Thank you Mrs.D for a quick reply.
I dont have numbness and tingling. Its all pain.

This article was just sent by my husband.

http://neurological-disorders.org/ne...ed-by-anxiety/

The title of the article says it all but, it does not say anything about painful sensations.

I disagree with some of what your doctor said about testing in regards to Sjogren's...because I have personal knowledge that patients can be entirely sero-negative (including ANA panel) and still have a positive lip biopsy confirming the diagnosis. But this is not uncommon for doctors outside of the rheumatological field to misunderstand autoimmune disease.

Your findings are confusing in some ways...being that nothing shows, even on skin biopsy, BUT there are many causes of PN so I wouldn't discount PN as the culprit. You do seem to have some anxiety over this and that alone may be exasperating your symptoms to some degree, but I doubt it's the 'cause' of the problem as a whole.

Thank you en bloc. I am confused myself about my condition. It will now be probably more difficult to move forward to get further tests. Even my PCP will now confer with the neurologist's suggestion.
I agree that I am anxious with my condition esp. when its too painful alongside diificulty breathing, who would not?

Maybe it's a difference in interpretation or experience, but I definitely consider
to be painful sensations.
Your doctor may be suggesting that he thinks some of your symptoms could be psychogenic in nature.
Psychogenic pain is every bit as real as organic pain, and can have the same physiological effects on both body and mind. I would take what your doctor said (above) to mean that he believes you and takes you seriously, but he is somewhat stymied. I think he wants to help you but this area of medicine is outside of his expertise. It does not mean that he (or I, or anyone) thinks you're making anything up or disturbed or anything of the kind.

Psychogenic disease can go beyond pain to virtually any/every kind of symptom. Patients can be completely/totally unaware of the underlying causes(s), and like organic medicine, it can take some time to put together clues/pieces of the puzzle.

At this point, I would look at it as just another avenue/possibility to explore or rule out.

Doc