Small Fiber Neuropathy

Low-glycemic anti-inflammatory diet critical (even if not diabetic, blood sugar control protects nerves), eliminate refined sugars and carbohydrates, adequate B vitamins from food (grass-fed meats, wild fish, eggs, leafy greens), omega-3 rich foods, antioxidant-rich colorful vegetables and berries, alpha-lipoic acid from red meat and organ meats, avoid alcohol completely (toxic to nerves), eliminate gluten if celiac or sensitivity, avoid high omega-6 vegetable oils (pro-inflammatory), adequate protein for nerve repair, healthy fats for myelin.

Tight blood sugar control if diabetic or prediabetic (prevents progression), protect affected areas (inspect feet daily, proper footwear, avoid injury), manage pain (acupuncture, TENS unit, capsaicin cream, lidocaine patches), physical therapy and balance training (prevent falls from numbness), stress management (stress affects pain perception), adequate sleep (nerve repair during sleep), avoid smoking and alcohol (worsen neuropathy), treat depression common with chronic pain, address medication side effects, cold therapy or warm therapy depending on what helps individual.