I have neuropathy in both legs and feet for the past few years. I was being treated by a great Internist and was given Oxycotin and Neurotin. This worked well and gave me the ability to function. Unfortunately he left the practice for another practice that works only with certain age groups, I'm not in the group.
The doc who took over the practice of course didn't know me and started questioning the need for the oxy. After a few refills he decided to refer me to a pain clinic.
Went to the pain clinic and was told by the resident that he didn't think the doc would prescribe me any pain meds. Turns out every pain clinic in the Western PA area that I know are run by anesthesiologists. The MD came in and said there was not much he could do for me because nerve blocks don't work for neuropathy. But he did place me on extremely low dose methadone(5mg twice a day) He will not titrate dose even though I am in pretty severe pain. Obviously the anesthesiologists want to give nerve blocks and implant nerve stimulators, not medically manage pain patients.