Small Fiber and Painful Neuropathy
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Small fiber neuropathic abnormalities are somewhat different, finer, and little difficult to understand and hence have been treated in this chapter. Pain is the intimate sensation associated with these. A somewhat deeper understanding of pain-related issues will help the clinician to communicate the nature of painful neuropathies and the partial results obtained in its treatment. Pain and thermal sensations are injurious to the body if the acuteness of these is grossly reduced. These are also among the early neural fibers that are damaged before the larger nerve fibers are damaged. That is why its earliest possible diagnosis becomes important to prevent further damage to the tissue. Excellent laboratory support for this detection is available and is described in detail. The treatment of this is described separately in a later chapter.
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