Ideas for pain relief from Small Fiber Neuropathy (SFN)

Hi @hotfeet, You might want to read through the following discussion to learn what others have shared about low dose naltrexone:
-- Low Dose Naltrexone and Neuropathy:
https://connect.mayoclinic.org/discussion/low-dose-naltrexone-and-neuropathy/

Has anyone tried Hyperbaric Oxygen Therapy for PN?

Your state has to have either approved medical marijuana or recreational or both for you to be able to get some THC products . Since the federal government still lists marijuana as a class 1 drug it is illegal to send any THC product through the mail. Even in states that have legalized it.
Also about the inconsistency concern, a lot has changed even in the last year. In order for any product containing THC to be sold it has to list everything that made the gummy in the package including the THC level. These are tested and insured that the THC is consistent with what is listed on the packaging. Most THC gummies come in 100mg packs. 10 gummy’s per pack hence 10mg per gummy. They are tested and if the THC is 9mg then the product throughout the state is pulled as well as their license to produce. So the marijuana business has gotten so complex and complicated, pretty much over my head. But it is not the brownies we use to make and eat.
I don’t know if this helps.

Liked your comments. I have no pain, just the feet tingling
and “kind of” a rough, skin feeling but also only at night. All
of this occurred after TKR.
I’ll try the CBD - was never a believer in it but guess I
should give it a try. I’d prefer to get off the Gabapetin.
Thanks.
Vince

I'm recovering from peripheral neuropathy caused by the Pfizer vaccine. Until recently, I needed nerve pain control every night to fall asleep. When I finally started using 5% Lidocaine patches, it was life-changing and I avoided the systemic exposure to nerve pain medications.

Debshulz, is the laser therapy going to be light or heat or?

@pacer3702 do you mind sharing how you got your diagnosis of PN.

I too am suspected to have nerve damage from phizer and my biopsy and blood work was negative, so despite the neuropathy I was not actually diagnosed with PN.

I have noticed a high increase in the number of persons suffering with painful neuropathy jn last year including myself. I suspect it is the possible cause of the Covid vaccines?

I discussed this treatment with a doctor this week.
1. It is not covered with insurance at this time.
2. It takes several 20+ treatments consecutive daily to begin to see results. cost/ treatment 100-165 ea.
3. First step is to determine the cause of your neuropathy so it does not continue. I've had many tests in past, Mayo Clinic in 2019 but no conclusive reason. The tests recommended are expensive urine tests for toxins and heavy metals. GPL tox & Chelation for metals. These would be a starting point for my individual case of Idiopathic PN. I would recommend that anybody interested in such, consult with a medical doctor that has proven success with PN treatment. Most neurologists are administering pharma treatments and supplementation that did not work for me. I hope to see results of testing and will post in future. All the best to you!

My neurological symptoms began within 2 weeks of the first Pfizer vaccine. However, my first EMG at 4 months was "essentially normal". My next EMG at 7 months showed sensory and motor nerve damage, as did two subsequent EMGs. My ANA titer was slightly elevated at 7 months and then increased 4-fold over the next 6 weeks. Thus I appear to have autoimmune-mediated nerve damage triggered by the vaccine. My neurologist agrees. Autoimmune reactions take time to fully develop. Most of the vaccine-injured patients begin to improve around 8 months. I'm substantially better now at 19 months. Most vaccine-injured seem to have small-fiber neuropathy that can't be detected by EMG. I benefited considerably by joining the Neuro V Long-Haulers Facebook group as a source of information. I don't know how I could have navigated this illness without that group.