Spinal lesions in multiple sclerosis (MS) are often missed, despite causing serious symptoms like leg weakness and bladder issues. Dr Kiran Lingutla, a Senior Consultant Orthopaedic Spine Surgeon at CARE Hospitals, Hyderabad, stresses the need for full-spine MRI scans. Brain MRIs alone may overlook spinal MS, delaying treatment. Whole CNS imaging is crucial for early diagnosis and management.