Peripheral Neuropathy Viagra

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.

Overview of Cymbalta the Brandname Form of Duloxetine

Cymbalta, the brandname form of duloxetine,is a prescription medicine used to treat depression, generalized anxiety disorder, diabetic peripheralneuropathic pain, fibromyalgia, and chronic musculoskeletal pain. Cymbalta is in a groupof medications called serotonin norepinephrine reuptake inhibitors. These work by increasingthe amount of serotonin and norepinephrine in the brain to promote mental balance andby stopping the movement of pain signals to the brain. This medication comes in capsuleform and is taken once or twice daily, with or without food. Common side effects includenausea, dry mouth, and sleepiness. Do not drive or operate heavy machinery until youknow how Cymbalta affects you. As is always

the case, take this medication only if yourhealthcare provider prescribes it for you. For RxWiki, I'm Teresa Brucker.

Category: Neuropathic Pain

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