I'd like to say that I am an ex-smoker. I had given it up for years when I had my baby. But oddly enough I started smoking again 6 months before my PN. I noticed very clearly that everytime I took a puff, I was in extreme pain. I definately noticed without a doubt that a puff of my ciggie would make my PN hurt 20 times more.

I stopped right away cold turkey and have not smoked in 2 and a half years now since onset of PN.

I am not certain if my PN was caused by smoking,none of the doctors I have seen advised of any connection.

My neuro did say that smoking is a vasoconstrictor,and when I took a puff I was most likely depriving nerves and cells of oxygen which could cause elevated pain??? I honestly don't know.

Mark- the worst affected area for PN on me was my face and head by far. My eyes would ache, and I would get sparky shocks in my eyeballs all day long. Nightmare like pain in the beginning. then it moved down my arms,torso,back,and finally legs and feet.