I have one toe that cannot feel light touch, although it can feel pain. I also have many of the other symptoms you have mentioned.

Things have been in a holding pattern for me for the past several months. Not getting any better, but not really getting much worse either. It seems that the nature of SFN is that it is very unpredictable. Some get better, some get continually worse, some stay about the same, some cycle up and down. But is seems very few are ever "cured".

I'm still trying to come to terms with it. I try to keep up with dietary improvements, supplements, exercise, and stress reduction. I know its probably not going to cure me - but hopefully I can stabilize things and slow the progression down as much as possible.

As for medications - that's totally up to you. I do take some Gabapentin, but that was to control twitching & cramping more than for pain. The meds won't cure you - just hopfully cover some things up. Obviously, you'll want to hold off on that until after your pregnance if at all possible.