Just a quick update. Almost a year since my original post and I am very pleased to say there has been a massive improvement overall. The improvement has been gradual since I started taking amitriptyne and cut down on alcohol at the start of last year, it has has got better and better. I am also able to stand and walk barefoot even on harder surfaces with very minor discomfort! This is somewhat a miracle. In terms of alcohol intake I have kept within the recommended guidelines but still not managed to give up completely.