Hi @penn, I'm sorry you are having to deal so much pain everyday. I'm not sure if you have seen the Sjogren's Foundation but they have a lot of information that you may want to look at to see if it might provide some suggestions to help manage the symptoms.

-- Resources: https://sjogrens.org/understanding-sjogrens/resources
-- Treatment: https://sjogrens.org/understanding-sjogrens/treatment

There are also quite a few other discussions on Sjogren's and Neuropathy including the one you started below.
-- Managing Small Fiber Neuropathy, Sjogren's, Hashimoto's: https://connect.mayoclinic.org/discussion/small-fiber-neuropathy-sojgrens-hashimotos/

Here's a link to the list of discussions and comments from members on Sjogren's and neuropathy - https://connect.mayoclinic.org/search/discussions/?search=sjogren%27s%20and%20neuropathy.