Hello and welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Peripheral neuropathy has many potential causes.
It is very important to understand the real cause of your neuropathy because only in this way you can have the right treatement for your problem.
My advice is to consult physically a local
neurologist because you may need to do some tests,to check for the cause of your peripheral neuropathy.
Your doctor may order tests, including:
-Blood tests,to detect possible vitamin deficiencies, diabetes, abnormal immune function and other indications of conditions that can cause peripheral neuropathy.
-Imaging tests. CT or MRI scans can look for herniated disks, tumors or other abnormalities.
-Nerve function tests.
Electromyography records electrical activity in your muscles to detect
nerve damage.
-Nerve biopsy. This involves removing a small portion of a nerve, usually a
sensory nerve, to look for abnormalities.
-
Skin biopsy. Your doctor removes a small portion of skin to look for a reduction in nerve endings.
Over-the-counter pain medications, such as nonsteroidal anti-inflammatory drugs, can relieve mild symptoms.(like you mention).
In your case,if you were my patient,i will suggest to start an tricyclic antidepressants, such as
amitriptyline.This drug can be helpful to trelieve pain and to induce sleep if you take it before going to bed.
Anyway,as i sais earlier,i suggest to consult a local neurologist for the necessary tests and the right treatement.
Hope this is helpful.
Take care.