Hi @phillyrich19 , yes it is very frustrating. Do you know the underlying cause of your SFN? Things like diabetes, B-vitamin problems, chemotherapy, and autoimmune diseases can all cause SFN, and treating the cause can slow or stop progression. If not, do you notice anything that specifically makes your symptoms worse or makes your symptoms better? For me, I accidentally learned steroids will 100% stop my pain but their use is contradicted because of another health issue. I now take supplements to control inflammation which does lower the pain somewhat.

There is a Reddit subreddit on small fiber neuropathy that is another avenue for community. Hopefully something I said helps.