← Return to Idiopathic Progressive Polyneuropathy: How to find a specialist?

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@magnum52

I was diagnosed with idiopathic small fiber neuropathy at age 64 about 3 years ago. Took gabapentin up to 1,800 mg daily and Cymbalta 60 mg QD, with no real results. I am on 300mg daily of gaba and 60mg of Cymbalta and nothing else. Lyrica was useless. The pain is a burning pain in my feet, with the bottom of my feet turning dark purple (blood accumulation) upon sitting or standing a long time. You can massage the bottom of my feet, and a normal color will return. I have had negative nerve conduction/EMG studies done, a positive skin biopsy, moderate lumbar stenosis at L-3/4, a negative ankle/brachial 1 index study, in depth bloodwork, and nothing really shows up. I have no weakness and no problem sleeping. The purple color on the bottom of my feet is the most puzzling feature. I have no other medical conditions other than mild hypertension. Other than the neuropathy, I am in excellent health.

I was in the medical field as a pharmaceutical sales rep for 40 years, so I have been around physicians daily for most of my life. This is one illness that will cause physicians to throw up their hands and give up on. There is no real effective medication out there, with the anti-convulsants and anti-depressants being the main therapy. I believe the last medication to be approved for neuropathy was Lyrica. This is appears to be one area that is woefully lacking in research. This is extra frustrating to neuropathy sufferers. The market though, is huge.

I want to go to the Mayo Clinic in Rochester, as my final resort, to see what they can come up with. I am very interested in neurostimulation at the dorsal root ganglion to see if it can offer me some help. I recently retired and was looking forward to traveling with my wife, and enjoying life. Now, walking is such a misery. I am not one to give up on finding help, by if I strike out at The Mayo Clinic, I am done. I will resign myself to living with the pain and burning.

If anyone has tried neurostimulation for their neuropathy. I would love to hear your story. Good luck to everyone.
Albert Martin

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Replies to "I was diagnosed with idiopathic small fiber neuropathy at age 64 about 3 years ago. Took..."

@magnum52 Hi Albert. Nice to hear from you. I am sorry for your troubles with neuropathy. I share in your misery. Our neuropathies are slightly different as mine is Polyneuropathy but we do share PURPLE FEET! You are the first I've heard speak of this. I don't feel as alone with my purple monster feet now. 🙂 Isn't the whole thing awful. You are so correct in how you describe our neuropathy path. After my trip to Mayo, I will resign as well to living what I have. But, will keep hope alive for future medical progress! All my best to you in your journey.
Rachel

Hello there @magnum52 I am a caregiver for a wife who has badly burning neuropathic feet, which I guess I would describe as not purple exactly but very deep red most of the time. The redness has gotten worse in the last year as has her neuropathy in general. The have been several people who participate in the neuropathy discussions here on Connect who have had nerve stimulators installed, some who are still actively using them. There is a discussion you may want to peruse which is here:
https://connect.mayoclinic.org/discussion/peripheral-nerve-stimulators/ and the Connect "handles" for some of the people I have heard from who may want to weigh in are @lorirenee1 @jimhd @fredjan2016 . Each currently has a stimulator of one sort or another. I'm sorry for your condition. I know how you feel about the possible curtailment of travel plans. My wife and I are starting to feel a bit resigned to her not being able to travel much in the future. What makes this a real bummer is the fact that most of my family live in the northeastern US and since my wife can't fly due to lymphedema we are relegated to driving, and driving has become a bit of a nightmare for her this past year. So my sympathies to you. I hope you are able to go to Mayo and find answers you are seeking. Best to you, Hank

@magnum52 I've had idiopathic small fiber peripheral polyneuropathy for over 7 years, gradually progressing to more and more severe pain, starting in the balls of my feet, and by now involved all of my feet and is progressing up my legs. The burning pain gets worse when I'm standing still, seated and lying down. I've tried every medication available for neuropathy that my pcp, neurologist and my pain specialist have thrown at me. I have no idea how many medications I've tried. Lyrica is the one that gave me the worst side effects, bad enough to put me in the hospital. Bummer is that it's one of a very few meds that reduced the pain. The others that helped, unfortunately quit working after a month or two.

I had a spinal cord stimulator implant in June of 2017, and it gave me incredible relief. Beginning with 80% pain reduction, it began to lose its effectiveness after the first year. Then, in the second year I had to meet the Abbott rep to adjust the settings every 3 months. Now, I can't say for sure that it's doing anything at all.

Recently I discovered that I have severe spinal stenosis at L4-5, and I'm scheduled for a decompression September 24.. The neurosurgeon told me that surgery could relieve some of the pain, though it can't be predicted if it will be 50% or 5%. But I'm hopeful. The surgeon also said that the SCS implant might be adjusted and begin helping again after back surgery. My neurologist looked at the MRI results and agreed with the surgeon. I could have had the surgery sooner, but I have so much yard work that I don't want to leave the yard and gardens intended for however long recovery would be. I know. Kinda weird choosing to live with the pain for 2 months so my plants don't dry up.

Has anyone suggested going to the neuropathy group and read the stories of members' neuropathy journeys? You could pick up some new ideas from members.

We share your pain. It's really hard for people who haven't felt this level of pain to understand. The non-stop piece of it makes it so much harder to deal with.

I went into this neuropathy journey with pre-existing depression, anxiety, PTSD and suicidal ideation. Neuropathy has added another layer of pain. Chronic pain and chronic depression feed off each other. So, I find myself working with 2 sets of doctors for 2 types of pain. I'm thankful that the 2 sets understand the dynamics of a dual diagnosis, and are sensitive to the interactions. I wouldn't be here today without the care they show me. The same could be said for the support of the people here on Connect. Thanks, everyone.

Jim

@magnum52 First, I am so sorry for your suffering. I too, have severe foot neuropathy, and spend every day, most of the day, in pain. Feet throb, burn, and feel like cement. Toes stuck together. Anyway, I just had a DRG stimulator implanted in me, about 6 weeks ago. I had about 50% relief during my DRG trial, so I had the real surgery dne. However, so far, the DRG is barely helping. There is about a 3 month period after you get it done, for the nerves to heal where the wires were placed, adjustments to the electricity to be made, and recuperation from the surgery itself. Some people are lucky, and get relief quickly. That is not me, at all. When you get this DRG implanted, the ABBOTT rep adjusts the electricity immediately after surgery. Two weeks later, you go to you doc, and the ABBOTT rep comes to the appointment, and makes another adjustment. Now I am at 5 weeks after that adjustment, with maybe, 20% relief of pain. I go back next week, to get another adjustment of electricity, and perhaps, in another 6 weeks again, for another adjustment. My Doc never told me the reality of how the DRG works. I have no idea if it will work for me, at all. I wish I could tell you a happy picture, but I cannot. I will be posting more DRG updates as time goes on. If you have questions, please feel free to personally message me. I know what an awful illness this is. Lori Renee 1