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DiscussionAnyone Heard of Pirenzepine for Small Fiber Neuropathy?
Neuropathy | Last Active: 1 minute ago | Replies (108)Comment receiving replies
Replies to "HI TO EVERYONE... HOW do you if you have small or large fiber damage? And PT..."
Hi @pittcrew2020.
The best way is to be tested, ideally by a neurologist. Traditionally, this is done by a skin biopsy, but there are other, newer techniques.
FWIW, some people get both small and large fiber involvement.
Best.
There are limited treatment options for most cases of neuropathy, but some kinds are treatable, at least to the extent of slowing or stopping the progression. It’s best to learn all you can about yours.
Large fiber is axonal damage which controls muscles (weakness) . Also coordination and balance.
Small fiber is usually limited to numbness and pain. Although it’s possible it can affect your balance.
Your neurologist will be able to confirm how extensive the damage is.