Everyone is very, very different, and we look for commonalities here to try and help each other. Some of us fall into the diabetic neuropathy category, some hereditary, some toxicity, and many, many idiopathic. It may as well be idiosyncratic because it certainly is!
If you could tell us more about your symptoms, their duration, any instigating causes- medications, surgeries, damaged discs, etc., anything that makes it worse, and any diagnostic testing you have had done we might be able to help.
You will find knowledge, empathy, and kindness here.
Medications are generally discarded when they do more harm than good. Neuropathy is hard to treat and the things which can touch the pain carry heavy side effects. Just finding a combination of medications which may provide a 40 or 50% reduction in pain levels can take years of experimenting.
If you have a progressive condition, then it is reasonable to assume that the pain will get worse. On the other hand there is a certain amount of getting habituated to pain- sensations that are unusual and distracting like numbness and pins and needles become the new normal. Sometimes you learn what foods or activities make things worse, so there is an up and down process.
Welcome to the forum and please tell us more about yourself.