our Carmichael and Folsom clinics. Please check your appointment confirmation text message before traveling to your appointment. Your confirmation will identify the correct clinic location.

Patients are responsible for arriving at the clinic listed in their appointment confirmation. Patients who arrive at the incorrect location will not be able to be seen for that appointment and will need to be rescheduled.

Neurology consultations and follow-up visits are available at both locations. All procedures are performed at our Folsom clinic.

VerityMD Neurology

Comprehensive neurological care for patients and families across the Sacramento region.

Our Locations

Folsom Clinic

Carmichael Clinic

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Referral Information: New patients require a referral from their primary care provider or referring clinician.