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.
Peripheral Neuropathy Symptoms Relieved Davis
When you originally presented to the officeyou presented with very very intense peripheral neuropathy pain in the lower legs and feet.How have you been responding to our peripheral neuropathy treatments, and how do you feeltoday? Today I feel real good, when I first started i couldn't feel a thing under thebottom of my feet. I couldn't feel the carpet, now I can walk on my carpet at home and ifthere are any crumbs I can feel those and find them. Before I couldn't feel them. Asfar as my legs go I had it felt like there were thousands of needles jabbing them. Nowthat is gone and I have a little pain once in a while but nothing like before. I can,I have little unbalances still walking, but
otherwise I feel 100% better than I did whenI came in here. Well congratulations on your results and we're very proud to have you hereas a patient. Oh well I'm glad you could do something for me. Thank you.