Hello @annregister, I'm sorry you haven't found much relief for the neuropathy pain from the different treatments you have tried. I also have small fiber PN but only with numbness. I shared my story in another discussion here - Member Neuropathy Journey Stories: What's Yours?: https://connect.mayoclinic.org/comment/310341/.

The Foundation for Peripheral Neuropathy has a pretty comprehensive list of complementary and alternative treatments that might be helpful - https://www.foundationforpn.org/wp-content/uploads/2020/08/Complementary-and-Alternative-Treatments-Revised-2020-final.-1.pdf.

Have you looked into complementary or alternative treatments?