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I read through the comments here, and find that I am in agreement with one thing that helps: Exercise.
I walk my dog. It got hot and she didn't want to walk much, and I noticed the pain and needles increased quickly. I now use an indoor treadmill.
I also started acupuncture. The research - as far as I can see - says it CAN help SOME people. I think that it has helped a bit, but I am not sure. And some insurance covers it to some extent.

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Replies to "I read through the comments here, and find that I am in agreement with one thing..."

I have had ideopathic small fiber neuropathy of feet for 18 years. It progressed in many different stages, Unfortunately walking for more than 10 minutes is very painful as is standing. I have tried everything recommended but stil am suffering. A coupe of the standard treatment (lyrica and gabapentin) have caused an anaphalactic reaction. There a and re many different forms caused by many different causes, some unknown as of now (me). I am glad exercise and acupuncture work for you. I hope you have found the best solution, You are lucky.

I just joined the group. I was wondering if acupuncture has helped anyone with Neuropathy? I have been going twice a week for two months. So far it hasn't helped the pins and needles sensation I have from my feet to my knees. The acupuncture doctor is well known in this area of Florida and says that he has helped many of his patients who have neuropathy. I have read that it can take between 3 and 6 months to make a difference. What was your experience last summer?