Hi @greeneyes55 I also experience the pins and needles plus cold and hot. I tried the ALA (alpha-lipoic acid) supplement and did notice a slight decrease with the pins and needles plus the burning pain. The only problem for me was the burning in my esophagus and stomach from the acid. I experimented with the supplement. No matter what I did I still get the burning. I was miserable all day. It was not worth the small gains for me. A few weeks ago I stopped the supplement all together. It took a few days of healing but now I am free of the burning in my stomach and esophagus. I decided to stick with foods in getting ALA. I feel much better. For me exercise helps decrease the pins and needles feeling because it reduces pain. How does acupuncture and massage help you? Does it take the pain away tremendously? Thank you for sharing your experience. Toni