Hello and thank you for watching our tutorial.Have you been told that nothing can be done and that you are just going to have to livewith it regarding your Neuropathyyour feet? If you have been told that all of yourtests and ugs that you have been placed on won't be able to improve your condition,you are one of many people. Take heart though There are natural solutions to help your neuropathyin your feet that's effecting you. It's very important to adess the deeper cause of what's goingon, which are sick arterial walls. Did you know that by using a natural vasodilator andsome simple natural plant based all natural ingredients that you can start a process that can notonly stop the neuropathy from progressing
it even has a chance to reverse it just alittle bit so you can get back to your life again and stop progressing down this roadthat neuropathy takes so many people down. I am glad that you have the inclination, idea,and thought to seek out natural means for help with your diabetic neuropathy. Naturalis always the way to go. Thanks for watching.
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 densitiesthe skin both
from the calf and the thigh as well as doinga special test that looks at sweat function bothyour footin 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 involvedtreating the patients, this canbe the first sign of an underlying connective tissue disorder that can then be brought tothe attention of rheumatology and adessed from their standpoint.