With me my feet started about 5 years ago and were just sore so I didn't put on regular shoes , always wore uplifted sandels, then about 3 years ago I started getting horrible pain on and off and had emg's done found out I had neuropathy, the last 2 years have been a nightmare, many er visits, like I said went through the gammit of pills and still didn't sleep, actually sat around and cried out loud, not like me at all, weight gain didn't help from all the pills and no activity, feeling hopeless, sad all the time,I am sure you know what I mean. The shots have givin me a new start but even the dilaudid has its draw backs, it does not work as well as it did , the tolerance is building and trying to find a doc that will put a pump in with te amount of medicine I require, even my pain managment told me that in no way would they give me these self injections so I no longer see any pain managment docs. I was a very wild and full of life person, now I am a get by kind of guy with pain. Don't think the dilaudid is a bad drug but when I was on orals it was terrible, I never get "high" bit do get to walk, Good luck!!