I was told by a neurologist that regardless of a positive or negative skin biopsy for small fiber neuropathy, the treatment is the same as peripheral neuropathy - Gapapentin and PT.
I don't have pain, so I suspect the reason the Gapapentin is not easing my symptoms of numbness and tingling is because I'm not in pain. I was evaluated by PT and they will work with me on balance.
I consider myself fortunate so far that while it's distracting and annoying it's not affecting my daily activities and general quality of life at age 71.
May I hear from the pain-free folks on their outlook and regimen?

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