@mic3, I can't find any information about Shingrex causing an autoimmune response that results in peripheral neuropathy, although of course with this disease anything is possible. Shingrex is recommended to patients with PN.
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Shingrex (the vaccine for shingles) is made by recombinant technology. It is not a live vaccine, and therefore cannot cause Shingles.
Shingles is caused by the chicken pox virus which lies dormant in your body until it is stimulated by many known and unknown things to cause shingles, which is therefore a viral illness.
Shingles is a form of peripheral neuropathy. It can become a chronic condition called post herpetic neuralgia, which is chronic pain in the area of the rash, even after the rash disappears. "Typical" peripheral neuropathy is usually a problem in the extremities.
Hi David (@phoenix0509)
I have exactly the same problem that you have. I also wear flip flops in the winter.
I take the same meds, but I don't want to get involved with opioids like fentanyl. I'm not sure the standard meds work, but I take them anyway). I'm also consulting with a pain management specialist soon about low dose naltrexone.
I have discovered some tricks, which may help you or others.
Ugg boots and shoes are the most comfortable for me. In fact, I have lined all my other shoes (including flip flops) with shearling. I think the fact that shearling wool holds a lot of air is why they help.
My symptoms vary dramatically from day to day. Who knows why? I'm generally better in the summer and on vacation to warm places.
I'm also better when I'm in a good mood, or distracted. I believe there is a strong psychological element.
When the pain is very bad, I try to calm myself down, and even invite the pain in, so as to at least feel that I have some control over it.
I try to do physical, outdoor things even when the pain is bad. It serves to distract me some, and I feel better with exercise.
I hope some of this helps.
Dec 23, 2019 · Ideas for pain relief from Small Fiber Neuropathy (SFN) in Neuropathy
@iceblue, I'll give it a try. This is a very complex and confusing subject.
The terms polyneuropathy, peripheral neuropathy, and neuropathy are often used interchangeably, but there is a difference. Polyneuropathy is more specific, and refers to a set of diseases characterized by multiple, often symmetrical nerve involvement. Peripheral neuropathy is more general, and can involve only one nerve, such as trigeminal neuralgia. Neuropathy is more general still, and can even mean involvement of the central nervous system.
Small fiber peripheral neuropathy is a form of polyneuropathy which refers specifically to the small fibers in the skin. This is the condition usually diagnosed with an epidermal nerve fiber density test (EFND), the "skin biopsy" often referred to here.
@burningfeetinphoenix, I don't quite understand your post about the podiatrist. If your skin biopsy was positive, then you do have small fiber peripheral neuropathy (SFPN). One way or another, I'd be careful about dealing with this podiatrist, as there is no evidence as yet that stem cells have a roll in treating any neuropathy.
I agree with most of what you say, except for the first part.
Alcohol can cause PN in two ways. One is indirect, as you describe. However, there is a fair amount of information derived from studies showing that alcohol is a direct neurotoxin, and most likely can cause PN directly.
The million dollar question is how much it is OK to drink, for which I believe there is no answer yet. For other organs like the liver, it seems that over 50 grams a day is enough to cause liver disease. Each drink contains about 15 grams. Cheers!