Doctor insights on:
Small Fiber Neuropathy 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 moreSee 1 more doctor answer
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
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
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
Pm docs- what type of interventional treatment other than medication and pt have proven to be successful in treating small fiber neuropathy?
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
Is Namenda (memantine) a valid treatment for neuropathy that doesn't respond to traditional meds? I have small fiber neuropathy & doc recommended this.
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
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!
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
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
SFN: This really depends on how progressive or aggressive it is - it can certainly happen in a 6 month time frame. ...Read more
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
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 moreSee 2 more doctor answers
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