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.
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Sheila OShaughnessy Peripheral Neuropathy Relief
My name is Sheila O'shaughnessy and I've been coming to see greenand staff for six months. I saw him on Facebook awesome people liked him so I um made an appointment came I came because I new I was suffering from peripheralneuropathy and I had burning and tingling in my hands and feet and
heating and burning went up to my elbows and my knees and I knew I had to do something about it and I knew if I didn't take care of it this issue that I would be very I would be immobilized as I got older I also came because I have avery foggy brain lo and behold
up to six months I do not have theburning and tingling up to my knees and elbows t's now only in my feet and hands I found out I was allergic to gluten I found out I was allergic to lots of foods different foods.I changed my diet I change the way I think about how I need to improve my health I'm off
all medications except for the supplements that Green has been giving me and I am more than thrilled about the way I feel today and peoplehave noticed the chang in me. I look forward to continuing on this journey with you and I look forward to continuing thisjourney with green and his staff until I feel like I am completely cured of all my ailments wonderful great