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Dr.Todd Levine, Small Fiber Neuropathy, Corinthian Reference Lab
Dr Todd Levine,
Medical Director and Neuropathologist for Corinthian Reference Lab, explains our Diagnostic Algorithm for Small Fiber Neuropathy.
Having analyzed over 50,000 specimens, we have seen a separation into 4 distinct pathologic phenotypes.
These Isolated Small Fiber Neuropathies can be defined by performing 3 biopsies on each patient to characterize the distribution of abnormalities.
This new Corinthian Reference Lab report will guide the medical provider to the clinical and laboratory workup that will hopefully diagnose the root cause of the Neuropathy.
www.corinthianreferencelab.com
zhlédnutí: 981

Video

Small Fiber Neuropathy skin biopsy procedure
zhlédnutí 19KPřed 6 lety
The Epidermal Nerve Fiber Density Skin Biopsy demonstration Presented by Kathie Clarke of Phoenix Neurological Associates. Made for Corinthian Reference Lab www.corinthianreferencelab.com
Small Fiber Neuropathy Testing, Corinthian Reference Lab
zhlédnutí 1,4KPřed 8 lety
If you have burning, numbness, and tingling, then check out this video explaining the process of the Small Fiber Neuropathy testing and Corinthian Reference Lab. www.corinthianreferencelab.com
Small Fiber Neuropathy in Fribromyalgia Presentation by Todd Levine MD Corinthian Reference Lab
zhlédnutí 32KPřed 9 lety
"Linking Small Fiber neuropathy, Chronic pain and Fibromyalgia Webinar " by Todd Levine M.D. www.corinthianreferencelab.com (855) CRL-LABS
Small Fiber Neuropathy Skin Biopsy Procedure
zhlédnutí 5KPřed 12 lety
Describing the procedure for administering a skin biopsy to test for small fiber neuropathy.
Small Fiber Neuropathy Skin Biopsy for focal neuropathic pain
zhlédnutí 256Před 12 lety
In this video we discuss a positive Epidermal Nerve Fiber Density result and how this can impact treatment for patients who have focal neuropathic pain. For more information, please visit: www.corinthianreferencelab.com
Recommended Skin Punch Biopsy sites for Small Fiber Neuropathy Testing, Dr. Todd Levine
zhlédnutí 1,3KPřed 12 lety
In this video we discuss the recommended punch biopsy sites for a patient that has wide spread neuropathic pain. Corinthian Reference Lab (855) CRL-LABS www.corinthianreferencelab.com
In Office Skin Biopsy for Small Fiber Neuropathy Corinthian Reference Lab
zhlédnutí 523Před 12 lety
Performing In Office Skin Biopsies for Small Fiber Neuropathy Corinthian Reference Lab (855) CRL-LABS www.corinthianreferencelab.com
Chronic Regional Pain Syndrome CRPS and Small Fiber Neuropathy
zhlédnutí 563Před 12 lety
Small Fiber Neuropathy Testing Corinthian Reference Lab www.corinthianreferencelab.com
Treating small fiber neuropathy after a positive small fiber skin biopsy
zhlédnutí 4KPřed 12 lety
What do you do when the Small Fiber Nerve skin biopsy (SFN) reveals abnormalities? The results of a small fiber nerve skin biopsy allow practitioners to definitively diagnose nerve damage and then look for a root cause of the nerve damage. Additionally if it is found that a patient is experiencing symptoms from a neuropathic cause, treatments can be better directed to relieve the symptoms. If y...
Crossover of Small Fiber Neuropothy and Fibromyalgia? Dr. Todd Levine
zhlédnutí 3,2KPřed 12 lety
Some patients who have been diagnosed with Fibromyalgia may also experience the symptoms of burning, tingling, numbness or stabbing sensations in varying regions of their body. These neuropathic symptoms are not typical and consistent with the diagnostic criteria of Fibromyalgia. Recent data and multiple peer reviewed papers have proven that over 50% of patients with the diagnoses of Fibromyalg...
Complaints of Neuropathic Pain, Small Fiber Neuropathy Testing Corinthian Reference Lab
zhlédnutí 597Před 12 lety
What do you do when your patients complain of numbness, tingling, and pain and your EMG nerve conduction study comes back normal? Performing a Small Fiber Neuropathy skin biopsy can reveal damage to the small fiber nerves that are causing widespread burning, numbness and tingling. Corinthian Reference Lab @ 855-275-5227 www.corinthianreferencelab.com

Komentáře

  • @leaveittolefty
    @leaveittolefty Před 25 dny

    He is my doctor

  • @dustygatrell-ru7tg
    @dustygatrell-ru7tg Před 2 měsíci

    People in benzo withdrawal need to start trying to get this done. Because benzos csuss nueropathy.

  • @tommyboywalker
    @tommyboywalker Před 3 měsíci

    I was diagnosed with CRPS in my right foot in 2008 after having 2 successful surgeries on that foot. Fast forward to June of 2024. Symptoms of numbness, tingling, sweating changes, dry mouth, dry eyes, bowel issues, heart palpitation, electric shocks (I call them zingers). After a skin biopsy confirmation, I was diagnosed with Small Fiber Neuropathy. Thank you very much for this video. I am trying to put all the pieces together and this helps!!

  • @LD-er5zy
    @LD-er5zy Před 3 měsíci

    was told Intravenous IV-IG can reduce Small Fiber Neuropathy via regular Intravenous administration. Recently I was introduced to a oral capsules by METACURE. The Revive Alpha Lipoic Complex with Curcumin is much faster than Intravenous IV-IG and ALA. The SEVERE NERVE PAIN, TINGLING AND BURNING are reduced about 90% to 100% in one to two weeks. The NUMBNESS is slowly going down though takes much longer.

  • @MYRIAMLATEUR
    @MYRIAMLATEUR Před 4 měsíci

    The first doctor who explained me exactly what i am coping with! Thank you so much!

  • @walkingtall6004
    @walkingtall6004 Před 9 měsíci

    Is it true that one bad side effect could be permanent pain and or numbness in the biopsy areas? If so, that’s very disheartening. 😞

  • @teribaggett1595
    @teribaggett1595 Před 9 měsíci

    Why is your lab charge $3000 to read this biopsy?

  • @susankapur4364
    @susankapur4364 Před 9 měsíci

    Thank you. I have neuropathy involving my torso. Trying to find neurologist familiar with small fiber neuropathy.

  • @susankapur4364
    @susankapur4364 Před 9 měsíci

    Excellent presentation! Thank you!

  • @SnailHammer
    @SnailHammer Před 9 měsíci

    Thank you for making a concise video without the extra rambling that I find in others.

  • @DrLivelovelaugh
    @DrLivelovelaugh Před 10 měsíci

    What if all 3 sites come up near zero?

  • @hawk28912
    @hawk28912 Před 10 měsíci

    would the punch biopsy at the ankle pickup damage in ur feet

    • @Enjolez
      @Enjolez Před 9 měsíci

      I am wondering the same. Most of my burning and numbness is in feet too.

  • @michaelfraser6997
    @michaelfraser6997 Před 11 měsíci

    ive had symptroms for 6 yrs from b6 and my results from my skin biopsy this past july are negative idk wat to doo

  • @B6Toxicity
    @B6Toxicity Před 11 měsíci

    B6 toxicity can create small fiber neuropathy.

  • @sandracanaspayton4322
    @sandracanaspayton4322 Před 11 měsíci

    How could i get tested

  • @sandracanaspayton4322
    @sandracanaspayton4322 Před 11 měsíci

    I have sjorens and have a lot of nerve pain pain

  • @sandracanaspayton4322
    @sandracanaspayton4322 Před 11 měsíci

    I have sjorens and have a lot of nerve pain pain

  • @sandracanaspayton4322
    @sandracanaspayton4322 Před 11 měsíci

    I have sjorens and have a lot of nerve pain pain

  • @sandracanaspayton4322
    @sandracanaspayton4322 Před 11 měsíci

    How can i be tested

  • @citlalie9791
    @citlalie9791 Před rokem

    SJOGRENS CAUSED MY SMALL FIBER NEUROPATHY

  • @nawluck
    @nawluck Před rokem

    I have nerve pain in my hamstrings and hands .. should the Dr. Still do the punch test biopsy on the side thigh or should I have him do it wear the pain is?

  • @ddworsham
    @ddworsham Před rokem

    Thank you, Dr. Levine. Very much appreciate the video. Would value seeing more content around SFN.

  • @nancylicho3538
    @nancylicho3538 Před rokem

    Awesome video. I was an athlete, and I am 49 and feel 89. I just had my skin biopsy today. Can't wait to get to the bottom of my 4 year battle with devastating pain. 🙏

  • @1128tlcny
    @1128tlcny Před rokem

    I was diagnosed with sjogrens when I started experiencing nerve pain, numbness, etc. A neuromuscular neurologist did a small punch biopsy. It was negative. My doctor did try though to treat symptoms, unsuccessfully. I pushed to have the biopsy repeated so that I could try ivig. The neuromuscular neurologist refused to repeat it. I tried getting into Cleveland clinic. They refused to even see me. I tried getting into Johns Hopkins. They refused to see me. Two years later, I finally found a doctor who would repeat the biopsy. It was positive for sfn, and quite severe. I was finally prescribed ivig. I have been on it for 6 months and feeling better.

  • @lesleysears9808
    @lesleysears9808 Před rokem

    Thank you for a great class.❤

  • @gracerobertson8772
    @gracerobertson8772 Před rokem

    why do you think small fiber neuropathy would relate to the symptoms of chronic fatigue syndrome?

  • @samoo8933
    @samoo8933 Před 2 lety

    Can SFN induced by antiboics regenrate ?

  • @sadieabbey3275
    @sadieabbey3275 Před 2 lety

    Can one have SFN that presents as just bilateral muscle pain in arms and legs?

  • @citlalie9791
    @citlalie9791 Před 2 lety

    Wear a mask 😷 lol

    • @NickUncommon
      @NickUncommon Před měsícem

      The original video is way before the most recent pandemic

  • @freecat1278
    @freecat1278 Před 2 lety

    Well, that makes a lot more sense lying down than standing & bleeding all over yourself. Mine was about .45 caliber sized & required stitches.

  • @mgs783
    @mgs783 Před 2 lety

    Here it is 2021 and years of dealing with painful small fiber neuropathy and this presentation educated me more than any specialist treating me! Thank you for all the excellent explanations. This is incredibly helpful as a patient!👍👍👍👍👍👍👍👍👍👍👍👍👍

  • @lindadowling4572
    @lindadowling4572 Před 2 lety

    Excellent presentation lots of interesting information and help for people out there who might be recently diagnosed with this condition or who night need support in getting the right people to help them.

  • @dawnlong6493
    @dawnlong6493 Před 3 lety

    I have connective tissue disease, fibromyalgia and was just diagnosed with SFN. Everyday is a challenge getting dressed, going to work, smiling, being optimistic. I try. I used to be a very positive happy person. These diseases are ruining me. NEED ANSWERS, NEED HELP, NEED TO FEEL GOOD AGAIN>

    • @engageonline9912
      @engageonline9912 Před 2 lety

      Look into IVIG and steroids...also new drug in late stage trials called ARA290

    • @kittycunningham7447
      @kittycunningham7447 Před rokem

      I am suffering for 30 years. Get a bit relief from taking magnesium, vit d and c daily. Also trying to exercise daily, even at a slow pace. Water aerobics help

  • @margysfavourites8444
    @margysfavourites8444 Před 3 lety

    Excellent

  • @maggiefu1672
    @maggiefu1672 Před 3 lety

    @corinthinlab i just had genetic testing. I have SCN10A. Apparently nobody else does, with genetic testing.... yet? so they cannot confirm this is my reason for having dysautonomia/POTS. This research is the closest to answers i have found.

  • @margysfavourites8444
    @margysfavourites8444 Před 3 lety

    Thank you for this very very informative video .

  • @philipshutovsky3682
    @philipshutovsky3682 Před 4 lety

    if i have symptoms in my feet with vibrating and my fingers started vibrating a bit too and arm went a bit numb is it okay that i got the skin biopsy in my hand?

  • @HeatherBDentureDiVa
    @HeatherBDentureDiVa Před 4 lety

    I have 5 autoimmune including scleroderma lupus many others also was diagnosed late for small fiber neuropathy. How biopsies at once one on my left wrist the other right ankle. SFN os threw out my entire body and its effecting my brain now. Its super hard. I have a severe case but their are no meds except nerve pain meds bc no ked can regrow nerves back.

  • @momentosvirales2023
    @momentosvirales2023 Před 4 lety

    Kudos for the Video! Sorry for the intrusion, I would love your thoughts. Have you ever tried - Taparton Sturdy Nerves Takeover (just google it)? It is an awesome one off guide for Getting rid of Neuropathy without the normal expense. Ive heard some great things about it and my GF got astronomical results with it.

    • @snrnsjd
      @snrnsjd Před 3 lety

      Astronomical results? 🤣

  • @stevenhartlaub4557
    @stevenhartlaub4557 Před 4 lety

    Interesting. Could decades of phenytoin use lead to SFN?

  • @sillysgood
    @sillysgood Před 4 lety

    This has been so helpful. Thank you. Empowering!

  • @unsealedhades76
    @unsealedhades76 Před 4 lety

    When i get my biopsy I get it in my arm. I got numing cream that did not help. I felt everything they did they left it on for an hour. I've never had it in my leg.

  • @LisaRichards_123
    @LisaRichards_123 Před 5 lety

    All these videos with $10,000 words telling us what small fiber neuropathy is, but no one tells how to treat it.

  • @annannb6514
    @annannb6514 Před 5 lety

    Your skin biopsy test is not very accurate. As I have demonstrated. Had to have john hopkins to get an accurate skin biopsy to prove I had SFPN S

  • @beratsezer3353
    @beratsezer3353 Před 5 lety

    Congratulations. I live in Istanbul. Nobody here can do the biopsy. Nobody knows. Please help me. This is my number. I'm in so much pain. +905344853093

  • @CarolineATorge
    @CarolineATorge Před 6 lety

    I can't thank you enough for this very informative video. I went undiagnosed for Lyme disease for over 11 years and can't begin to describe the debilitating pain I have experienced the great majority of these years. I was just diagnosed as having small fiber neuropathy, and the information you shared certainly fits. As bad as the pain was, what was almost just as bad if not worse has been doctors misdiagnosing me or simply labeling me as drug seeking or passing the pain off to psychological issues. Much of what you mention (especially related to muscle cramps) describes my experience. Thank you again.

    • @creativegirl9710
      @creativegirl9710 Před 4 lety

      Did you find relief for neuropathy? I have it to and it seems I've tried everything--going on 4 years now.

  • @infinera06
    @infinera06 Před 6 lety

    I experienced the onset of neuropathy in my right foot 4 months ago with all the classic sensations. I am not diabetic nor do I drink. NCS/EMG was normal. Drs have not shown to be very interested in finding the root cause. I suspect its the statin that I have been taking for almost 2 years. But the drs don't think statins can cause neuropathy, contrary to what I have seen online. I discontinued the statin almost 4 weeks ago on my own. Seems to be getting better, but I am also taking gabapentin. Only time will tell. Any opinions about statin induced neuropathy?

  • @suewatters1
    @suewatters1 Před 6 lety

    I have CIDP but was yold a few years back I also have SFN. But my Dr doesn't believe in the accuracy of the test and since my motor nervewhich are not perfect is not worse she says I am fine. But I complain of sensory problems all the time. It affectd my ears and other female parts with lots of Swelling. I know IVIG helps me but my Dr doesn't see the Sensory nerve damage. Help How do I convince her that what happened to me 11 years ago is happening again with the sensory feeling affecting more then the motor nerves. I HATE FEELING THIS WAY 😭

    • @engageonline9912
      @engageonline9912 Před 2 lety

      How often do you have IVIg and how much does it help you?

  • @kristicabana5004
    @kristicabana5004 Před 6 lety

    I have lupus and fibromyalgia plus the ten million symptoms that come with them. I am just learning about small fiber neuropathy after suffering with this illness for 4 years now and after 2 attempts to end my life. I feel something I've never felt before...hope.

    • @GoldPeakLLC
      @GoldPeakLLC Před 5 lety

      Hey Kristi glad this provides hope. But why? Is it cause this can possibly be cured in the future?

    • @Michael-ew5my
      @Michael-ew5my Před 2 lety

      I struggle daily with going on.. this has been my life for the past 17 years.. I have tried so many meds and different treatments to find relief without an answer.. im totally losing hope again 😔

  • @Kingofstriker6601
    @Kingofstriker6601 Před 6 lety

    I have spent months investigating best natural remedy for neuropathy and discovered a fantastic website at Gabs Neuro Guide (check it out on google)