If I am fortunate about anything involving this, I do not have pain. No treatment plan other than to do physical therapy if possible and walk flat surfaces when possible. The thinking in 2020 by Mayo was that my issue could be genetic related which does often appear in 6th generation of life, I was 64 when this started. Went to Johns Hopkins in Baltimore, they came up with the same thinking, genetic. I've had blood work done in Phila for a variety of possibilities, all came back normal. My suspicion is that without a cause, a treatment plan is difficult, I am not diabetic. I do wear walk-on-flex which helps with balance.