Suffering from peripheral neuropathy since last 7 to 8 months, symptoms include tingling sensation in the sole severe pain of the soles and legs

It appears that your current medication, gabapentin and pregabalin, isn’t providing the relief you need from the symptoms of peripheral neuropathy. In such cases, it’s important to reassess the underlying cause of the neuropathy to tailor more effective treatment. Often, peripheral neuropathy can be caused by diabetes, vitamin deficiencies, particularly vitamin B12, toxins, infections, or can be idiopathic. Starting with a comprehensive blood work panel to check for these factors might be beneficial if not done already. Ensure your blood glucose levels are well-controlled if diabetes is the cause. Modifying the medication regimen could also be considered, like adjusting the dosages or considering alternative medications like duloxetine or tricyclic antidepressants. Physical therapy might be helpful in managing pain and improving mobility when combined with medical treatment. Some patients find relief with topical treatments like capsaicin cream or lidocaine patches applied to the areas of discomfort. Lifestyle modifications such as engaging in low-impact exercises, maintaining a balanced diet, ensuring proper foot care, and avoiding smoking and alcohol can further aid in symptom relief. Additionally, nerve conduction studies could provide insight into the severity and provenance of the nerve damage. If pain is severe and debilitating, consulting a neurologist or a pain specialist for more targeted treatment options like nerve blocks or spinal cord stimulation could be considered. However, do not make any medication changes should be made without first consulting a healthcare professional who is familiar with your medical history. Make an appointment with your healthcare provider for a detailed assessment and to discuss these potential avenues of care. Promptly addressing any red-flag symptoms, like sudden changes in bowel or bladder function or rapid worsening of pain, is crucial as they might indicate a more serious issue.