I am a 59-year-old female who has had 2 lumbar surgeries (2nd one the placement of hardware) and 2 cervical surgeries for my spinal stenosis/arthritis. Upon the lumbar I now have neuropathy in both feet from the knees down (I feel very little) which has created Charcot foot and now I wear a custom boot on my right foot. I also have balance issues due to this. And after the cervical surgeries I now have neuropathy within both my hands. I get muscle spasms in my legs, feet and hands along with electric shocks (that is what I call the sudden sharp pains I get as it does feel like getting an electric shock). My hands/fingers hurt, and I have an office job requiring me to type all day. I do take tramadol and gabapentin but are there any other suggestions especially for my hands.