Welcome @intscout2, From what I've read it's pretty common to have neuropathy start in the feet or toes on both feet. I'm pretty sure a lot depends on the cause of the neuropathy. It sounds like you are taking 3600 mg gabapentin daily now which I think may be the maximum amount for neuropathic pain. I do know from my own experience it doesn't help with numbness which is the symptom I have for my neuropathy. My PCP prescribed it for me and I took it for 2 weeks before stopping and then I had a consult with my care team and another Mayo doctor and was told gabapentin only helps with the pain. There is another discussion you should check out here:
--- Foot neuropathy: What gives you relief?: https://connect.mayoclinic.org/discussion/foot-neuropathy/.

Were you recently diagnosed with neuropathy? Do you mind sharing a little more about your symptoms and anything you've tried for treatments?

Hello! My neuropathy started in my feet at first, too. I thought it was my restless leg syndrome that was progressing and that is what the doctors thought as well. So I was not treated for a number of years. It had progressed almost up to my knees before I switched doctors and said this has to be some thing else. I had been on gabapentin for fibromyalgia but I had difficulty breathing so I was switched to Topiramate.

Gabapentin is not effective for most pain patients and has many serious side effects. There are many better alternatives. Please see this blog: https://www.paintreatmentdirectory.com/posts/gabapentin-side-effects-effectiveness-and-alternatives

Hello @intscout2 and welcome to Mayo Clinic Connect. I wanted to connect you with other members who also have foot neuropathy, like @johnbishop also recommended, so you will notice I have moved your post here:
- Foot neuropathy: What gives you relief?: https://connect.mayoclinic.org/discussion/foot-neuropathy/

To John's point, do you have numbness and/or pain in your feet?