Nearly 40 million Americans suffer from damage to nerve fibers, making peripheral neuropathy a rapidly expanding public health problem. Small fiber neuropathy and specific damage to myelinated or unmyelinated nerve fibers can develop as a result from a variety of diseases including diabetes, metabolic syndrome, thyroid dysfunction, and celiac disease.
It is important to understand all problems that may arise in your case of peripheral neuropathy. The neuropathy experts at US Neuropathy Centers can help patients living in 7 states across the country find relief from their peripheral neuropathy condition.
Symptoms of small fiber neuropathy can range in variety and severity. The most common reported symptoms include:
- Gradual onset of pain in the feet
- Cold-like pain
- Tingling sensations
- Burning pain
- Electric shock-like pain
- Worsening symptoms during resting periods and nighttime
- Allodynia (pain from normal touch; normally non-painful stimuli)
- Hyperesthesia (excessive pain response)
- Dry Skin
- Intestinal problems
- Dry eyes/mouth
- Difficulty urinating
The diagnosis process of small fiber neuropathy is sometimes difficult because physical and neurologic exams may be normal. Often times, coordination, motor, and reflex data from the patient will all come back normal. Diagnostic confusion sometimes results because light touch sensation, vibration sensation, and proprioception (spatial perception) may come back normal as well. However, the experts at US Neuropathy Centers have an advanced team that utilize advanced testing strategies to determine if a patient has small fiber neuropathy.
The diagnosis process typically begins with a review of the patient’s medical history and a physical exam. If a patient has a history of similar and progressing symptoms, further testing will be ordered. Physicians may use a number of diagnostic tests to determine a cause of a patient’s pain and subsequent symptoms including:
- Quantitative sensory testing
- Quantitative sudomotor axon reflex testing
- Skin biopsy
- Review of electromyography (EMG) and nerve-conduction studies
Based on the results of testing, your US Neuropathy Centers physician can design a treatment and management plan. Every patient’s case is different, and the team at US Neuropathy Centers recognizes each case individually to better manage painful symptoms. If you or someone you love is suffering from small fiber neuropathy symptoms, schedule an appointment at any of our US Neuropathy Centers locations.
If you are suffering from neuropathy, please do not hesitate to call us at US Neuropathy Centers.
The advice and information contained in this article is for educational purposes only, and is not intended to replace or counter a physician’s advice or judgment. Please always consult your physician before taking any advice learned here or in any other educational medical material.
@US Neuropathy Centers, 2018