Welcome @mmvandyke007, Good afternoon. How long have you had your diagnosis of Small Fiber Neuropathy? Do you know the origin..was it diabetic or from chemo or alcohol? Not that it really matters.....for topicals. If you have a neurologist or other clinician that can write a prescription for lidocaine cream.....that was the most helpful to me. It is compounded by a special pharmacy. It lasted bout 15-20 minutes for me just time to get to sleep. And that was all I had until I found a 3:1 CBD/THC call P&B Releaf Balm. I truly never leave home without it. It works into the skin very well and lasts up to 3 and even four hours.

Please tell me more about your pain and what you currently find somewhat helpful or have tried with little success. Does the SFN show up anywhere else other than your hands? like legs? or feet? or arms?

This is a bit of a tough nut to crack. At Connect, we have quite a few resources and have online conversations with folks from all over the world.

May you be free of suffering today. Chris