Hello @kazz30, Welcome to Mayo Clinic Connect. I'm sure it's difficult for you to deal with the severe pain. I don't have pain with my neuropathy but do have lower back pain which makes it difficult for me to walk, sit or stand for very long. My balance is also not the greatest so I've become very good with the senior shuffle during the winter time. There is another discussion you might want to join in on and learn what other members have shared that help them.

> Groups > Neuropathy > Ideas for pain relief from Small Fiber Neuropathy (SFN)
-- https://connect.mayoclinic.org/discussion/ideas-for-pain-from-small-fiber-neuropathy/

You mentioned that you have been to a pain clinic and also have had physical therapy that have not helped you. Have you heard about or tried Myofascial Release Therapy? There is another discussion on Connect that discusses this type of therapy here:

> Groups > Neuropathy > Myofascial Release Therapy (MFR) for treating compression and pain
-- https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/