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All of my toes move back and forth. More so when I extend my feet. They will fan out.
a) Autonomic function testing; The value of autonomic testing with a localized neuropathic disorder, like small-fiber neuropathy has immense value. The most useful test would be the quantitative sudomotor axon reflex test (QSART), in your case.
b) skin biopsy; also provides good diagnosis for the small fiber neuropathy.
The treatment entails;
1) Medications like Tegretol, Pregabalin, Gabapentin
3) Alpha-lipoic acid; it has antioxidant properties
4) Trans cutaneous electrical stimulation
I would be happy to assist you further, if you need any more information.
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