Thank you for your post. There could be value in obtaining a follow-up EMG/NCS to see if there are any changes since the original (chronic vs. active processes). Have you seen a neurologist? Some small fiber neuropathies can present like this and a biopsy is necessary to diagnose. I am not sure what specialist you have seen but a fresh perspective from a foot and ankle physician might be of help. There are a number of different medication (oral and/or topical) that may be of benefit and this is worthy of discussion as well. Good luck to you...View Thread