@beckiw814 Seems to me that your pain management doc is missing the point that most neuropathy is not a problem of muscles or tendons or bones or joints. Rather, it is usually a problem of nerves, in some form. It may be nerve wires coming apart from each other, or having something eat away the sheath, or something similar. physical therapy can help, but if the problem is in the nerve endings or connections, the PT rarely has any real value. My own neuropathy stems from the nerves in my neck and spine as nodules and spondilitis and other stuff pushes on and tries to destroy the nerves. The neurologist should be able to find that. Of course you may have to go the mayo or somewhere to find a neurologist who can find it.