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Replies to "Hello julbpat. Hope you are well. I asked John this question. Thought I might ask you..."
Neuropathy | Last Active: Jun 13 6:09am | Replies (111)
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Hello julbpat. Hope you are well. I asked John this question. Thought I might ask you as well. Is there any I formation on Mayo if podiatrist do small fiber neuropathy skin biopsy? I am thinking if I could rule out SFN, than maybe these burning symptoms on the bottom of my feet and on shins and calves just might be just from my back. Where are these biopsies usually done. From what I am reading, right above ankle, one by knee, and one right below hip. I just wonder if any member on here has had a SFN Biopsy done by a Podiatrist? Thanks.
Replies to "Hello julbpat. Hope you are well. I asked John this question. Thought I might ask you..."
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Any doctor who is trained can do the punch biopsies. I think podiatrists can’t, because they cannot work on anything but the foot area, per their title. I had mine done by a pain doctor who does them on a consultation basis - meaning I was not seeing him for pain, just sent there by my neurologist for the biopsy. I imagine a dermatologist would have the training and set-up to perform the biopsy.
It is standard to take three samples - ankle, knee and upper thigh. It has to be ordered by your doctor. So your doctor would know where to send you.
It’s not a complicated procedure, but like any biopsy, the sample has to be correctly prepared, sent to the appropriate lab, and then the results have to be interpreted by the doctor.