30+yrs. Back when it started I had carpal tunnel also. (started before my son
was born)

I don't use any Rx med for it orally. But I very occasionally use
Lidoderm patches on the tops of my feet. Haven't used any since New Year's, for example.

When burning is very bad I use Biofreeze on it. (usually in the hot summers)

Sometimes Tylenol and sometimes AlkaSeltzer. But not recently. Sometimes OTC Aleve liquigels. But not every day, or even every week.

Gabapentin, and tramadol were not available 30 yrs ago.
Using my supplements did help. Controlling my diet helps.
Fixing the thyroid problem helped enormously.

I baby my feet now. Wear shoes that they like.
I have learned self hypnosis and am rather used to it by now.
I don't think about it much except when I post here. When they bother me it is always at night. Rarely in the daytime now.