The prescription drug Qutenza (a high potency capsaicin patch that must be applied by a physician) is an effective non-opiod pain reducing alternative. It has the added benefit of actually regenerating some nerves. Investigate it and see if your doctor will prescribe it. It is particularly effective for issues involving the feet. And this is nothing like the over the counter capsaicin preparations which have little effect. Also, there is finally a non-opiod drug in the pipeline that many believe will be approved by the FDA next year that has shown efficacy in clinical trials, both for pain management and the elusive disease modifying effect.