Well, it's a wee bit late, but I wonder if cath got resolution on this. If it's still useful to know this, my initial PN symptoms were fairly typical -- swelling, numbness, painful tingling. But what really sent me to the doctor was sharp pain in the 4/5 metatarsal area, bad enough that I couldn't walk on it, and the orthopedist put me in a cam boot. Suspecting stress fractures, they did a full-body bone scan. Negative. That pain eventually subsided in the face of cramps and other typical neuropathic pain. But I'd say yes, pain that mimics a fracture CAN be one of the countless ways that this disease manifests itself. There's not much our nerves can't do for -- and TO -- us.