Malky wrote:
Question here - who should treat small fibre neuropathy? I have been split between neurosurgery and neurology. Being considered for an neurostimulation implant at mome t as neck is clear but pain in arms and hands persists
If you get the neurostimulator, I think you'll have both a neurosurgeon and a neurologist involved. We have several patients with deep brain stimulators (for Parkinson's, essential tremor, or dystonia) talk with our medical students, and there's a neurosurgeon who places the electrode and device, and a neurologist who programs the settings on the stimulator and sees the patient long-term (settings might need to be adjusted for the best control of the tremor, for example). The DBS treatment is pretty impressive, IMHO - in a patient presentation for the students, they'll turn the stimulator off briefly to show the difference, e.g. writing or drinking from a bottle of water for a patient with essential tremor. There's also research on DBS approaches for treating things like PTSD, and of course there are other ways to effect neuromodulation and therapeutically alter brain circuitry in a less invasive way.
In any case, I hope you get some effective treatment for your neuropathy soon!