Yes, I saw a Physiatrist over the Summer! I had never heard of one before, but my hand OT therapist recommended it, and facilitated my getting an appointment set up. I was very pleased with my experience, he addressed both my hands and my feet, which has not been done before because of how compartmentalized the different specialties are. He prescribed a cream that was made at the compounding pharmacy, which is proving to be of real value to me. Unfortunately it is not paid for by my insurance, but since it spreads so well I do not need to use very much for excellent effects. I have small fiber neuropathy, Raynaud's, metatarsalgia and tendon inflammtion, so a variety of issues. I use the cream in the evenings and am finding that I sleep much better as my feet are calmed! A wonderful relief not to be tossing and turning because I cannot get my feet comfortable on the mattress, and because of the nerve buzzing. He also tried a deep heat laser treatment, but it turned out to be more than my feet could tolerate, so we discontinued those treatments.