Hi @offthegrid I too experience cold and hot with both my hand and feet. My neuropathy is not bilateral only the left side is affected. It is important to find out the cause of the condition, if possible, to help stop the progression. My cause was the surgery to repair my ruptured AVM. So my condition is NOT ongoing for the neuropathy to worsen. Sorry to hear you are experiencing those awful symptoms. Perhaps a circulation problem is hindering the nerves with the proper nutrition for them to keep living. My blood supply was cut off thus killing my nerve cells. The reaction is for the remaining nerves to become excited causing the hot and/or cold feeling. I too have to cover or uncover my leg and arm. Doing exercises improves the circulation and may help with your neuropathy. I feel exercise has helped me but it is a slow process. @johnbishop and others do exercises as well for regenerating nerve cells. Each case is different so be patient in learning how to help yourself. Glad you are asking the questions. We will gladly help in any we can. Wish you the best!