Small fiber neuropathy is really an interestingcondition because it consists typically of just burning, numbness, pain of the feet,sometimes the hands later on without necessarily having any abnormalities on your EMG or nerveconduction study. So what I tell patients and actually residents or students who trainunder us is that a normal nerve conduction study does not exclude a neuropathy. And wewill confirm this by doing additional testing, specifically the nervous the the examinationat the bedside asking patients about their symptoms, for example, loss of sensation tocool or or hot temperatures, loss of pain sensation and also doing skin biopsies wherewe look at nerve densities in the skin both
from the calf and the thigh as well as doinga special test that looks at sweat function both in your foot in in the legs as well asthe feet to gauge the level of small fiber nerve damage. Small fiber neuropathy typicallywill progress unless the underlying cause is identified and reversed. Diabetes of coursebeing the most common cause is always screened for. But once the more common causes are excludedand the focus becomes on excluding any underlying secondary disease process but also controllingpain because if patients’ symptoms of pain are generally controlled they tend to do prettywell and really have no other major functional deficits. I’ve really become interested overthe years is how interconnected neurology
and rheumatology are and one thing I oftendo on patients who have unexplained small fiber even autonomic neuropathy is have themsee rheumatology or get evaluated for connective tissue disorders like lupus or Sjogren’s orsarcoid and sometimes even if we are not directly involved in treating the patients, this canbe the first sign of an underlying connective tissue disorder that can then be brought tothe attention of rheumatology and addressed from their standpoint..
Peripheral Neuropathy Treatment Success
Today we are here with Amir, he came intoour office Valentine Chiropractic originally by driving by and seeing our our previousads in the newspaper regarding Laser and Decompression treatments. He came in with Plantar Fascitisand came to realize after being examined that he really had Peripheral Neuropathy. He wentto Kaiser, tried to put him in a cast for 4 weeks and he started to lose strength inhis legs, he was also on pain pills which were making him violently sick. He was lookingfor some other modality to help him, he felt there had to be something out there that couldhelp. I happened to be driving by your building and i looked and saw that you talked aboutbeing Gluten Free and Peripheral Neuropathy,
so I called and talked to your brother DrLeonard Valentine and had a good conversation and felt very comfortable that you guys couldhelp me with my chronic plantar fascitis. The pain I had was not just in my heels it wasthe whole bottom of my foot hurt plus my heel and Kaiser was telling me it could come fromyour back so they did back xrays, nothing showed up on my back xrays, so then theysaid it was my weight. It turns out it wasn’t my weight it turns out I had another ailment,that needed to be treated and healed, so now since starting treatment which has been about2 weeks and the whole bottom of my foot and my heel that I’m not feeling any pain in.So this is the first time in 2 years that
you have gone 2 weeks without any pain atall? Correctthat’s is phenomenal and being off pain pills for a month, that has beenthe first time in 2 years. What would you say to those people all around the world whosuffer with plantar fascitis or peripheral neuropathy? We work with people all arounddifferent states who suffer with this very same problem, we can help those people aslong as they are willing to reach out. What would you say to the people else where sufferingwith Peripheral NeuropathyI would say this program works, I haven’t even been in thisprogram 7 weeks, maybe 57 weeks this has got to be the program that is going to helppeople, I have found nothing else to help
meyour program is wonderful for treatingand fixing people with Plantar Fascitis or Peripheral Neuropathy..