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My SFN is a result of occupational exposure to chemicals. i think in the beginning of the disease my main issue was the burning feet after exercise, some balance problems, and muscle twitches. I really didn't have pain and numbness until the disease had progressed. To check your temperature perception you can use a piece of metal and see if it feels different on your feet as opposed to your legs. That is how the 4th neurologist did it. The other 3 never checked for lack of temperature sensation. It is easy enough to do. When I read an article called "answering the burning question", I new I had SFN b/c I had every symptom that they discussed. In the article it also states how SFN goes undiagnosed for so many people. They say that the burning is the key symptom. Hope this helps. I'll try to find a linc for the article if you are interested.
ali





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