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Idiopathic Small Fiber Neuropathy - chest pressure/tighteness

Neuropathy | Last Active: Oct 22, 2023 | Replies (45)
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@sf2021

I had promised to report back after speaking with my neurologist on this symptom. He did not think the chest pressure was associated with SFN. He didn't have a view on what else could cause it (!). I asked another neurologist and she agreed it is not a directly attributable symptom but thought it could be caused by anxiety brought on by SFN. When asked if there is any medication for this, she didn't have any aside from a muscle relaxant. In all, not very helpful but I wanted to share.

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Replies to "I had promised to report back after speaking with my neurologist on this symptom. He did..."
Chris Trout, Volunteer Mentor | @artscaping | Apr 22, 2021

Good morning @sf2021, Good for you. You are using good questions and following up on the information. Anxiety was my enemy and caused a lot of SFN pain.....until......I had a psychobehavioral series of tests that found my anxiety to be way too high and a big contributor to pain. I substituted 60 mg of duloxetine (Cymbalta) for 600mg of gabapentin and added some morning tincture.

Two weeks ago, we added 30mg more of duloxetine and dropped another 300 mg of gabapentin. It has been a week and my body is finally adjusting and I am seeing how this might work. We have to have patience, be willing to have a shared decision-making relationship with your primary who can help you keep it all together.

Here is the link to the MFR therapy.
https://myofascialrelease.com/
May you be safe, protected, and free.
Chris

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