I had three normal nerve conduction studies, before a neurologist, the third I had seen, said this is silly and that I clearly have small fiber neuropathy. So he did a skin punch biopsy, which is how you diagnose SFN. SFN does not show up on nerve conduction studies that pick up damage to larger nerves. Hope this helps.
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Originally Posted by kazzak21
Hi everyone
Just an update, had a nerve conduction test last week and it came back totally normal. Some days pain is getting much better in terms of burning and numbness which hasn't been as prevalent.
However 2-3 times a week seem to get flare ups. Usually starts in late afternoon with burning in the feet. Then start to get pain random burning and achy pain in both wrists, fingers, toes, ankles, hips and elbows. This can get very intense and lasts hours now even there when I get up in the morning. Doesn't seem to be related to exercise. It can go from two toes for 20 secs, into ankle for another 20 secs, into one wrist 20 secs etc. Feel like it is affected by pressure in bed and I want to click it to ease it.
Any ideas, all bloods fine, no swelling, no redness, sensory only symptoms still, having vitamin B12 injections, working on diet. All inflammatory and connective markers normal. It is just very annoying any suggestions appreciated as it is starting to drive me nuts!
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