Hello, @notborntoburn - since you mentioned having some issues with increased muscle spasms and tightening, I've moved your post here to this discussion, "Living with Neuropathy - Welcome to the Group," so more members could interact with you about this symptom, like @burningfeetinphoenix @jeffrapp @artscaping @dotty @ashley302.

You also mentioned that you had some therapy with capsaicin. Here is some information on it which may be of interest https://www.mayoclinic.org/drugs-supplements/capsaicin-topical-route/description/drg-20062561. Sounds like this treatment didn't work well for you?

Just wanted to clarify, notborntoburn, that you are thinking that these muscle issues are related to the neuropathy itself, rather than being side effects of any of the medications you are taking?