Thank you everyone for your replies. I'll try to answer everyone's questions below.
My symptoms are extreme burning, I'm not sweating properly, I have temperature loss up my arms, skin hypersensitivity, warm water sensations, pins and needles etc. I was an elite mountain bike racer in Lyme endemic Wisconsin prior to all my medical problems. I had more tick bites in a week than most people experience in a lifetime, so there is no mystery how I got into this terrible situation.
My presentation of SFN is known as non-length dependent - meaning I have burning on my face and trunk in addition to my extremities. I'm on 2400 mg of gabapentin, 25 mg of Nortriptyline and 3mg of LDN, just so I can live my life....but it's difficult with all the searing pain.
My symptoms started acutely in FEB 2014 (but I had milder symptoms before that). Buring started in my ankle and spread over my body in a number of weeks. The pain was awful and I almost had to quit my job. It was all terrifying I was at urgent care and the ER several times. My primary (who I fired) told me that I had fibro, which is ridiculous. No one took me seriously until I finally got into the neurologist at the teaching hospital. I also experienced hyperacusis in my left ear, the nerve in my ear was damaged so my balance is off, and I have atypical face pain (trigeminal neuralgia type 2). My PT who specializes in neurology wants me to see an autonomic cardiologist because she thinks I have damage there as well.
Lyme was found via the iSpot test. I started oral antibiotics in OCT 2015 and did them for 1 year. I recently had a PICC line placed and have been doing IV antibiotics for the last 3 weeks. MY LLMDs want me to do IV for 3-6 months. So far my hands have gotten better, the burning on the back of my head has stopped and my atypical face pain continues to improve....but I have a long way to go.
Small fiber neuropathy is immune-mediated per all the top LLMDs - Dr. B, Dr. H, and Dr. J, which is why they all recommend IVIG and have never seen people it heal without it. There are no to little myelin in your small fiber nerves (A delta and C), which means they take a longer time to heal than someone who has large fiber damage (which I have damage in my peroneal nerve too). And they don't always grow back in the same way, which leaves some people with symptoms.
Here is one of the best graphics that explains how all nerves are constructed.
VIEW IMAGEDr. J talks about
SFN and IVIG.
lymemd.blogspot.com/2013/04/peripheral-neuropathy-very-common-lyme.htmlDr. J with a complex CIPD patient.
lymemd.blogspot.com/2009/01/lyme-and-cidp.htmlScroll down to #12. Dr H. talks about
SFN, CIPD presentations, and resistant neuropathies. He also talks about
immune mediated SFN in his book, Why can't I get Better?
/travelerslymelinks.wordpress.com/2016/04/23/dr-richard-horowitz-question-and-answer-session-5112015/I've also heard Dr. H say that the myelin on your large fiber nerves looks like the tail of the flagella. Your immune system gets confused when it goes after it and creates antibodies against the myelin, which is how it gets damaged.
I appreciate all your personal stories and ideas how to approach this neuropathy problem. I'm encouraged that many of you have improved your health situations. I'm going to take all your suggestions listed in this thread to heart and start trying some of these things. I definitely look forward to participating on this message board.
Post Edited (madisongrrl) : 11/1/2016 8:22:08 PM (GMT-6)