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.
Ryan introduces the s Newest Service Laser Light Therapy
Hello I am Ryan with Kambeitz Chiropractic. I would like to introduce to you the newest device for treating soft tissue injuries here in the . This is a class 4 diode laser. So it is laser light therapy. We are using the laser light over the areas that need to be treated. Basically to accelerate the tissue healing in those areas at a cellular level. So lets say I am using this laser.It is not on currently but if i were using it on my wrist I would use the laser directly on the skin to creat a effect. At a cellular level again
We are helping with inflammation, improving fat drainage, circulation, and pain management as well. A lot of times our patients can experience a noticeable difference in their symptoms after one treatment. Sometimes it can take up to 5 or 6 before a patient might notice a difference. Everyone is a little different but we seem to get the best results from this laser if we put people on a tretment plan. When visits well be more frequent throughout the week. So the screen here is where we can adjust the intensity of the laser. depending on the area of the body we are using the laser on We would increase the wattage if I was working on a larger area of the body like a hip or knee.
If I am using it on a hand i am going to decrease the intensity of the laser But this laser has the ability to penetrate the skin as much as 3.5 inches. Which is good to be able to give a therapeutic effect at that depth. If you have any questions or comments feel free to make those on this tutorial. Thank you so much for watching.