Hello @cwallen9, I have small fiber PN in my feet and legs but I don't have any pain. It sounds like the cervical steroid injection for the back back did not help? There is some information on the injections on the Mayo Clinic website here:

Epidural steroid injections: Why limited dosing?
-- https://www.mayoclinic.org/diseases-conditions/back-pain/expert-answers/epidural-steroid-injections/faq-20058277

You mentioned you also have autonomic neuropathy? It could by that you are experiencing symptoms from the autonomic neuropathy.
Mayo Clinic - Autonomic neuropathy - Diagnosis & Treatment:
-- https://www.mayoclinic.org/diseases-conditions/autonomic-neuropathy/diagnosis-treatment/drc-20369836

I'm tagging a few members who have discussed back pain to see if they have any suggestions for you. @grandmar @jenniferhunter @artscaping do you have any information or suggestions you can share with @cwallen9 ?

I’m not sure if it is an option for you but if it is, the Mayo Clinic is very good at diagnosing health issues that are difficult to diagnose. If you would like to seek help from Mayo Clinic, you can contact one of their appointment offices. The contact information for Minnesota, Arizona and Florida can be found here:

Mayo Clinic Contact Information: https://www.mayoclinic.org/appointments