Hi @lgpn5094, Welcome to Connect. I don't have any medical background or training but do have experience with knee pain along with neuropathy. I have degenerative arthritis that has worsened over the years. At the same time I've had small fiber peripheral neuropathy in both feet and legs for the past 30 years. While experiencing the knee pain I had cortisone shots to relieve the pain then finally a few years ago had a knee replacement of my right knee and the neuropathy had no effect on my healing time but that's just my experience. I do think it's great that you have an ortho appointment next week so you can determine a treatment plan.

I've read that knee pain from hiking downhill is not that uncommon due to stress on the kneecap and muscles. Is there any swelling that goes along with the pain?