My PN pains & Sx's have gone up to a 7-9 lately, usually late at nite,
but at work during the day too. Daytime is the burning and squeezing
with pins & needles Sx.
Nites are severe, 'Charley Horse' type cramping of calves, toes,
arches, arms & fingers- and the sensation of bloated puffiness in my feet
( no edema or swelling noticeable, just the 'signal' of swollen) with harsh burning.

My meds have only been doing a partial job, mainly just cutting out early
to allow these Sx to occur. The meds do work for a short time,
I'm thinking that maybe I may need to get a breakthru med of some type,
but I never have had to have one, so I'm not so sure which type to use.
Just more of my regular meds?
But I'm at the daily max for both my Lyrica & Tramadol.
They're my only pain control meds.

We went out to dinner last nite, and wound up bar-hopping a bit -
to view some art shows at the various watering holes in the
historic district of town.
We were about 5-6 blocks from the car by the time we were ready to go home.
I was in such pain getting back to the car, my wife kept asking
if she should go and get it and pick me up, but I was stubborn
(I should have taken her up on it) and by the time we got to the car,
she had to drive home- I just couldn't, my feet were so bad.
When we got home, the cramping started. Then the rest followed suit.
I was a miserable puppy for hours, even after I'd taken my nite-time meds.

What kind of B/T meds would I be considering?