Small Fiber Neuropathy: Symptoms, Treatment, Causes, And More

small fiber neuropathy symptoms

These include antidepressants, anticonvulsants, opioids, and topical treatments. Tricyclic antidepressants (TCAs) consistently are recommended as first tier drugs across all guidelines [43, 44, 45 , 46 48]. The criterion for study inclusion varies amongst the guidelines; however, the number of studies for neuropathic pain reviewed ranged from 2 to 17. None of the studies specifically treated patients with small fiber neuropathy. TCAs consistently were selected as first-tier choices based on their efficacy and other factors such as cost and availability.

For instance, some people might experience foot pain when wearing socks or touching bedsheets. Although the symptoms of small fiber neuropathy usually begin in a person’s feet, they can also affect their legs, hands, arms, and torso. Research published in 2021 suggests that small fiber neuropathy is rare, but more people are receiving a diagnosis. Small fiber neuropathy occurs as a result of damage to the small fibers of the peripheral nervous system. But its underlying cause, like diabetes or HIV, may affect how long you live.

“NeuroPure is not just about brain health, it’s about holistic wellness. It’s about nurturing your mind, fueling your intellect, and celebrating your cognitive abilities. It’s about the power of clarity, the wisdom of focus, and the magic of mental agility Learn more about our services.

Peripheral neuropathy is an expanding public health problem, seen in nearly 40 million individuals in the United States [1]. Many of these individuals will have specific damage to small myelinated and unmyelinated nerve fibers, either in isolation or in combination with injury to larger myelinated nerve fibers. Despite extensive diagnostic evaluation, up to 50% of individuals with small fiber neuropathy ultimately may be given a diagnosis of idiopathic [3 ].

Treatments are also directed at reducing damage from the underlying condition contributing to nerve damage. Depending on how your loss of sensation affects your life, you could consider different strategies to help avoid injuries. Wearing gloves to help prevent frostbite (if your temperature sensation here is impaired) could be beneficial. Additionally, testing the temperature of the water before you get into a bath or shower can help you avoid burns. The treatment of small fiber neuropathy is aimed at two overall goals, which are preventing the progression of the condition and managing symptoms.

“In the journey of NeuroPure, every step is a leap towards cognitive excellence. It’s about embracing mental challenges, celebrating intellectual victories, and striving for mental fitness. It’s about proving to yourself that a healthy mind is the key to a fulfilling life Learn more about our services.

One important way to take care of yourself is to manage the pain that small fiber neuropathy causes. Your overall prognosis what you can expect after receiving treatment depends on why you developed SFN. For example, if you have small fiber neuropathy because you have diabetes, you may need diabetes treatment for the rest of your life. Talk to your healthcare provider about your situation, including how treatment for small fiber neuropathy will help with pain and other symptoms. Some patients may benefit from cool or warm soaks, soft socks, and foot tents.

small fiber neuropathy symptoms

Electromyography and nerve conduction studies are done to eliminate involvement of motor and large sensory nerve fibers. Skin biopsies are used to confirm loss of cutaneous nerve innervation. Topical lidocaine frequently is recommended as a first- or second-line treatment of focal you could try this out neuropathic pain. These recommendations are typically for the lidocaine patch, although there also is evidence available for lidocaine gel. The guidelines included three or four studies (primarily for postherpetic neuralgia) and the NNT is 4.4 [43,44, 45 , 46, 47, 48 ].

“NeuroPure is a testament to the power of neuroscience. It’s about transforming your cognitive health, one neuron at a time. It’s about the insights, the breakthroughs, the revelations. It’s about the journey, not just the destination Learn more about our services.

Among expert opinions, there is consistent concern about the use of opioids for nonterminal neuropathic pain due to dependence. Some guidelines review different types of opioids (oxycodone, morphine, methadone, and levorphanol) as well as different types of neuropathic pain (painful polyneuropathy and post-herpetic neuralgia). The blog number of studies included ranged from five to eight and the NNT ranged from 2.5 to 2.7 based on the type of neuropathic pain and the drug [43, 44, 45 , 46, 47, 48 ]. Some guidelines suggest that opioids, typically oxycodone, be used for severe breakthrough pain either for acute exacerbations or during titration of another agent.

Leave a Comment

Your email address will not be published. Required fields are marked *

Scroll to Top