Hi jum13, I have both - venous reflux and neuropathy. What you're trying to figure out - which condition is most responsible for your symptoms - is the same thing I've been wondering about. The problem is the tremendous overlap in the types of symptoms that both of these conditions cause. I have not had my venous problem treated because I've suspected that the bigger issue for me is the neuropathy. And neither the neurologist nor the vascular surgeon can really tell me if vein ablation would significantly improve my symptoms. I have a new neurologist at Stanford's Autonomic Disorders clinic and when I see him in August he may have some new ideas or suggestions about what to pursue.