This was published in '98, but take a look and tell me what you think:
http://www.aafp.org/afp/980215ap/poncelet.html

Nothing's perfect, but that is one of the good ones some of us having been passing around for years.

Good on ya for posting it again!!

rose

Bob,
I think this is one that GlennT posted in the "stickies". I agree with Rose that it is one of the better ones.

Billye

Bob:

I went to the algorithm information.

It said this,"Nerves are composed of different types of axons. Large, myelinated axons include motor axons and the sensory axons responsible for vibration sense, proprioception and light touch. Small myelinated axons are composed of autonomic fibers and sensory axons and are responsible for light touch, pain and temperature. Small, unmyelinated axons are also sensory and subserve pain and temperature. Neuropathies involving primarily the latter two fiber types are called small-fiber neuropathies."

If you think I can understand most of that, forget it. So here's my question. I have diabetes and most recently, I burn, and then I freeze (only my feet). I don't have pins and needles. I only had the pins and needles (and burning) on the day the podiatrist used that vibrating tool on me. Never got the pins and needles again. I have burning and freezing of the feet),I can feel everything that touches any part of my feet (except for the tips of my toes, at least that's what my doctor at Cornell told me). I don't have any problem with sheets being on my feet, or socks or anything like that. I don't have any stabbing, or electric shocks. And the B-12 methyl seems to make the burning much less problematic.
So what do I have?? Small fiber, large fiber, axonal, large mylinating, demylinating, sensory, WHAT???? Your best guess!!!!!

Thanks, Melody

I can across that one some years back just crusing the net - and even gave a copy to one of my docs - who thought it was really good... I tried to see the author as a patient - but she's 400 miles north of me - so found help locally...

but yes, its a good article......

Predominately small fiber neuropathy with the unmyelinated axons being damaged to the greatest degree.