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biopsy for small nerve fiber

Neuropathy | Last Active: Dec 4 10:27am | Replies (48)

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@ray666

Hello, amkie (@amkie),& cc julbpat (@julbpat), John @johnbishop),

You’re quite right, I’m one of the fellows with large fiber neuropathy. Thanks to lots of reading, I arrived at that conclusion largely on my own, only to have my layman’s diagnosis confirmed by my doctor when I straightforwardly asked him, ‘Mine is large fiber, is it not?’ I was surprised – and a little amused – to hear him replay, ‘Well, of course, Ray, it’s large fiber!’ I drove away thinking, ‘Mmm, if I hadn’t done all that reading and then flat-out asked (large, or small?), I might never have been told.

As John and others on the Forum know, my assessment of my neuropathy (symptoms, progression, effectiveness of the EB-N5 supplement I was prescribed and have been taking for 15 months) has been clouded by the onset of a sepsis infection last March, which resulted in several symptoms similar to those caused by the neuropathy. Recently, if friends ask, ‘So, how are you feeling nowadays?’ I have little choice but to say, ‘About the same.’ If they go on to ask, ‘Is it your neuropathy or your sepsis?’ I again have to answer as honestly as I can: ‘I don’t know – because the symptoms overlap.’

At this time, the most I can say is my balance is still wonky, especially early morning, if I’ve been seated too long (20-30 minutes), and late at night. I keep a cane nearby but use it only when I think it’s necessary. I find early morning, after sitting, and late at night, if I rise, stand in place for a count of 15 (1, one thousand, 2, one thousand, 3 … etc.), aim my body in the direction I’m about to head, then step off slowly but with a certain amount of deliberation (eyes up, not on the ground,), after about 30-50 steps I’m able to go about with reasonably good balance. It’s as if it takes the 25 seconds, the 3-0-50 steps, etc., for my brain to snap into action. (I just finished reading Jill Bolte Taylor’s ‘Stroke of Insight,’ so, at the moment, I’m all rah-rah about brain plasticity.)

A second symptom that I’m dealing with every day (be it my neuropathy, my sepsis, or a sinister combo of the two) is poor endurance. I’ve reason to suspect that my nagging shortness of breath is a gift solely from my sepsis; I never experienced shortness of breath like this in my pre-sepsis days, when I was only contending with my neuropathy. As a symptom, it’s lessened (I’m breathing more easily now) compared to my early sepsis days, but it’s still bothersome.

That, in a nutshell, is my life with large fiber sensory-leaning (maybe a little small fiber in there, too) polyneuropathy. Sepsis has been a complication, making it harder for me to speak with clarity about the neuropathy – but I’m happy to say even more/answer questions/whatever might be helpful. In the meantime, with sincerity …

Best wishes & Cheers!
Ray (@ray666)

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Replies to "Hello, amkie (@amkie),& cc julbpat (@julbpat), John @johnbishop), You’re quite right, I’m one of the fellows..."

Thank you Ray. I had read posts from you in the past regarding neuropathy
and sepsis. Quite the trial you are dealing with. 🫂
My biggest problem is balance or lack there of. It never is not a big
problem for me. I have used many tactics you mentioned and practice
prescribed excercises virtual every couple waking hours. My second biggest
problem is paresthesia in both my feet. Worse on L and up my entire left
leg to the middle of my body. Not pain exactly but burny and skin feels raw
- definitely worse in evening and very hard to ignore. Have tried
duclofenac tabs, ibuprofen and gable and Lyrica. Ibuprofen works as well
with less side effects. Cold packs to worst areas(at tge time) works pretty
good for me. My husband massages my feet and legs literally every night.
3rd biggest problem is worsening tremors of both hands. Betablocker seems
only thing that lessens the tremors, but it lowers my heart rate too much.
I usually only take it in a reduced dose (1/4) for when I'm going to be out
and about. These are not resting tremors, but rather action related. Very,
very annoying.
4th biggest problem is residual partial footdrop in my L foot. Combined
with my balance issue, it is completely nerve-wracking. LOL.
Other then those things, I'm great. I have good vision, hearing, I can
drive, I can walk steps again, and I have good strength in every other part
of my body. So I count my blessings but still totally miss things I can no
longer do. I try not to focus on those.Thanks for letting me process in
concrete language.
Warmest regards,
Ann