I suppose it's good to be established with a Neurologist to do the appropriate testing and then see you in follow up to make sure that there is no further progression. My Neurologist doesn't even put much faith in the skin biopsy to confirm small fiber, so I've only had the EMG and conductivity study which have come back normal on two occasions. My Physician Assistant referred me just in case anything new comes down the pike by way of treatment. You never know.
I'm fortunate that I'm not in pain or disabled in any way so far. I just have the feeling that I'm wearing knee high boots that are too tight and my socks are wadded up in my shoes and/or I'm walking on pebbles or grit.