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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
1,287 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

Dr. Bennett Machanic
1,393 doctors shared insights

Neuropathy (Definition)

Injury or damage to a nerve. A common cause ...Read more