@artscaping thabk you for asking. I have good days and bad ones like everyone else. I take imipramine 200mg which helps me sleep and with some of the discomfort. I have said no to lyrica but may give in next year. The thing I don’t understand still is my teeth chatter and feeling of internal vibrations and constant buzzing. They just don’t seem like standard SFN symptoms. I need to find a internist and also a neurologist that will actually work with you to do tests and try and figure things out. Any recommendations for nyc drs appreciated.