Small Fiber Neuropathy Symptoms Diagnosis and Treatment
Small fiber neuropathy is really an interestingcondition because it consists typically of just burning, numbness, pain of the feet,sometimes the hands later on without necessarily having any abnormalities on your EMG or nerveconduction study. So what I tell patients and actually residents or students who trainunder us is that a normal nerve conduction study does not exclude a neuropathy. And wewill confirm this by doing additional testing, specifically the nervous the the examinationat the bedside asking patients about their symptoms, for example, loss of sensation tocool or or hot temperatures, loss of pain sensation and also doing skin biopsies wherewe look at nerve densities in the skin both
from the calf and the thigh as well as doinga special test that looks at sweat function both in your foot in in the legs as well asthe feet to gauge the level of small fiber nerve damage. Small fiber neuropathy typicallywill progress unless the underlying cause is identified and reversed. Diabetes of coursebeing the most common cause is always screened for. But once the more common causes are excludedand the focus becomes on excluding any underlying secondary disease process but also controllingpain because if patients' symptoms of pain are generally controlled they tend to do prettywell and really have no other major functional deficits. I've really become interested overthe years is how interconnected neurology
and rheumatology are and one thing I oftendo on patients who have unexplained small fiber even autonomic neuropathy is have themsee rheumatology or get evaluated for connective tissue disorders like lupus or Sjogren's orsarcoid and sometimes even if we are not directly involved in treating the patients, this canbe the first sign of an underlying connective tissue disorder that can then be brought tothe attention of rheumatology and addressed from their standpoint.
Diabetic Neuropathy Patient Reviews Bellevue Chiropractor
Hi my name is Paul and I am in here at thehealth and wellness because I just wanted to give a testimonial about how wellI have done in reversing the Neuropathy I have as a result of the diabetes which I'vehad for 10 years. The Neuropathy started about 5 years ago and I saw my motor skills reallygoing downhill, to the point where I couldn't balance easily I had to hold on to the showerrail to shower. I was a musician for many years and it was devastating to me emotionallynot to be able to play my guitar anymore. So as a result of an ad I heard on the radioon KOMO, I came down here to the , interviewed with Polzin and we started a treatmentprogram for me and the results have been absolutely
magnificent. Just in the space of my first10 treatments, I was able to double my nervous reaction to all the stimulus I was given.So any of you out there that are going through what I went through, I had constant burning,constant tingling, and constant numbness. You can live with a couple of those for awhile but when it's 247, you really don't want to deal with it any more than that. Sowithin my first week the burning went away, within two weeks the tingling went away. NowI'm just dealing with the numbness but I know that that's going to reverse itselfover time and I am just so happy to recommend this for those of you who didn't have anyalternatives. So get on with it, do whatever
you have to, but get rid of those nagging,physical symptoms and ailments that you have as a result of diabetes and neuropathy.