Hello @forest2005, I would like to add my welcome to Connect along with @amandajro and others. I was also diagnosed at Rochester Mayo in 2016 with idiopathic small fiber PN but I don't have pain just numbness. I got the same answer from the neurologist that my previous doctors told me, that is there is no drugs or topicals that will help with the numbness. That is when I started my own search to find something that helps and how I found Connect. There is another discussion where members including myself have shared what helps them that you might want to read through while you wait for other members to respond here.

Member Neuropathy Journey Stories: What's Yours?: https://connect.mayoclinic.org/discussion/member-neuoropathy-journey-stories-whats-yours/

You mentioned needing a hip replacement. I had my right knee replaced about 2 years ago and I'm concerned about my right hip also. My wife has told me many times since I was in my early 50s that I walked like an old man and I'm 77 soon to be 78 now 🙂 I've focused on losing some weight and exercising more to build my strength. You may also be interested in the following discussion:

Strength training: How-to video collection: https://connect.mayoclinic.org/discussion/strength-training-how-to-video-collection/

Have you already had a hip replaced?