A BURNING PROBLEM: SMALL-FIBER NEUROPATHY
A small-fiber neuropathy (SFN) should literally keep patients on their toes.
While doctors will try to alleviate the condition that causes SFN, the patient that wants to ameliorate his symptoms would be well advised to run, or at least walk briskly, on a regular basis.
Many patients with SFN have uncontrolled diabetes, even mild diabetes or glucose intolerance (a pre-diabetic state of hyperglycemia), and typically they are overweight, have high blood fat levels (triglycerides). Other patients may have a vitamin B12 deficiency or suffer from hypothyroidism, Sjogren’s syndrome, lupus erythematosus, vasculitis, sarcoidosis, celiac disease, HIV, Fabry disease or fibromyalgia amyloidosis. They also may be taking chemotherapy and even suffering from alcoholism.
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