Hi @gumbi67, Welcome to Connect. Thanks for starting this discussion on the concerns that a lot of us have. I also have idiopathic neuropathy small fiber peripheral neuropathy which started in my toes in my mid 40s to 50s. I shared my neuropathy journey in another discussion here - https://connect.mayoclinic.org/comment/310341/. It's great that you are trying to learn more about your condition and what helps. While you wait for other members to respond, you might want to scan through what I found using a search of Connect on parts of your question.

- "neuropathy + diet" - https://connect.mayoclinic.org/search/
- "neuropathy + exercise" - https://connect.mayoclinic.org/search/
- "neuropathy + footwear" - https://connect.mayoclinic.org/search/

I try to do 30 to 45 minutes a day on my exercise bike or rowing machine along with trying to eat healthier with less sugar. Used to only have 1 or 2 pairs of shoes but the past few years have been concerned like you about finding the perfect pair of shoes to help with my neuropathy and balance. The main thing I've found for me is that my shoes cannot have too much cushy feeling but they also can't have zero padding or my feet hurt walking. Sketchers were always my go to because they were cheaper and I still have a pair but also have some OrthoFeet that I like but a little too cushy and I've been trying multiple barefoot shoes which I like around the house because I have better balance with them. It's truly a one size does not fit all scenario and you have to find out what works best for you.

Have you seen the Foundation for Peripheral Neuropathy site? They also have some great information and webinars on their YouTube channel -- https://www.foundationforpn.org/, https://www.youtube.com/@foundationforperipheralneu4122