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@lar

I have seen two neurologists. The first didn't seem to know or care. My primary doctor recommended a different neurologist. He was very helpful. I had never heard the term "small fiber" before and neither doctor asked about my background but I don't have a history or anything that might have caused it.
My doctor recommended nortriptyline (2 / 25mg capsules) in the evening. Now I sleep very soundly and most of the time it seems like I don't have neuropathy. Hoping it doesn't get worse.

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Replies to "I have seen two neurologists. The first didn't seem to know or care. My primary doctor..."

Welcome @lar, It sounds like you hit the jackpot with the second neurologist. Isn't it amazing when a doctor listens to you and is helpful then actually comes up with a treatment plan that helps.

Did your second neurologist order any tests and give you a diagnosis before prescribing the nortriptyline?

Did you have peripheral neuropathy? What were/are your symptoms?

Hola e leído tu comentario y quisiera preguntar el efecto de la medicación nueva que estás tomando, nortriptilina, además de permitirte dormir profundamente te quita el dolor en algún momento?.Pregunto esto porque decís qué a veces te parece no tener neuropatía.
Tengo neuropatía de origen desconocido, qué me impide caminar correctamente, no tengo equilibrio, tengo espasticidad, poco o nada siento mis piernas pero si dolor ante ciertos estímulos, sobretodo los punzantes. Solo en esas ocasiones tengo dolor.