SFN in feet

Same here... I try to drink 64 oz of water a day but don't always make it. A few weeks ago a friend recommended these small packets of lemon crystals that just add flavor and no sugar. I've bought both the lemon and lime, and now think I might try the orange.
https://www.amazon.com/gp/product/B003YP3MUS/

lecowing - I have done the same with good results after 30 minutes. At times, watching TV at night, I'll get the feet up which helps. I am not sure but I'm thinking there has to be a connection between PN and swelling of legs because my swelling is exactly where I have PN... below he knee. ED

My neurologist told me it is idiopathic and that about 12% of men over age 60 get it. He said that for unknown reasons soaking feet in epsom salts relieves symptoms, I tried it, and didn't work for me. Another doctor told me that there is a long list of possible causes, which is why that becomes an easy answer for med school students. After further discussions, I now believe that saying "idiopathic" is an easy way out of ordering extensive testing to rule out numerous possible causes. The good news is that small fiber neuropathy means some discomfort but not major disability, Although it is said to be progressive, I handle it like my other medical "gifts" ... with proper diet, the right exercise, good sleep, and minimizing stress. A positive mental attitude including a good dose of humor can be great medicine. I believe it is best to define ourselves by who we are as opposed to the ailments we have. Easier said than done, but it has worked for me.

Oh it's progressive and is becoming a major disability for me in 5 years. The doctors have no solutions!

I have mild neuropathy in my feet. My neurologist put me on 600 mgrams of alpha lipoic acid every morning. This seems to help alot. I also use the salon pas. One on top of my foot and a second on the bottom with a good pair of socks. This keeps the pain under control..

My neurologist told me it is idiopathic and that about 12% of men over age 60 get it. He said that for unknown reasons soaking feet in epsom salts relieves symptoms, I tried it, and didn't work for me. Another doctor told me that there is a long list of possible causes, which is why that becomes an easy answer for med school students. After further discussions, I now believe that saying "idiopathic" is an easy way out of ordering extensive testing to rule out numerous possible causes. The good news is that small fiber neuropathy means some discomfort but not major disability, Although it is said to be progressive, I handle it like my other medical "gifts" ... with proper diet, the right exercise, good sleep, and minimizing stress. A positive mental attitude including a good dose of humor can be great medicine. I believe it is best to define ourselves by who we are as opposed to the ailments we have. Easier said than done, but it has worked for me.

Are your "good pair of socks" thin, thick, compression...?

When I asked my neurologist about treatments, he said the best treatment was to treat the underlying condition that caused the small fiber neuropathy. Of course, he didn't know what that was. He recommended Vitamin B and referred me to my PCP. Before I left, I asked him to precisely detail what's coming, which he did. When I saw my great long-term PCP, he let me know that not all Vitamin B's are created equal, that the wrong one can worsen things, and that I should take Vitamin B12 only. I now take 1000 mg at breakfast along with my Vitamin D3 (chronic kidney disease, stage 3) as well as cheery juice concentrate and alopurinol (gout). I also take other prescriptions at other times for other things. My nonmedical guess is that I got SFN from a prescribed med that adversely interacted with another prescribed med, which were then changed.

I am proactive with my health. I have consulted with "Dr. Google". I travel to see specialists, including Mayo Rochester. I seek out specialists at teaching hospitals, stick with the doctors that help, and move on from those that don't, which is why I keep returning to Mayo. When medicine doesn't help, I adjust lifestyle and diet accordingly. I know "gravity doesn't care", so my response is to take what I get and then do the best I can with what I've got.

@davelobb12 I hope this helps, and I do and wish you well.