I was diagnosed with RIBPN in January of this year. I am 63 years old and my breast cancer was 23 years ago. I have been having problems for about the last 5 or so years. I was on Gabapentin for my RLS (restless leg syndrome) but last year I lowered my dose due to brain fog and ALL the symptoms started. Fortunately I found a Neurosurgeon who knew the symptoms right away and although I had to rule out all of the other possibilities (I wish there was a test) he was able to finally diagnose me. I found this group in researching this diagnosis, which is just slightly terrifying by the way, and am hoping to get some encouragement but also advice. My hand has the neuropathy, my neck and shoulder ache super bad, I have lost strength in my arm/hand and my hand shakes? Does anyone else's? I do not want to go back on Gabapentin because I work in the accounting field and need to be alert. Just wondering if anyone has any advice for the pain. I have my first physical therapy appt next week, hoping to strengthen the muscles to stave off the deterioration for as long as possible.