Maveric09 there is help with small fiber neuropathy... I too thought the world was closing in on me with no an real answers from Doctors until... I was on a zoom call with a group that meets monthly and had a presentation from a Dr. Jacoby from Scottsdale AZ. he and several other doctors have a procedure called nerve decompression. my spouse and I went down three weeks ago to have one leg and foot done ( he will do one at a time ) I have early results that are amazing. Compared with the leg and foot that is not done I can tell the deference already. No more shooting lightning sharp pain going up from the ankle, Generally I think this is the game changer. Going down to have the other set done in a month or so. Look him up ion the internet in Scottsdale. He is willing to take people that qualify. note I have the beast also going up my back and into my arms and hands. hope this all helps out some from the lower surgery.