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.
Nerve Pain Desensitization Techniques Ask Jo
Hey everybody, it's Jo. Today we'regonna talk about desenstizizensation. no. desensensation. no. Desensitizing something!A lot of times when people have a surgery or an injury, the nerves get all crazy andflared up. And so you have to desensitize the area and help the nerves grow back towhere their supposed to. So all you need is just a bunch of different things that havedifferent textures. And I have a towel, a cotton ball, a fork, and kind of a silk cloth.What you're gonna do is the area that feels weird, lots of times it's a numbness, tingly,burning kind of feeling, just take the first object you want to do, and lightly rub itover the area. It might feel weird, it might
fee really uncomfortable. It might actuallyhurt a little bit, even if it's just a little cotton ball. But rub it over that area forabout 30 seconds to a minute and then move on to the next texture. A plastic fork workswell, make sure you don't stab yourself, but just kind of rubbing it again lightly overthe area to help those nerves find their way back to where they're supposed to be. Andthen move on to the next one. Kind of a silk cloth. Just rubbing it on that area. You cankind of move the body part a little bit, too, while you're rubbing it. And maybe like acourse towel that's not as soft. And just rubbing it on that area. So about, you know,35 minutes a day, just desensitizing the
area, and there you have it. If you have anyquestions, leave them in the comments section. If you'd like to check out some other tutorials,go to AskJo Don't forget to follow me on Facebook and Twitter. And remember,be safe. Have fun. And I hope you feel better soon.