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Burning, stinging, or “pins and needles” nerve pain can sometimes come from the small nerve fibers, a condition called small fiber neuropathy. These nerves help control pain, temperature sensation, and parts of the autonomic nervous system, so when they’re affected people may notice symptoms like: • burning or electric-type pain • tingling or pins and needles • increased sensitivity to heat or cold • pain in the feet or hands • sometimes symptoms like dizziness, sweating changes, or heart rate changes One thing that makes this confusing is that standard nerve tests (like EMG/NCS) can sometimes be normal, because those tests mainly evaluate the larger nerve fibers. In some situations, doctors may use specialized testing such as a skin biopsy to evaluate the small nerve fibers. This testing is typically coordinated through neurology. Small fiber neuropathy can have many causes, including metabolic, neurologic, and autoimmune conditions. In rheumatology, it can sometimes be seen in association with autoimmune diseases such as Sjögren’s syndrome, lupus, or sarcoidosis. Because symptoms can overlap with other conditions, evaluation usually involves a detailed history, exam, and additional testing when appropriate. Save this if nerve pain symptoms are something you’re trying to understand.  ⏭️ Tomorrow we’ll talk about another symptom many patients describe — burning feet at night. #autoimmunedisease #smallfiberneuropathy #nervepain #autoimmuneawareness #chronicillnesscommunity

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