I have had small fiber neuropathy in my feet for several years, and in the past several months it has gotten much worse. A neurologist that I saw told me it is probably caused from having pre-diabetes for years. (I haven't gotten full blown diabetes, but the constant semi-high blood sugar levels could be causing it. The pre-diabetes, along with metabolic syndrome, weight gain, etc. is a result of being on a certain mental health medications for 12 years.) The neurologist suggested medication, but I'm allergic to so many meds and can't take others because of interactions. He also suggested acupuncture and gave me the name of a licensed acupuncturist who has also worked in western medicine. I brought her an article from NIH, which the doctor suggested I do. Here's a link to the article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5733739/

The acupuncturist said she has treated people with neuropathy, and is familiar with SFN. She said that since this is a neurological problem it will take more sessions that most other issues that people see acupuncturists for. I have seen her twice a week for two weeks so far, and I have just started to notice a slight difference in the way that my feet feel. (After having been through so many medical treatments and surgeries and pain management for all sorts of things the past ten years I tend to not trust myself to really know how my body feels, so I might be imagining that I'm getting relief from the SFN.!) It's too early to tell. It will take several more weeks to really know. My insurance doesn't cover acupuncture, so I'm paying $85 per session, which is adding up quickly. I was desperate, as so many of the people who post on here are, so I am willing to try anything. Please check out the article, particularly the case studies. It gave me a lot of hope.