10 days ago I had surgery on my left wrist/hand for carpal tunnel release. I had an EMG/CNS which led to the diagnosis of carpal tunnel. For the last three nights, I have been waking up in the middle of the night with numbness in my hand and pain that travels up my arm. I was told by the doctor who conducted the EMG that I probably had neuropathy in my hand as well as carpal tunnel syndrome. I have neuropathy in my feet and take a low dose of gabapentin. The gabapentin helps some, but I still have numbness and pain. I experience most of my symptoms at night. I am very frustrated with the hand problem. What is the best type of doctor to treat neuropathy? My primary care physician is an internal medicine doctor. He has been practicing since 1998. I do not feel he has the knowledge to treat neuropathy. My foot doctor is treating the neuropathy in my feet. From what I have read, neuropathy is usually the result of high blood sugars for long periods of time. I have had diabetes for 10 years. I treated my diabetes for 6 years and then went through a period of about two years without any treatment and no testing. I am now treating my diabetes again and have good blood sugar control. Is neuropathy permanent? Does anyone know anything about neuropathy and treatment options? I also take pain medication for arthritis and I take a dose at bedtime but it only lasts for 4-6 hours. I am up several times during the night because of the numbness and pain. I keep a sleep diary for my chronic insomnia at the request of my sleep specialist. All of my health problems are wearing me out. I just turned 50 and feel that I am too young for all my health problems.