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Small fiber neuropathy symptoms can be confusing because many people experience strange sensations before they ever have an explanation. Burning feet, tingling, pins and needles, electric shock sensations, bugs crawling on the skin, phantom cobwebs on the face, unexplained itching, stabbing nerve pain, and temperature sensitivity are all symptoms that deserve a conversation with your healthcare provider. Small fiber neuropathy can occur alongside autoimmune diseases, including Sjogren’s disease,