Just Diagnosed with Small Fiber Neuropathy

I recently went through acupuncture therapy. 4 sessions (1 per week) were advised to give it a chance, and if after a break if 1-2 weeks, I felt it added value for me, perhaps get 2 more session. That’s it, not meant to be a lifelong therapy.
I’ve decided I’ll get the final 2 sessions. What it did for me is calm a lot of the angriness in my nerves. The numbness is still here, but less pain and tingling. I find my legs are more “relaxed” than they were, and some of the “walking on glass” on my feet feeling eased. No one thing on here works for everyone, and I’m slow at embracing new things, but am happy to say I gave Acupuncture a try and have found help from it.

What is the pain relief you use? I also have SFPN.

Has anyone had Sanexas treatments for Intercostal Neuraligia?

Welcome @sjrohde1, There is a discussion on Sanexas treatments where @duquer and others have shared their experience --- Does anybody have experience with SANEXAS for neuropathy?: https://connect.mayoclinic.org/comment/645606/

Have you looked into getting treatments with Sanexas?

Thank you. I gave read some of these posts. However, my husband has intercostal neuralgia in the upper chest and we wonder if anyone has been treated for this with Sanexas.

My Dr seems to think I have that. I've had every test for heart, GI, chest xray, etc over the past 3 years. It's gotten worse this year. Went to pain Dr & he diagnosed it. Ordered me gabapentin, which after 2 weeks, it may have helped a little {doesn't hurt all day, every day} but also gives me weird dreams. He ordered physical therapy. Since I was already going for knee replacement PT, I told the order to them. My therapist said there really isn't much in therapy they can do, but gave me a few exercises to try at home. Again, only a couple of weeks. I can certainly feel the problem muscles when I do them. Don't know. I'm a little discouraged.

I truly understand. I was diagnosed with pre-diabetes in 2004 and started noticing burning feet five years later. Even though my A1C has stayed below 5.7 all these years I still have noticed slow progression of SFN (confirmed by punch biopsy). I was a moderately heavy drinker but cut out alcohol 4 years ago. Apparently glycemic variability, triglycerides, BMI and hypertension are all strong factors in developing SFN. So I do my best to exercise and avoid inflammatory foods. I’m about to try IV Alpha Lipoic Acid, which has proven effective in reducing neuropathy pain. I’m also going to try Metanx, which has regenerated epidermal nerve fibers in not only lab rats but also humans. I will keep you posted.

I’m concerned about steroids because they can greatly elevate blood glucose. And I am pre-diabetic.

I plan to try it soon. There is some scientific evidence from human studies that Metanx improved epidermal nerve fiber density after six months.

When you say reverse SFN do you mean the treatments named regenerate nerve fibers?