To quote you from another thread Glenn

Might this be true of Neuronopathy? for example, I have no numbness. Well, apart from waking with numb little fingers at night (I mean the 5th finger on each hand) which I take it means, due to what ever process has occurred, I am now more susceptible to compression numbness mostly of my ulnar nerve it seems? What I mean is, because I have dermal 'pain' (skin burning) and not numbness, does that potentially indicate that neurons are 'damaged' not 'dead' ? Does this 'pain is better than numbness' theory apply to small fiber damage? ie: If many of my neurons were 'dead' then my skin would not 'burn' it would simply be 'numb' ? or do dead neurons just transmit confused/painful signals to the brain

Second question if I may, Can one neuropathic 'process' cause these two 'types' of pain. I have the burning skin type of pain (that we've discussed) and additionally pain that feels like it's deeper within my hands and feet, a 'shooting' or 'aching' pain. It feels like it's *in* my hands. This pain is becoming increasingly worrying to me. If I could describe my hand pain like this, that someone (probably Satan) has inserted an I.V. into my wrists and pumped warm acid into my hands , and my feet just feel achy, like I have been on them all day, even if I have not. The only numbness I get, as I mentioned above, is in either of my little fingers at night, but it goes when I shake my hand and straighten my arm/arms

Does this distal hand/feet pain sound like 'small fiber' (or is that only the skin) or demyelinated axons or some other process? and how does the 'die back' process work? does it continue even following discontinuation of toxic exposure (assuming that is the cause) I assume the two kinds of pain are linked as they started within days of each other? I have not had any Nerve Conduction Studies as yet, because, of course, according to the Neurologist, this is all in my head. (yeah, cause I just love spending money on neurologists for my pretend-make-believe pain - like I don't have hobbies that are cheaper and more fun !?)

Any light shed on this would be much appreciated as always