I second Cliffman.

My neuro stated insurance requirements mandated an EMG before small fiber biopsies. EMG tests primarily address long fiber (motor) impairment. I knew it would be a waste of time....and it's painful! I tested negative, as I knew I would, and ultimately had positive small fiber biopsies. I have autonomic and sensory SFN.

Took months.....and because of this odd logic, I'm comparison shopping for a new neurologist. I now have two appointments scheduled with new docs....hopefully one will be very good.

You might also wish to seek a second opinion if you can.

Good luck with this. It's hard to trust your instincts and easy to have high hopes for a physician when you're ill....but it's so important to have a smart and empathetic neurologist with this baffling disorder.

S