Hello all,

I have an upcoming appointment with my neurologist and I'm thinking of speaking to him about possible medications for pain. I've been having some pain in my hands and feet (rarely elsewhere on my body, since I have whole body SFN), so there has been an increase, though not enough to need regular medication. However, because it has increased and because I sometimes have moments of pain, and finally because it's all a new development, I'd like to have a prescription in reserve in case it breaks out. It usually takes weeks for me to get an appointment with my neuro, so I don't want to risk not having something in case the pain comes on intensely and doesn't go away. I hope I don't have to use it, but I think it's a precautionary measure.

So I'm writing to get some idea what medications people use/would recommend for SFN. I have very little burning, and much more electrical currents, creepy crawlers, some numbness, internal shaking/vibrations. I also have various autonomic symptoms, like sweating issues and orthostatic hypotension. The pain is throbbing or stabbing pain when I get it and most often at the tips of my fingers and toes or in my hands and feet more generally.

I wouldn't know where to start, so suggestions are welcome. Thank you.