This is what I found: "Shockwave therapy, also known as Extracorporeal Shockwave Therapy (ESWT), is a non-invasive treatment that can be used to help alleviate pain associated with neuropathy by delivering high-energy acoustic waves to the affected nerve tissue, potentially improving blood flow, promoting tissue repair, and reducing inflammation, thereby offering pain relief for conditions like diabetic neuropathy."

I am going to have a spinal cord stimulator implanted. My trial went well and convinced me to do the surgery. I don't think you have much to lose with trying shock wave therapy. Let us know. I understand your pain, others might not. We will do anything to get better. Good luck.

I have had neuropathy for a number of years. It has slowly crept up from my feet to just under my knees. Gabapentin was all the neurologist seemed to have to offer. That drug is contraindicated for me. My cousin who completed medical school and then obtained his PhD in pharmacological research, is the very last person to try "woowoo" medical treatments so when he called me and suggested I try shockwave therapy at one very particular place, I was willing to try it. I had my second treatment yesterday. I have 6 more to go, which take place once a week. I did not have any noticeable change after first session (both feet). This second session (also just both feet) I had noticeable improvement that day but that night was awful as usual. I go every Thursday. I will let you know how it goes over the course of the next 6 weeks. By the way, there are 2 kinds of shockwave therapy. One is not as effective as the otger. If I can find the notes from my cousin, I will post again. Let us know how it is going for you if you actually started.
BTW, no insurance. $3k for 16 treatments. Work on each leg is considered one treatment. If I can ever sleep again, I will consider it a life changing investment.