Hello @graysea, Thank you for the private message. It's been a long time since you last posted in October 2022. I thought I would post a reply in the discussion you started last year here so that other members may also be able to respond and offer thoughts or suggestions:
--- Small Fiber Neuropathy discouraged: https://connect.mayoclinic.org/discussion/small-fiber-neuropathy-discouraged/.

I am so sorry to hear that your symptoms have worsened. I know it can't be easy for you. You mentioned that the doctors are unable to control the pain in your legs and you pace and are in pain between med times for your akathisia. Are you able to seek help at a teaching hospital or major health facility near you?