FPN Webinar: Small Fiber Neuropathy with Amro Stino, MD

Small fiber neuropathy (SFN) is a common, yet underappreciated, subclass of peripheral neuropathy. While SFN shares many features with large fiber neuropathy, it has unique aspects in its evaluation and management that warrant particular attention. In this talk, Dr. Stino will review approaches to the diagnostic evaluation, testing, workup, and pain management of SFN. The aim of the talk is to assist patients struggling with small fiber neuropathy seek appropriate care and to be aware of research developments in the field.
The Foundation for Peripheral Neuropathy (FPN) is pleased to welcome Amro Stino, MD, from Michigan Medicine, to present on this form of neuropathy.
Webinar held live July 11, 2022.

[@chikaokolo4929]

You explained this very well.

[@echuderewicz]

Thank You. Very helpful

[@ajowka1]

Excellent lecture. It is very informative and helpful in my practice.

[@donnamartinez777]

My neurologist said because they had to do a skin biopsy to find it i barely have it. Anyone know what that means? If i barely have it and a pair of socks against my skin is terribly painful and forget the cold. When i get cold its the worst pain ever, over most of my body. Lucky i barely have it because i can barely handle it... Knocks the wind right out of me and i cant get up off the floor for weeks.

[@IAMYUNGGAF]

Means your doc is an idiot. Some doctors just say anything

[@shaunanorman4804]

I have horrible nerve pain have had for years. I have all the symptoms sryogens syndrome but my lip biopsy was negative. Have had a EMG it was negative

[@rrmother3748]

Make sure to get retested for Sjogrens at a later date. A lot of folks that get a negative result the first tiime end up with a positive biopsy a year or so later.

[@jfouts1979]

What can cause High B12 in serum levels? Is there a way to test for intercellular levels? Melamalonic Acid? Homocysteine levels? Is there a way to test for all B levels as related to the TCA cycle? Also - I noticed you had not mentioned Copper Deficiency, but it can absolutely lead to myelopathy and peripheral neuropathy......

[@benji-5796]

Where are the cell bodies located? In the dorsal root Gangilon?

[@muriellecurcio1494]

Is there evidence of vitamin B6 toxicity caused by vitamin regimen and or high B6 foods as a plausible cause for small fiber? A high B6 plasma lab result has peaked this question.