@albiet That's about all you're going to find with neurologists: offer of Gabapentin, Lyrica, or Cymbalta. They are as lost as we are, as no one really knows what's what with SFN or how to treat it, so save your money and time and do your own research on your body, your SFN. What helps you? What makes it worse? Follow leads on Connect to learn what others have found useful. Also, you might want to poke around on the NeuropathyCommons website.