Hi, @scottrl. Darn sleep! I imagine you are already doing all the things I know to do…..good sleep hygiene (like mentioned, above), check for sleep apnea, physical therapy, staying active, keep talking with my doctor….all the things.

I went to the home page, searched for “sleep after stroke” and found some discussions you may want to check out if you haven’t already.
Discussion about sleep following stroke: https://connect.mayoclinic.org/search/

@scottrl
My neurologist suggested i try Alpha Lipoc Acid , an antioxidant , over the counter, found in studies to help reduce the progression of neuropathy in some people. She started me out with 300 mg. I now take 600 to 1200 daily. It has reduced my perariphal neuropathy as well as reduced fibromyalgia attacks significantly. I cannot take gabapentin or metformin. I’m a type 2 diabetic , who has reduced my AIC to 5.9 without meds, lost 65 pounds in two years , without meds- 50 more to go- I eat more sweets than i should , still have neuropathy but pain is much less- only take tyenol 500,2 at a time - not very effective but i can’t take Aleve, which is excellent for my pain, because of blood thinners. You might want to discuss , try Alpha Lipoc Acid, no prescription needed and i surely know when i run out as pain returns. Magnesium thru soaking feet in epsom salts helps or my daughter used epsom salts sold in lavender , other forms in bath water to help with chemo pain and i’ve used magnesium cream on feet when withdrawing from tramadol and gabapentin which i couldn’t take as they caused me to swell ( before my alpha lipoc which has reduced my pain) I hope this helps. Good luck.