Hello,

I'm so impressed with all the kindness and cleverness I see here on this forum, it really gives me hope for humanity.

I've had small fiber neuropathy for about 2.5 years. It began with my ankles and feet in August of 2009 and then progressed to my hands a year later, at which point I went to Cleveland Clinic, was diagnosed, and prescribed Pamelor (generic name for neurtriptyline). That worked perfectly for about six months, but then my shoulders began to hurt after they were strained. They very gradually recuperated, not reaching normal shape but improving, until this December, at which point I again set them back and my knees started to hurt for nothing. Now, my mid arm area is beginning to hurt. Neither neurtriptyline nor anti inflammatories nor cymbalta help with the pain, and it all hurts worse when I use any part of my body (ankles, knees, shoulders, mid arms, hands).

Since the neuropathy started, I've healed much more slowly than before from small cuts and things like that, and I worry it also retards my muscle growth. Alternatively, I fear an underlying condition that would move in that order of progression, bouncing around and hurting all my extremities. Any ideas? I've generally eaten lots of sugar in the past, but also always gotten enough vegetables and fruits, and I've tried months of elimination diets, and nothing has helped. I'm really scared about worsening, and I've done many of the general things on this board (vitamins B, D, C). Does anyone recognize the degenerative process I've gone through, or have advice on more things to try using to diagnose or treat my pain?

Thanks.