@rybren, I was diagnosed with idiopathic small fiber peripheral neuropathy at Rochester Mayo back in 2016 after many years of watching the numbness go from my toes into my legs before deciding I wanted to get a diagnosis. I only have numbness and some tingling so what all of my doctors told me over the years turned out to be the same thing the neurologist told me after running some tests and a physical exam - there are no medications that help with the numbness. That's what brought me to Connect to learn more about the condition and possible treatments that might provide some relief. I shared my neuropathy journey story in another discussion here - https://connect.mayoclinic.org/comment/310341/.

It sounds like the Gabapentin is providing some relief for your symptoms but you are wanting more answers. If I had it to do over again, I would probably go again but I'm local to Rochester so it's a short drive for me and doesn't require a hotel. If you already have a diagnosis and just are looking for a different treatment, I'm not sure the outcome would be much different...but then I'm not a doctor and have no medical background or experience.

How long have you had the neuropathy symptoms before you were diagnosed? Have the doctors suggested any other treatments?