Hello Peggy @lrh, Welcome to Mayo Clinic Connect. Thank you for sharing what helps you with the burning feet problem. I also have idiopathic small fiber PN and take R-ALA as one of supplements that helps me although I don't have burning feet syndrome. I'm 77 and I tried many creams, salves, lotions, and oils to see if they would help my neuropathy but had no success. That was long before finally seeing a neurologist and getting a diagnosis. That's when he told me there isn't any topical that will help with numbness. I still use various moisturizers every evening on my legs to keep the skin hydrated. I do it at night because it would be impossible to get my compression socks on in the morning if I put lotion on them.

Do you still use a moisturizer on your legs to help with the neuropathy or skin?