Neuropathy testing can help diagnose small fiber neuropathy by testing a small sample of your epidermal nerve’s fiber density, often referred to as ENFD. Neuropathy is a peripheral nerve disease that selectively affects small diameter nerve fibers. The test is highly specific and sufficiently sensitive with a 97% accuracy rate. Common causes of small fiber neuropathy are diabetes (types 1 and 2), HIV, vibratory trauma, amyloidosis/monoclonal gammopathy, alcohol abuse, pharmacologic toxins, solvent exposure, and/or idiopathic neuropathy. Your Foot & Ankle Specialists specialize in neuropathy testing and can quickly diagnose and set you on a path with expert action and planning, working hand-in-hand and step-by-step with their patients to achieve the best possible results.