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You've had the tests. Your doctor says everything looks "normal." But you're still in pain. Still exhausted. Still dizzy when you stand up. Here's why: Standard nerve tests are completely blind to the small fibers causing your Long COVID symptoms. This clip explains microneurography—the only technique that can actually see what's wrong—and why routine testing has been failing patients for years. 🔬 COMPLETE EXPLANATION COVERS: What microneurography actually is (micro electrode recording from single nerve axons) The crucial difference: individual nerve cells vs. bulk conduction Why routine nerve tests only check A-beta fibers (movement/basic touch) Small fibers (C and A-delta) handle: pain, temperature, autonomic functions The "power line vs. tiny wires" analogy Why skin biopsies measure structure but miss electrical dysfunction Functional vs. structural nerve problems explained "The nerve is there, but it's misbehaving electrically" 🔑 KEY INSIGHT: "Routine nerve conduction studies are completely blind to the small guys—the unmyelinated C fibers and the thinly-myelinated A-delta fibers. And those small fibers handle slow, aching pain, temperature, and crucially, all your autonomic functions: heart rate, blood pressure, digestion, sweating." 💡 TIMESTAMPS: 0:00 - What is microneurography? 0:35 - Inserting the micro electrode into nerve fascicle 0:55 - Recording from individual nerve axons 1:25 - The power line vs. tiny wires analogy 2:00 - What routine tests actually measure (A-beta fibers only) 2:35 - Small fibers control: pain, temperature, autonomic functions 3:15 - Why small fiber dysfunction causes all Long COVID symptoms 3:45 - Skin biopsies: structure vs. function limitation 4:25 - "The nerve is there but electrically faulty" 4:45 - Why microneurography is indispensable for SFN 📊 WHAT SMALL FIBERS CONTROL: C fibers (unmyelinated): Slow, aching pain / Temperature sensation / Autonomic functions (heart rate, BP, digestion, sweating) A-delta fibers (thinly myelinated): Sharp, fast pain / Cold sensation / Some autonomic regulation 🎓 PERFECT FOR: Patients frustrated by "normal" test results People with symptoms but no diagnosis Anyone wanting to understand why routine tests miss Long COVID Advocates seeking validation for patients Medical professionals learning about small fiber testing 🔬 TECHNICAL DETAILS: Routine tests measure: A-beta fibers (thick, fast, myelinated) Microneurography measures: C fibers (thin, slow, unmyelinated) Sensitivity: Single axon electrical activity Application: Small fiber neuropathy (SFN) diagnosis Advantage: Reveals functional dysfunction before structural loss This is a clip from Long COVID 101 – Episode 2: "Hidden Nerve Damage in Long COVID?" 📺 WATCH THE FULL EPISODE (37 min): • 88.9% of Long COVID Patients Have Nerve Da... Complete episode includes: ✅ 88.9% of patients had measurable dysfunction ✅ Four types of electrical abnormalities identified ✅ Spontaneous firing, sensitization, signal amplification ✅ Activity-dependent slowing patterns ✅ Autonomic dysfunction linking to POTS ✅ Why this explains multi-system symptoms 📚 WHY THIS MATTERS: Validates "invisible" symptoms with objective data Explains years of frustrating "normal" test results Shows functional problems precede structural damage Provides foundation for targeted treatment development Shifts narrative from "it's all in your head" to measurable pathology 💭 THE BIG QUESTION: How many millions of chronic illness patients have been dismissed and left untreated because we've been looking at the wrong nerve fibers? 🎙️ Produced by: Long COVID 101 📢 Subscribe for weekly Long COVID and ME/CFS research breakthroughs! #LongCOVID #MECFS #ChronicIllness #Science ⚠️ DISCLAIMER: Educational purposes only. Not medical advice. Consult qualified healthcare professionals for diagnosis and treatment.