My small fiber neuropathy has typically been most painful in both of my palms evenly. When I get a flair both palms begin to burn together in sync.

My feet, on the other hand, do not bother me that much.

I was originally diagnosed with a symetric distal small fiber neuropathy that has remained idiopathic.

Does the fact that my small fiber discomfort is primarily in my two palms suggest to anyone a potential cause or test that I might pursue?

Thanks!