@wilcy, can you please share what severe side effects you experienced with Gabapentin? I also have spinal stenosis and never was given a skin biopsy to confirm a diagnosis of SFN so not sure if this is the cause. I don’t think it much matters but my neuropathy is worsening somewhat and think my short term memory is worsening, so I am thinking ahead of alternative therapies. Thanks, Helen

wilcy, I, too have spinal stenosis with neuropathy in my feet. I haven't heard of Kratom but I do go to the local hospital's pain clinic. My doctor has prescribed three pain pills which I take three times a day. Gabapentin is one of them. I don't know all the side effects but I do know if I forget to take my pills at a certain time, my pain tells me I forgot. I wanted to ask you, "Have/has any doctor(s) told you that you need surgery? Seven of the best surgeons told me I need a rod, cage, fusion, I can't remember what all. I don't want it so that is why I go to the pain clinic. Even a pain clinic doctor said I really need surgery! I worry about my feet and legs because they don't get the circulation they need. I have pain in my feet, do you?