Hi Horseman, I have had small fiber neuropathy diagnosed earlier this year. The pain is bad but what has helped has been the drug "lyrica" which is now approved for the treatment of fibromyalgia. It has reduced (but not eliminated) my neuropathy pain. I recently had a nerve biopsy which showed a remyelinating polyneuropathy which is probably the cause of the small fiber neuropathy. The MRIs also showed signs of brain damage and mentioned that it was compatible with MS. Mention lyrica to your neurologist or doctor as a possible aide to controlling the pain. It has worked well for me sicne I started on it some 4 months ago. Good Luck.