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I don't have pain either. It started 16 years ago and only recently has it moved up the leg. I also tried acupuncture but it did not work. My father had it too so I also think it was genetic.
I have it in my feet, below the knees and the tips of 3 fingers on my right hand.
I wonder how far it will progress now.
Replies to "I don't have pain either. It started 16 years ago and only recently has it moved..."
It sounds like we have VERY similar problems except mine affects both hands, I can no longer touch type, button my shirts (use button hook) and have difficulty turning pages of a newspaper or magazine. I can shuffle around the house with no cane but I can not stand still without touching something (wall or furniture), outside the house I use either a cane or walking stick. I am 85 now so just waiting to see what happens next.
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Welcome @steveny9, I think you have asked the question that so many of us have asked. I'm not sure there is an answer. Mine started in my late 40's and I only have the numbness with a little tingling but no pain. There is another discussion on the topic you might want to read through --- Neuropathy: Numbness only, no pain: https://connect.mayoclinic.org/discussion/neuropathy-numbness-only-no-pain/
I didn't bother with a diagnosis for well over 20 years after my primary care doctor told me there was no fix for the problem. Have you been diagnosed with neuropathy or do you just have the symptoms?