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I recently joined and just found your question. Hopefully you've gotten more info since you posted, but here's my favorite site for info on small fiber neuropathy:
http://www.nlm.nih.gov/medlineplus/ency/article/000593.htm
Have you been diagnosed with this?
I was just diagnosed with Small Fiber Neuropathy at the Mayo Clinic, and didn't need to have a nerve biopsy. I guess it can be painful and invasive, so they use other methods initially for the diagnosis. But for me, after 8 years of tests, surgeries, and chronic symptoms of Myelopathy and Chiari Malformation, a nerve biopsy would have been the least of my worries.
To detect the nerve disorder, I had a Thermoregulatory Sweat Test, and an Autonomic Reflex Test which included a quantitative sudomotor axon reflex test, to diagnose damage to the small nerve fibers. They also did a Brainstem Evoked Potential, Sensory Evoked Potential, and an EMG to check some of the other nerve fibers . . . what fun! They ran a whole bunch of blood work to help determine the cause, but in the end they told me it was either idiopathic or hereditary (because my sister has similar symptoms).
I also take Neurontin, and many other meds to treat the symptoms of SFN and my other ailments, including an anti-depressant, narcotic, muscle relaxer, beta-blocker, Aleve, and Alpha Lipoic Acid, if a doctor thinks it will help to relieve the symptoms.
I have a problem very similar to yours. The only help I got with the problem was
upping my gabapentin to 600 mg 4 time a day. Then, after a while I started with
Cymbalta 60 mg a day. After the drowsiness lessened, I started taking the
Cymbalta twice a day. It does not eliminate the problem. But, it sure makes
it a lot better.
I would be interested to know if you have had courses of antibiotics prior to onset of these symtpms. Also if you have amalgam fillings or root canal work. I have very similar symptoms, unexplainable by medical profession and have been looking into the link between the effect of antibiotics and long term medication on the central nervous system and also levels of mercury in the body. In my case i feel there is a definate link.
I would be interested to know if you have had courses of antibiotics prior to onset of these symtpms. Also if you have amalgam fillings or root canal work. I have very similar symptoms, unexplainable by medical profession and have been looking into the link between the effect of antibiotics and long term medication on the central nervous system and also levels of mercury in the body. In my case i feel there is a definate link.
http://www.nlm.nih.gov/medlineplus/ency/article/000593.htm
Have you been diagnosed with this?
I'll go to that website.
Chickie
chickie
To detect the nerve disorder, I had a Thermoregulatory Sweat Test, and an Autonomic Reflex Test which included a quantitative sudomotor axon reflex test, to diagnose damage to the small nerve fibers. They also did a Brainstem Evoked Potential, Sensory Evoked Potential, and an EMG to check some of the other nerve fibers . . . what fun! They ran a whole bunch of blood work to help determine the cause, but in the end they told me it was either idiopathic or hereditary (because my sister has similar symptoms).
I also take Neurontin, and many other meds to treat the symptoms of SFN and my other ailments, including an anti-depressant, narcotic, muscle relaxer, beta-blocker, Aleve, and Alpha Lipoic Acid, if a doctor thinks it will help to relieve the symptoms.
upping my gabapentin to 600 mg 4 time a day. Then, after a while I started with
Cymbalta 60 mg a day. After the drowsiness lessened, I started taking the
Cymbalta twice a day. It does not eliminate the problem. But, it sure makes
it a lot better.