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Doctor insights on: Small Fiber Neuropathy Treatment

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I have autoimmune small fiber neuropathy, what is best treatment?

I have autoimmune small fiber neuropathy, what is best treatment?

Talk to your doctor: There is no current treatment to cure autoimmune small fiber peripheral neuropathy, however, intravenous immunoglobulin (IVIG) therapy is often used as is plasmapheresis. Each has potential risks/benefits, which you will need to understand before choosing either therapy or an alternative therapy. Speak to the doctor who ordered the diagnostic test(s) for recommendations. Hope you feel better soon! ...Read more

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Dr. Olav Jaren
1,330 doctors shared insights

Nerve Damage (Definition)

A complete nerve transection will leave an area totally numb. The distribution of the numbers depends upon where the nerve was cut. A partial nerve injury may leave the area tingly or incompletely numb. Finally even if the nerve is not cut the swelling and bruising to the tea can affect the nerve as well. Usually we consider sharp penetrating injuries as likely having nerve lacerations when sensation is lost. A hand surgeon can examine the hand and pinpoint the site or extent of nerve injury and recommend ...Read more


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Best treatment other than medication for small fiber neuropathy pain?

Best treatment other than medication for small fiber neuropathy pain?

See details: Rest, ice, physical therapy and local cortisone injection are all options. Speak with an orthopedist about which option is best for you. ...Read more

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What type of treatment is available to relieve small fiber neuropathy pain?

What type of treatment is available to relieve small fiber neuropathy pain?

Neuropathy: Hi, small fiber neuropathy is usually 2/2 Diabetes, Vit b12 deficiency, Thyroid dysfunction, Multiple myeloma, sarcoidosis, HIV & etc. The treatment of the underline disease is usually the first step in the management of neuropathy, then there are multiple classes of medication which could help with the pain nd burning sensation including Neurontin, Lyrica, (pregabalin) some anti-dpression medications, ...Read more

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Really weird question- what would happen if i don't get treatment for small fiber neuropathy other than be in pain and have weird sensations?

Really weird question- what would happen if i don't get treatment for small fiber neuropathy other than be in pain and have weird sensations?

Likely get worse: See: http://www.Ncbi.Nlm.Nih.Gov/pmc/articles/pmc3086960 ; http://en.Wikipedia.Org/wiki/small_fiber_peripheral_neuropathy for some background. I would suggest focusing more on overall health, especially diabetes mellitus, a common complex promoting condition. If so, go lchf foods ; get hba1c at least <6.0%, optimal 5.0%, optimize NMR lipoproteins, get sitting resting sbp <120 mmhg, etc. ...Read more

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I've had small fiber neuropathy and/or fms for 15 years with no relief. Is pulse stimulation treatment (pstim) a viable treatment? It's costly..

I've had small fiber neuropathy and/or fms for 15 years with no relief.  Is pulse stimulation treatment (pstim)  a viable treatment?  It's costly..

Change food first: Most of the nerves that transmit pain are small fibers between the layers of your fascia. Fascia makes inflammatory chemicals in response to exposure to wheat and sugar. These may cause injury to the small fiber nerves. Stop your exposure to the 'do not eat' list and your body will work to heal itself with the energy and reserve you have left. www.blatmanhealthandwellness.com. ...Read more

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Is Namenda (memantine) a valid treatment for neuropathy that doesn't respond to traditional meds? I have small fiber neuropathy & doc recommended this.

Is Namenda (memantine) a valid treatment for neuropathy that doesn't respond to traditional meds?  I have small fiber neuropathy & doc recommended this.

NOT AN INDICATION: I cannot say that I have ever heard of this application and it is not a known FDA recommendation so insurance will most likely not cover the prescription. Other medications for neuropathy like gabapentin or Lyrica (pregabalin). ...Read more

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What type of doctor is better to see for treatment of small fiber neuropathy in the legs- a neurologist or a pain management doctor? pain is bad

What type of doctor is better to see for treatment of small fiber neuropathy in the legs- a neurologist or a pain management doctor? pain is bad

Neurologist: Needs include metabolic screen, and medical therapy....possible NCV or LP . ( neurology) You likely will not need pain pumps, injections or morphine ( pain MD) ...Read more

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I was told 8 months ago by eye dr that I have lower lid myokymia . Could this this be due to my small fiber neuropathy ? Treatments? Driving me nuts!

I was told 8 months ago by eye dr that I have lower lid  myokymia . Could this this be due to my small fiber neuropathy ? Treatments? Driving me nuts!

Myokimia: Means that just the obicularis muscle is in spasms. Treatment is to treat causes. Fatigue, stress. Occasionally may be due to eye irritation. Talk to your eye doctor again to get specific treatment. ...Read more

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What causes idiopathic small fiber neuropathy?

What causes idiopathic small fiber neuropathy?

Ha!: Hi. If we knew what caused it, it wouldn't be IDIOPATHIC! If and when a cause is found, it will have a (probably mechanistic) name, and will no longer be called idiopathic. ;-) ...Read more

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Can small fiber neuropathy create crawling sensation on scalp?

Can small fiber neuropathy create crawling sensation on scalp?

Sounds possible: The common cause thought of is diabetes and locations 1st in feet and fingers - but there are other diseases too and anyplace there is skin w/ nerve endings may be affected. When you see your doctor, mention it and perhaps it can be addressed - there are effective treatments in many cases. ...Read more

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Can small fiber neuropathy cause temperature changes in the leg too?

Can small fiber neuropathy cause temperature changes in the leg too?

Small fiber nerve: Damage can cause the sensation of temperature dysfunction sensation because these fibers are responsible for somatosensation - pain and temperature senses. ...Read more

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What is small fiber neuropathy? Common signs and symptoms? Thanks docs!

What is small fiber neuropathy? Common signs and symptoms? Thanks docs!

Small vs Large fiber: Nerves may be categorized into sensory, motor and autonomic nerves; neuropathy is "nerve pathology" of any or all these types. Sensory nerves can be categorized into small and large fiber: large fibers convey deep pressure, position and vibratory sensation, small fibers are responsible for pain, temperature and light touch sensation. That's a primer, please read more online. Good luck! ...Read more

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What is the long term prognosis for small fiber neuropathy in the feet.

What is the long term prognosis for small fiber neuropathy in the feet.

Generally good: Most folks with small fiber neuropathy don't experience a lot of change in their symptoms over time, and it seldom progresses to involve other nerve fibers. ...Read more

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Can small fiber neuropathy affect the entire feet in less than 6 months?

Can small fiber neuropathy affect the entire feet in less than 6 months?

SFN: This really depends on how progressive or aggressive it is - it can certainly happen in a 6 month time frame. ...Read more

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Can symptoms from Celiac disease that cause small fiber neuropathy be improve?

Can symptoms from Celiac disease that cause small fiber neuropathy be improve?

Sure: First, work closely with your doctor to develop a gluten free diet and control gastro-intestinal symptoms. Secondly, start a medical food, MetanX or a generic equivalent and take twice daily. Will help regrow small fibres over 9-10 months, and should result in less symptoms in feet and legs. Pain can be controlled by Lyrica (pregabalin) or Cymbalta. ...Read more

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Can small fiber neuropathy related to antibiotic used can get worse with time?

Can small fiber neuropathy related to antibiotic used can get worse with time?

Always is a concern: However, there has been no conclusive research or scientific proof that antibiotics cause peripheral neuropathy. ...Read more

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Is small fiber neuropathy or polyneuropathy the same as small fiber axonopathy ?

Definitions: Small fibers which mediate pin and temperature sensations lack myelin, and are indeed pure axons, so the terms small fibre neuropathy or axonopathy are synonymous. Polyneuropathy usually refers to a larger fibre process which is distal bilateral and symmetrical, and can be either axonal or schwann cell predominant, and affects strength, balance, proprioception, and light touch. ...Read more

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Have there ever been any cases of small fiber neuropathy affecting only one leg?

Have there ever been any cases of small fiber neuropathy affecting only one leg?

Doubtful: Anything is possible but this sounds like a very unusual symptom for small fiber neuropathy. I would call into question the diagnosis. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3086960/ ...Read more

Dr. Bennett Machanic
1,447 doctors shared insights

Neuropathy (Definition)

Weakness, numbness, and pain from nerve damage, usually in ...Read more