@jeffrapp Neurologist in St. Louis told me that Gabapentin and Lyrica work in the same way; only Cymbalta works in a different way.
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@lynnaustin I understand that small fiber neuropathy does not show up on EMGs. In fact, a normal EMG can be seen as an indication of small fiber neuropathy. Repeating the EMG to compare to one done in February seems like overkill, and you may encounter a problem with insurance paying for it.
I think there are orthopedic hand specialists who do surgery and others that treat hand issues, but do not do surgery. The doctor I saw did a painful injection into the palm of my hand to loosen up the tendons. If I needed to see and hand surgeon, I'd have had to wait a couple of months for an appointment.
Not sure what you mean by a hand specialist. Last week I saw an orthopedic hand doctor for issues with a trigger finger and numbness/weakness in my right hand. I was very surprised when the x-rays showed absolutely no arthritis in my hand (My entire spine is very, very arthritic, and I've had two shoulders replaced because of arthritis damage. So, maybe check with a local orthopedic practice to find a hand doctor.