Thanks for responding and the advice Sylvie appreciate it.

I don't know at this point how much of my autonomic functions are affected but they don't seem to bother me as much as the burning in feet and painfull hands. That's what I suppose affects me most on a daily basis and stops me doing what I normally do.

I think my symptoms came on quite quickly and though I understand this is a very difficult question to answer what I'm really concerned about is how bad this could potentially get and also how much improvement I can expect. I'm not hopefull of an underlying cause being identified as I mentioned I think the procedure is the cause or trigger if that is even possible. If this is the case is there potential for the nerves to heal or regenerate at all?

I have also noticed my uvula deviates to the left when saying ahh which indicates vagus nerve damage but again the neurologist I saw advised this was a normal variant and nothing to worry about. Can SFN affect the vagus nerve at all. I'm just not very confident in the medical professionals I have seen so far.

I am waiting for an appointment with a a professor who specialises in SFN and uses the CHEPS method to diagnose . This is in the UK.

I am going to continue with the supplements in the meantime and stay off the prescription meds for as long as possible . Also open to any other suggestions for relief or things that may help.

Thanks again