Dear Doctor, I am diagnosed with PMA on both my lower and upper limbs after conducting the following tests. The first time the tests were conducted in 2006, 2007 and again on 24 Jan this year. He confirmed that the progression was 30% compared to the one recorded in 2007. ? Electromyogram ? Nerve conduction velocity ? Cervical spine MRI He suggested that I under the treatment using the same methods used for cancer patients i . e Pulse Cyclophosphamide therapy. The IVR method is to be applied every month for 5 days for six months. May I ask your opinion on this treatment. Thanks and with regards, KP Keshavelu - 9980833672