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Small fiber neuropathy most often presents with painful sensations  

Symptoms of small fiber neuropathy include numbness, and annoying or painful sensations, called paresthesias, that are variably described as aching, tingling, stinging, burning, freezing, itching, squeezing, or electric shock-like. . Innocuous stimuli can provoke unpleasant sensations, called dysesthesias; Clothes can feel like sandpaper against the skin, the hands may become hypersensitive to touch, or pressure from shoes or socks can causes severe pain in the feet. Symptoms of small fiber neuropathy can occur anywhere in the body, including the feet, arms, legs, torso, face, or even the mouth


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