Hi Heather. I definitely feel more pain when it's extremely cold or hot. I can't put socks on my feet when they burn because it hurts, but a heating pad does help. I don't get it either, but it helps. As for my hands, they get very cold and I can put gloves on them. I just need to keep the gloves off my wrists because they burn and it hurts. I put volatren gel on them when this happens. I hope you feel better soon and take care.