If you have a professional bike fitting service, get it done again if you have not had it done already. I have bad neuropathy. I used to do sprint tri's. My autonomic nervous system was affected and now I can not run at all due to the hypotension. I was completely unable to bike last year, but this year, maybe with the IVIG treatment, I perhaps can get some exercise.

Anyway, your proprioception could be off, and you should have your pedal stroke looked at. Keep in mind you won't feel your feet getting sore or things rubbing holes in your skin....and your hands likewise.

Wishing you tailwinds.

Cycle lops