However, a major consideration is that they usually cause loss of sensation, and in worst-case scenarios, can be unpredictable. Clearly, nerve blocks should only be attempted by specialist, and even then only after getting a second or third opinion. For severe and prolonged pain, seeing a pain management specialist is key to developing a workable strategy. Avoid tight-fitting shoes and socks. People sometimes think that tight shoes can help with numbness and prevent rubbing, but they can actually exacerbate the pain and tingling.
Many people find soft, loose cotton socks or things like loose, padded slippers to be helpful.
Shoes should be neither tight nor excessively loose, and should offer good air circulation if possible. Be sensitive to temperature concerns. Most people report that neuropathy feels worse in hot weather or when feet are heavily covered and don't have much opportunity for air circulation. Bed sheets resting on your toes can also add to the problem. Some people use a semicircular hoop on which they rest their sheets to avoid contact.