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Does Small Fiber Neuropathy also cause muscle spasms?

Neuropathy | Last Active: Jan 31 10:26am | Replies (61)

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@helennicola

Hi Carlos, my heart goes out to you. 1 year ago I was diagnosed with sudden (overnight) ideopathic onset SFN and was eventually prescribed Gabapentin 3x/day. I cut back to 1/day at night since I couldn’t tolerate it well during the day. It has gradually gotten somewhat worse but effects mainly my hands and feet which tingle and burn. I do get cramps in my feet, legs and occasionally hands and have also noticed facial ticks. I do think stress and dehydration play a role. I have been taking R-Alpha Lipoic Acid 300mg 2/day and 2-3/week soak my feet in epsom salts. I do believe these help. I wish you and all others good luck, this disease is finally gaining some attention.

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Replies to "Hi Carlos, my heart goes out to you. 1 year ago I was diagnosed with sudden..."

Hi @helennicola, welcome to Connect. Thank you for sharing your diagnosis with small fiber neuropathy and what has helped you. I have idiopathic small fiber peripheral neuropathy that I've had for 20+ years. I shared my story in a post earlier on Connect here:
https://connect.mayoclinic.org/discussion/anyone-here-dealing-with-peripheral-neuropathy/?pg=42#comment-65985
I only have numbness with my neuropathy but I think you are correct about stress and dehydration playing a large part. I think it's important to drink a lot of water but also feel it's important to keep your skin moisturized with a lotion particularly on the areas with neuropathy since the nerves are close to the skin. Staying hydrated also helps with the leg cramps if you get those.

What is the hardest symptom for you to deal with ? For me, it's the numbness and having to be careful with balance when I stand after sitting for awhile or just getting up in the morning.