“…Progressive neurodegeneration may spontaneously resolve the neuropathic pain, but decreased response thresholds (Lennertz et al, 2011) and loss of epidermal innervation of C fibers in the feet (Beiswenger et al, 2008) can contribute to negative neuropathic symptoms such as thermal hypoalgesia. Likewise, degeneration of A fibers leads to a loss of vibration and tactile sensation (Lennertz et al, 2011) with axon-myelin separation (Powell and Myers, 1983;Myers and Powell, 1984;Love et al, 1986) and eventual segmental demyelination in long-term DPN (Zochodne, 2007). Thus, deficits in both C and A fiber function greatly affects the detection of noxious and non-noxious stimuli.…”