@melodyw425

Small fiber neuropathy (Inhave this) is usually caused by diabetes, vitamin deficiency/toxicity, alcoholism, smoking, chemotherapy, etc. it is nerve damage that needs the root cause treated. There is no surgery for this as it is the small nerve fibers on skin/organs that are damaged. There really is not specific treatment for SFN other than pain medications, neuropathy supplements, topical creams, etc.

You show a picture of your cervical spine. Were you diagnosed with spine compression of nerves/nerve roots and/or spinal cord causing your symptoms? You would want to work with an orthopedic spine specialist or neurosurgeon to determine best options for diagnosis/treatment (EMG/nerve conduction study, physical therapy, spine injections, surgery).