@cecelia19
I am a 55 year old female with idiopathic small fiber neuropathy/peripheral neuropathy, congenital spinal stenosis, degenerative disc disease and osteoarthritis. This all was diagnosed when I was 42 and 47.

My neuropathy started in my feet with burning/pins and needles and especially worse in warmer months. I started taking alpha Lipoic acid, acetyl l carnitine and other nerve health supplements and it helped reduce the symptoms. I used capsaicin creams on my feet, too. I never had a bad reaction to the supplements or creams.

Have you been diagnosed with small fiber neuropathy by a neurologist via a skin punch biopsy? Have you had full bloodwork panels done for neuropathy? My rheumatologist and neurologist did very extensive bloodwork to try to get to the cause of my symptoms. Are you deficient in B12 or at toxic B6 levels? Have you ever been exposed to toxins throughout your life?

Have you ever had EMGs/nerve conduction studies or MRIs done by a neurologist to check for spinal cord or nerve root/nerve compression/radiculopathy? My spinal stenosis and DDD has caused cervical/lumbar radiculopathy to arms/hands and legs/feet plus neurogenic claudication causing pain/weakness/numbness in back/hips/buttocks/legs/feet.

Don’t give up hope and keep asking questions and reviewing your list of symptoms with doctors to get to root cause.

Btw…I also have autoimmune Hashimoto’s thyroiditis and alopecia areata. I have read that small fiber neuropathy could be caused by an autoimmune attack in your nerve cells.