Small Fiber Neuropathy: What helps?

Posted by lisadog33 @lisadog33, Mar 28, 2017

I have been diagnosed with Small Fiber Neuropathy. My problem is this. Since before they diagnosed me, I was having other symptoms that I thought were not related including loss of appetite/weight loss, bladder control, bowel control, problem with eyesight at times, tremors, sleep issues among some other things. I was told by my Neurologist that those things are not related to small fiber neuropathy but when I look it up, it says it can affect your autonomic nervous system. What is the truth. I am having a heck of a time with bladder and bowel issues as well as either sleeping through the alarm or not sleeping at all. I hope someone can shed some light on this for me. Thank you.

Interested in more discussions like this? Go to the Neuropathy Support Group.

@steeldove

@jordonabrams30 Poke around this website where you may find an answer to your question.

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@steeldove thanks for sending that over, as I am familiar with Neuropathycommons. I have however never seen it posted on their site the ranges? Any guidance on where I am missing it is greatly appreciated.

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@jordanabrams30

@steeldove thanks for sending that over, as I am familiar with Neuropathycommons. I have however never seen it posted on their site the ranges? Any guidance on where I am missing it is greatly appreciated.

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@jordonabrams30 Why not give a call to Dr. Oaklanders office and ask your question? https://www.massgeneral.org/doctors/doctor.aspx?id=17253#

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@jordanabrams30

One thing that I am curious about is the skin fiber density ranges in SFN. Does anyone know what the density ranges should be for a normal non SFN patient at the lower leg?

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@jordanabrams30 I'm not sure about the ranges but there is a really good explanation of the test here:

Epidermal Nerve Fiber Density Testing : An Overview
-- https://bakodx.com/epidermal-nerve-fiber-density-testing-an-overview/

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@johnbishop

Hi @jump, Welcome to Mayo Clinic Connect. You mentioned you have to be on prednisone the rest of your life along with gabapentin and pain meds. I have small fiber peripheral neuropathy but I only have the numbness and there are no drugs that help with it. I take some over the counter supplements but it's not a cure and doesn't make the numbness go away. I do believe they may have slowed down the progression but it's subjective on my part. While I don't have pain with my neuropathy, I have had 2 occurrences of polymyalgia rheumatica (PMR) that were extremely painful and was on prednisone both times but was able to taper off once the PMR went into remission. I think each of us deal with pain a little different and a lot of members here have found different treatments that help.

You may want to read the following discussion and see how other members are dealing with the pain associated with neuropathy.

Groups > Neuropathy > Living with Neuropathy – Welcome to the group
https://connect.mayoclinic.org/discussion/living-with-neuropathy-welcome-to-the-group/

Are you able to share a little more about your diagnosis and any other treatments you've tried?

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Thank you for this.

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Just thought I would share the next great hope for a cure outside of Winsantor: http://www.regenacy.com

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@steeldove

It may be small fiber polyneuropathy. Do a search to find more about the work being done by Louise Oaklander, MD, PhD in Boston. Cbeck neuropathycommons..org

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i also have SFN and looked at Louise oaklanders videos. she says that ivig is effective in 63% of cases and cortico steriods in 67% but when i asked 2 nyc drs that speicalize in in sfn they said no. anyone can comment?

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Hello everyone. I was recently diagnosed with small
Fiber neuropathy in thigh and calf( has skin biopsy) with autoimmune etiology - antibodies to voltage gated potassium channel. Cancer has been ruled out . I have been dealing with right thigh pain , spasms stiffness cramps and burning pain since 6 years now ,finally got diagnosed.
Since last week I have also have developed same symptoms in the right calf as well. Can’t walk without a limp now, it’s so painful. I am currently
On carbamazepine 200 mg twice a day(it did help with my thigh stiffness to certain extent) I am being planned for IVIG waiting for insurance approval . Has anyone received such diagnosis and had any good response to IVIG?
Thank you in advance
Wishing all of you good health

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@aruhela2021

Hello everyone. I was recently diagnosed with small
Fiber neuropathy in thigh and calf( has skin biopsy) with autoimmune etiology - antibodies to voltage gated potassium channel. Cancer has been ruled out . I have been dealing with right thigh pain , spasms stiffness cramps and burning pain since 6 years now ,finally got diagnosed.
Since last week I have also have developed same symptoms in the right calf as well. Can’t walk without a limp now, it’s so painful. I am currently
On carbamazepine 200 mg twice a day(it did help with my thigh stiffness to certain extent) I am being planned for IVIG waiting for insurance approval . Has anyone received such diagnosis and had any good response to IVIG?
Thank you in advance
Wishing all of you good health

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@arulhearuhela2021 Have you been checked for meralgia paresthetica which causes pain in the thighs?

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@steeldove

@arulhearuhela2021 Have you been checked for meralgia paresthetica which causes pain in the thighs?

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Thanks for your reply.
Yes I have been checked for that through nerve conduction study. The condition I have is called neuromyotonia and it explains all my symptoms and clinical course. I just want to know what are my odds of responding to IVIG and hear someone’s experience ,as the treatment will be initiated 6 years into my illness.

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