Topical creams and lotions for Small Fiber Neuropathy

Posted by jeffrapp @jeffrapp, Oct 11, 2019

This topic has been addressed in other posts. However, it is somewhat scatter shot, so I thought it would be appropriate to address it as a separate subject.
I have idiopathic small fiber neuropathy. I have tried numerous creams and other preparations. Sometimes I think they are working a little, sometimes not at all.
As examples, I have used lidocaine 5%, various cannabinoids (as balms, creams and soaks), cantherides (that hurt!) and various combinations of compounded creams containing lidocaine, ketamine, phenytoin, ketoralac and others (all of which are very expensive and not covered by MediCare).
One of my "theories" is that they are not penetrating enough, so I tried a few of them with DMSO cream, which is a solvent and supposedly penetrates the skin. Still no real success.
I'd be interested to hear from others about their experiences with topicals, and particularly any suggestions or tricks that makes them work better.

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Profile picture for harley22 @harley22

I feel the same as you.
I too have tried various creams with no relief from them, and I’ve also had to pay out of pocket for them.
The only thing that I can say works the best is Salon Pas pain patches.
I place them on my feet where the pain is, and it helps me walk at least.

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HI HARLEY,
THANK SO MUCH I WILL TRY THAT, HAVE A GREAT DAY!

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I have used CBD 10,000 MG Cream that's helped me also 1500 Mg CBD Gummies no THC that helped

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Harley.. I too have tried it all. DMSO helps in the absorption process. I found better results when I used essential oils that improve circulation. There are numerous eo's that do this. Perhaps if you experiment with adding some eo's to your best cream it may help. Suggest you start with lower doses and then increase as you find you can tolerate them. Good luck. Hope this helps.

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Hi, Would you please let us know which essential oils work best for improving circulation.
Thank you.

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I see the thread where the essential oils are listed.
Thank you.

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Jeff were you diagnosed by skin biopsy?

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Profile picture for burningfeetinphoenix @burningfeetinphoenix

@jeffrapp I cannot wear shoes or socks. My feet feel hot to touch even without socks on and heat 🔥 up more in socks and/or shoes...Pam

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Interesting. My feet are ice cold all the time.

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Has anyone tried or used a neuropathy cream with any success? I see so many different brands of these creams on Amazon and not sure if or what one may actually work? Any suggestions?

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Profile picture for jeffrapp @jeffrapp

Thanks to all for their suggestions.
I have use BioFreeze, which helps when my feet are burning.
I find that most of the time, when my feet start burning (usually due to pressure such as shoes and socks), they actually feel hot to the touch. What are your experiences with this?

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@jeffrapp
I have the problem where it will feel like my feet are burning, usually it’s always the ball of my right foot, along the middle crease line. Currently, I have a wound care specialist, who comes to my home twice a week to tend to a small hole in my left foot. Aside from neuropathy, recently, I was diagnosed with Charcot; I’m still not 100% sure what the heck it is but know it’s extremely painful and severely limits my walking. Anyway, I will get the burning sensation when I’m not wearing socks or shoes and just laying in bed watching television. I’m constantly in pain due to the Charcot but the neuropathy pain is a totally different type of pain and discomfort-especially with the numbness and burning sensations. My doctor prescribed gabapentin but it doesn’t seem to be helping with the nerve pain; hence, the consistent burning and numbness. For me, it’s the burning that’s more bothersome, which is what brought me here; I’m hoping to find something to help alleviate the pain I have to deal with. Oh, my feet aren’t usually hot when I get the burning sensation. Now, my husband, he has that problem; he says it feels like his feet are always sweating.

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