Erin, I take Provigil when the fatigue is really bad and I need to stay awake and alert. Otherwise I allow myself to take a nap. I don't wake up feeling "rested" but, it's better than it was before the nap. Fatigue is horrible when you know you have a limited amount of energy and you need to make the decision of what you will and will not be able to do that day
I had the strangest feelings in my hands the other day. Both hands fell asleep and it felt like pins and needles sticking into me while at the same time they were a bit numb and I couldn't use them. I was going to call my neuro if it continued but it only happened that one day.
Does your neuro having anyone covering for him/her????????? If not perhaps seeing your GP may help.
I hope things get better for you, Erin.