Initially evaluated as possible small fibre neuropathy (SFN) or even functional pain, as no demonstrable abnormalities were detected. Psychiatry trial also failed.
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Pain is continuous, resistant to pregabalin/gabapentin/duloxetine, and NCS + EMG + MRI + B12 and autoimmune/heavy metal/metabolic workup are normal.
Can depression increase your risk for heart disease?
He has been evaluated by multiple neurologists. Nerve conduction study and EMG are normal. MRI brain and spine are unremarkable. Vitamin B12 levels normal. No relief with pregabalin, gabapentin, duloxetine, nor tricyclic antidepressants. Psychiatry consultation considered somatoform disorder, but psychotherapy and medications yielded no improvement.
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Initially evaluated as possible small fibre neuropathy (SFN) or even functional pain, as no demonstrable abnormalities were detected. Psychiatry trial also failed.
