Mine started in my hands, with ulnar neuropathy 10 yrs ago. About 2 years after my hands, then it started in my feet with numb toes, burning feet. It took me 6 yrs to figure out what was going on, and I started taking B12, which has made a huge difference. My neuropathy happened because of celiac/gluten intolerance, and going years without a diagnosis. Ten years after the diagnosis of carpal tunnel, my toes do not go numb, my feet don't burn too often, my hands have improved some, and I am not on pain meds. With luck, you can slow the progression, sometimes stop it.