Is idiopathic small fiber neuropathy progressive? it seems like its getting worse fast.

Some advice: Is your diagnosis proven based on skin punch biopsy data? And what is the cause, as idiopathic means lack of etiology? Cannot predict outcome without additional information, but clearly, many of these problems are uncovered by series of blood and urine studies, and some of the small fibre issues are associated with diabetes, fibromyalgia, and some immune diseases.

SF Neuropathy: Small fiber neuropathy is progressive. How quickly it happens varies. For example, diabetic patients that have uncontrolled blood sugars seems to decline much faster that patient that are treated and have better blood glucose control. There are treatment options, such as, b12, b6 and folic acid, Alpha lipoic acid and nerve block and injections in addition to controlling the cause of the neuropathy.