For me, Gabapentin greatly reduces the sharp nerve pains I have in my feet and lower legs. It also helps me to sleep better. I have not found it to reduce general foot discomfort, numbness, and tingling.

I have managed to keep my dose relatively low, 200-300 mg in the evening, as like you I have concerns with medication use. Gabapentin is highly prescribed for neuropathy, but everyone reacts differently.

There are other discussions on medications people on Connects have tried, including Gabapentin, so you might take a look at these. I believe @artscaping can offer insights as well.

Good evening @windsorchris. And thank you @athenalee for your attention and response. The question about progression is on the table fellow travelers on this PN journey. My own opinion and personal experience are that my SFN, small fiber neuropathy, has progressed considerably more this last year. The all-over pain, when occurring, also seems more intense which limits my activity. I have to take into account the fact that I am older with more normal aging discomfort. I have also been hospitalized with kidney stones and am preparing for a TKR on my right knee in a couple of weeks.

When you read about SFN and realize that we have fewer and fewer nerves that can work for us and that nerves simply take longer to regenerate, it doesn't seem likely. I think nerve regeneration may be the direction the scientists are taking to find a solution but this is just my voice. Does anyone else have an answer or at least an opinion?

Chris