What is small fiber neuropathy?
Small fiber neuropathy damages the small nerve fibers that carry pain and temperature. It often causes burning, prickling or electric pain in the feet, sometimes the hands, while standard nerve conduction tests are normal. Diabetes and prediabetes are common causes, along with some autoimmune and other conditions.
Common signs
- Burning or prickling feet with normal standard nerve tests
- Pain that is worse at night
- Diabetes or prediabetes
How it's evaluated and treated
Diagnosis often uses a skin biopsy that counts small nerve fibers, plus blood tests for causes. Treatment addresses the cause and uses medicines for nerve pain; neuromodulation may help selected patients.
Recovery and outlook
Symptoms often improve when the cause is treated, though some pain may persist.
When to get help now
See a doctor for rapidly spreading numbness or weakness.
Related care
Where to get care at Specialty Medical Center
Our interventional pain physicians see patients in Dearborn, Sterling Heights (15 Mile and Schoenherr Rd), Garden City and Pontiac, with online booking in Dearborn and Sterling Heights. Part of Specialty Pain Management.
Eduardo José Otero Loperena, MDInterventional pain medicine
Mohamed Osman, MDPain management
Aaron Greenberg, DOPhysical medicine and rehabilitationWho performs procedures, and where:
- Dr. Eduardo José Otero: Universal Care Surgery Center
- Dr. Mohamed Osman and Dr. Aaron Greenberg: Universal Care Surgery Center and Advanced Surgery Center
- Dr. Roy Torcuator: Advanced Surgery Center and Garden City Hospital
Office injections are done in our offices. Your physician confirms who performs your procedure, and where, at your consultation.
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This page gives general information. Your physician will explain whether a treatment fits you, its risks and the alternatives.
