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Old 03-04-2015, 05:54 PM #1
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When I was diagnosed with idiopathic SFN last year, my neuro prescribed a low dose of gabapentin to see if it might help with symptoms. After three months, I wasn't convinced it was helping, so I had a choice of either increasing the dosage or stopping. I opted to stop primarily because I'd rather not take any medication long-term if I don't have to.

While my symptoms have improved some, I still have a lot of discomfort with some days worse than others, but I'm just trying to cope with it. If worse comes to worse, I'll turn to cannabis which is what a lot of people here have reported helps tremendously.

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Originally Posted by canagirl View Post
Hello,

I have read many posts about people stopping their medication even though they say it was helping them. why is that? did the pain get better? I'm in sooo much pain right now I can't imagine stopping something that helped. I am not on medication right now but the pain is unbearable and I really need to try something. I am already taking supplements but they don't seem to be helping (r-lipoic acid, "nerve fix", vitamin e, vitamin c, vitamin d) I was taking b12 but my dr said my levels were very high so to stop that.

Does the pain get better? It's been about 6 months of pain and it's only getting worse. I really need to know if it gets better for most people or only worse?
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Old 03-04-2015, 06:04 PM #2
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I thought small fiber neuropathy as well (b/c what else can cause all these symtpoms?!!!?) However, the neurologist doesn't feel I have this b/c her clinical testing shows no evidence. I'm trying to get the test done on my own but it's really expensive $2000US dollars. Not only that, this test isn't performed here in Canada, there are twp dr's that will perform the biopsy and send it to the US but trying to get in is impossible.

Has anyone else been diagnosed with SFN when their neurologist said "I don't think so"?
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Old 03-04-2015, 08:22 PM #3
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I thought small fiber neuropathy as well (b/c what else can cause all these symtpoms?!!!?) However, the neurologist doesn't feel I have this b/c her clinical testing shows no evidence. I'm trying to get the test done on my own but it's really expensive $2000US dollars. Not only that, this test isn't performed here in Canada, there are twp dr's that will perform the biopsy and send it to the US but trying to get in is impossible.

Has anyone else been diagnosed with SFN when their neurologist said "I don't think so"?
Yes, mine said my symptoms were skin disturbances and alluded to me being anxiety ridden and causing my symptoms. An internist luckily FINALLY listened and did the skin biopsy, and now there is a little difference in the way I am treated.

I have progressed and now have autonomic involvement too.

Hope you can get someone to listen to you soon.
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Old 03-06-2015, 10:47 AM #4
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Quote:
Originally Posted by canagirl View Post
I thought small fiber neuropathy as well (b/c what else can cause all these symtpoms?!!!?) However, the neurologist doesn't feel I have this b/c her clinical testing shows no evidence. I'm trying to get the test done on my own but it's really expensive $2000US dollars. Not only that, this test isn't performed here in Canada, there are twp dr's that will perform the biopsy and send it to the US but trying to get in is impossible.

Has anyone else been diagnosed with SFN when their neurologist said "I don't think so"?

I had chemo for a rare uterine cancer....the chemo was a combo of taxol/carbo. They said I was pre-diabetic going into this and the chemo jumped my A1C up to 8.7. A month after chemo ended I could barely walk. That was in May 2013.....had to be my own advocate after PCP ran all the normal tests (complete blood work for neuropathy, back x-rays, neck MRI, and the 2 nerve tests, can't remember the names now) I knew absolutely nothing about neuropathy and the nerve specialist that ran the tests was really snarky and said I had very mild symptoms within the normal range. I was in so much pain and had no idea what to do. Went to a foot and ankle dr....he agreed with the PCP that it was neuropathy caused by diabetes/chemo. He was the first dr I saw that mentioned small fiber neuropathy. I read about it and called and asked him to do a biopsy. I was crazy at that point to find out what was wrong and give a name to it. My PCP had put me on a small amount of gabapentin and was giving me hydro. The skin biopsy confirmed severe small fiber neuropathy. I had no A and C fibers left in my feet.

So the journey began.....I started seeing a neuro (we are limited here in neuro's and I was not fond of this one) I could no longer drive and had to (still have to) sit in the back seat with my feet up off the floorboards (the vibrations of the car set my feet off). I got up to 2700 mg of gabapentin and started hearing voices in other rooms......muffled voices and music.....I had to go back down to 1800 mgs a day to get rid of this side effect which was very unsettling.

I stayed on the hydro (against my neuro's advise) and then he added Cymbalta. It also caused mental issues if I got above 30 mgs. But I stayed on the 30 for awhile because it helped clear my head which was always foggy. Then he tried Lyrica....that gave me a horrible stomach ache. Like you have as a kid when you eat too much cotton candy. He made me stay on it 3 weeks because he said he had NEVER heard of this side effect....well it didn't go away until I stopped the Lyrica. During the Lyrica phase I came off the gabapentin. Then I had proof the gabapentin helped some so I was able to go back on it after I came off the Lyrica.

I was told by 3 dr's that there was nothing else to be done except pain management. All suggested I go to a pain mgmt. clinic. I finally broke down last Sept/Oct and went. It was the best decision I have made since this started. He started me off on a BuTrans patch at 5mcg/hr with Percocet for breakthrough pain. I've titrated up and will start a 15mcg/hr patch this Saturday. I have to use the Percocet everyday so it's really not for breakthrough pain at this time but part of the pain plan. We're working toward getting the patch up to give me enough relief that I do only use the Percocet for breakthrough pain.

It's a slow process but I have gotten some pain relief from this mixture of gabapentin, BuTrans patch and Percocet.

My pain dr seems to think my best bet will be a SCS. I am not ready for that and may never be. Scares me to death to think of having something implanted in my back.

Sorry this was so long and thanks to anyone brave enough to read this small novel.

You people are amazing and even though I don't post a lot now (due to pain, depression) I do follow everyone on here.

Personal info: female, will be 53 in May, married to Bubba for 35 years, 2 grown children and 6 grandchildren, 2 chi-chi's (Charlie and Angus) and Bob.....my 20 lb cat ! Also outside cat "Black Kitty" because I never gave him a name...lol....Filed for disability and was approved in 2013. And St George Island is my favorite place in the whole world.

Debi from Georgia
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Old 03-04-2015, 06:08 PM #5
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Default Please help a struggling newbie! SFN & Massage

Hi all,

Does massage cause extreme burning pain for anyone? I thought it was supposed to promote blood circulation and healing so I gave it a try. During the massage I felt great. However, all night and all day today I have had EXTREME burning. The last time I tried to do some light stretching this happened as well but not to this degree. What's going on?
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Old 03-04-2015, 06:42 PM #6
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Deep message is not for me. Talk about burning. Not certain that any kind of message, except very very light, would be okay for me. Just me.
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Old 03-04-2015, 08:19 PM #7
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Quote:
Originally Posted by canagirl View Post
Hi all,

Does massage cause extreme burning pain for anyone? I thought it was supposed to promote blood circulation and healing so I gave it a try. During the massage I felt great. However, all night and all day today I have had EXTREME burning. The last time I tried to do some light stretching this happened as well but not to this degree. What's going on?
Yes, I am no longer able to tolerate massage and I have SFN.

Hope it gets better for you.
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Old 03-04-2015, 11:24 PM #8
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Quote:
Originally Posted by canagirl View Post
Hi all,

Does massage cause extreme burning pain for anyone? I thought it was supposed to promote blood circulation and healing so I gave it a try. During the massage I felt great. However, all night and all day today I have had EXTREME burning. The last time I tried to do some light stretching this happened as well but not to this degree. What's going on?
Absolutely. When my symptoms first came on, the came on hard. I would have delayed pain and burning after I did just about anything. It was so scary and confusing that I didn't know what to think.

A chiro did active release therapy on my leg (when we were still trying to figure out my issues at onset) and it landed me in the ER a few days later. I would get my hair cut and colored and I would wake up with burning on the back of my head. I had reactions to massages so I had to stop. I remember not sleeping for several days at a time due to all this pain. I can say that it was the worst time period of my life.
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Old 03-04-2015, 11:27 PM #9
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You said when this first came on it was at its worst. Has it gotten better? What are doing for pain relief?
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Old 03-04-2015, 11:38 PM #10
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You said when this first came on it was at its worst. Has it gotten better? What are doing for pain relief?
I'm one year in and still struggling. I'm on 2400 mg of gabapentin and 10 mg nortriptyline. But when my symptoms first came on, I could barely work and almost went on disability. There was burning all over my body - especially face, back of my head, neck, and arms. My lower half is impacted as well.

Now, my body pretty much burns and buzzes every single day. But at least I can say that I sleep. The burning is very hard to deal with but it's not like it was at onset where the pain was surreal. I really have to watch the temperature of the showers that I take because they can cause me to burn later in the day.
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