Beyond Pain Intensity: A Patient-Informed Framework for Documenting Burden in Small Fiber Neuropathy

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17 Oct 2026 0 comments

Small fiber neuropathy (SFN) is a sensory-autonomic neuropathy of thinly myelinated Aδ and unmyelinated C fibers that can produce neuropathic pain and multisystem autonomic symptoms. Although diagnostic criteria and confirmatory testing have improved recognition, SFN burden may remain underrecognized even after diagnosis. This narrative review identifies two complementary documentation failures. The translation problem arises when symptom labels and intensity ratings do not capture effects on...