Comfort - Foot Efx -
Contact Info
FOOT EFX
400 Sth. Farrell
Ste.B211
Palm Springs, CA 92262

Ask The Doctor

Dear Doctor Rehm,

I just received a reccommendation for surgery and the "Strayer Procedure" to relieve my footpain. I have been struggling with this pain since January. Do you know anything about this procedure or do you have a product that might relieve the symptoms to avoid the surgery.

Deb
 

The Strayer procedure is a surgical procedure designed to lengthen the Achilles tendon. It is often very effective in correcting problems associated with this type of ankle problem. It is very difficult to ascertain whether your pain is coming from something related to this, without an official diagnosis from a qualified medical authority. Once your medical problem, if one exists, is corrected then it is certainly appropriate to address the biomechanics with appropriately fit arch supports, orthotic devices, or any prescription prosthesis.

 

Dear Doctor Rehm,

I am a diabetic II and have had two spinal operations to relieve the pressure on my lower back. Is it possible that Foot EFX can help my feet and legs, which still give me a lot of pain?

Thank you,

Roger P. Myers
 

Dear Roger,

Thank you for your question. You have a complicated situation. Your nerve pain could be contributed to by your diabetes and/or your spinal problems. The goal of any orthotic device, shoe insert, insole or orthopedic shoe would be to help distribute your weight properly so you are not putting any undue pressure on your lower extremity and walking with optimum biomechanics.

I welcome all questions by phone as well and would consider it a pleasure to talk with you.  

 

Dear Doctor Rehm,

I am a 41 year old female. I have had three surgeries including a ankle fusion and have also had a stress fracture in my right ankle all in a five year period. I now have a pea sized lump on the outside of my ankle between the achilles tendon and ankle bone. This is causing a lot of pain even waking me up at night and my toes sometimes get numb. My Dr. says he thinks it may be a ganglion cyst.

I have been on an antiinflamitory for about a month now and the pain hasn't subsided at all. At this point he wants to do an MRI . I guess to get a true diagnosis. What can be done about a cyst that causes that much pain and numbness in the toes? And could it have been caused by all the trauma to my ankle over the last few years? Also you should know that I have a job where I am on my feet nine hours a day. Thank you for any informaion you can give me. - Sharon

Dear Sharon,

Thank you for your question. Certainly your problem can be a cyst such as a ganglionic cyst or a fatty cyst. It could also be plantar fibromatosis, a growth on the plantar fascia, a prominent arch plantar fascia or bone, as in pes planus or Charcot Foot. If doctor suggested other tests such as an MRI, then this would be an appropriate way of diagnosing this definitively. If conservative therapy does not work, then surgical excision is the indicated option and treatment of choice. This definitely could have been caused by trauma. I would be glad to discuss this with your podiatrist or yourself. Please feel free to call me to discuss this in over the phone.

 

Doctor Rehm,

Ive had 2 surgerys on my left knee for a torn meniscus. I work on a hard concrete floor 8 to 10 hrs a day and my knee hurts after a few hours and i would like to know if you think arch support would help.

Dear Mike,

Thank you for your question. The effects of arch supports on the knee is a subject of great concern by many professionals. We have found clinically and empirically that arch supports serve to help protect the knee from harmful forces. This would definitely help to heel and protect a knee post-operatively. Following your doctors orders, physical therapy, appropriate exercise and footwear that may include arch supports is the algorithm of choice for people with knee problems. Please make sure the arch supports are custom fit and your surgeon has cleared you for wearing this type of footwear. If there is any other information needed, please feel free to call me direct.

 

Dear Doctor Rehm,

I recently had surgery for TTS but it was not successful in reducing the severe burning and pain that I have had in my feet for 5 years. Would an assessment at Footefx be beneficial and what type of products do you think would be of help to me ?

My feet are killing me!!! -
Lynda

Dear Lynda,

Tarsal Tunnel Sydrome is not only associated with a mechanical imbalance in the feet that causes pronation, but also could be associated with such conditions as Thyroid disease, diabetes, and some other medical situations. Sometimes there is scar tissue over the tarsal tunnel bands, that injections are indicated.

I would suggest you have a Podiatrist evaluate this medical problem and then if he suggests A foot Efx assessment then go with it! The solution for this problem always involves biomechanical relief through a custom made prescription orthotic device for the appropriate shoe.

It is a difficult problem and I would welcome your phone call to discuss it
further.

Thank you for your question.

 

Doctor Rehm,

My husband has several large cysts under his foot. We have seen 1 podiatrist and an orthopedic specialist about them, and they both diagnosed him with plantar faciitis. They are extremely painful when he walks, especially on uneven sufaces that cause pressure to be applied to his arch area. It started out as one small lump, but now there are 5 on one foot and 3 on the other. The initial lump that we found has now grown to nearly 3 1/2 inches in diameter. They are starting to protrude further out than the ball and heel of his feet.

The doctors were very passive with this problem and we were told to live with it because if they were to remove them, they would just grow back.

Isn't there a way to reduce or get rid of these?

Terri

Dear Terri,

Thank you for your letter. Please have this problem checked out with another podiatrist because this problem sounds more like plantar fibromatosis than plantar fasciitis. Both problems are surgically correctible in skilled hands.

Please call me at The Diabetic Foot & Wound Treatment Center if you would like to talk more. I would be delighted to talk with you.

 

Dear Doctor Rehm,

I apologize for the length of this question, but I feel my background with the injury must be included to properly understand the extent of my perplexing pain.

I played basketball in high school and the summer of my senior year, I was determined to be the best power forward in state. I enrolled myself in a program called “speed city.” The sole focus of the program was doing extreme exercises to increase speed and vertical. About ¾ of the way through the program, I noticed some pain in my shin. I didn’t think anything of it, so I kept conditioning (I would like to add, I was wearing HORRIBLE shoes). It got to a point where I had to quit the program because it started to hurt so badly. Little did I know that this injury would cost me my scholarship and not allow me to play basketball my senior year. To make a VERY long story as short as possible, I’ll make an order of events after quitting the “speed city” program…

-Took a month off doing zero impact cardio, RICE, as well as having many orthotics made

- Played pick up, and pain was still faintly there

-Two a day practices started, and after that week I was in unbearable pain (the pushing off, jumping, pivoting)

(Pain wasn’t apparent so much IN practice as OUT of practice, however, it was apparent during practice when it got to its worst)

- Trainer wrapped shin, chiropractor adjusted my ankles/legs, was on anti-inflammatories and painkillers, ultrasound, deep muscle massages, millions of stretches, the works

- Stopped playing/practicing… got MRI and a bone scan to look for stress fractures…tried cast and crutches for month to take all weight off

- Worked back into practice, pain was gone, for a while, and then returned

- Wasn’t allowed to practice, but only play to keep shins good

- Pain still returned, went to specialist in Iowa City, who eventually diagnosed it as Chronic Compartment Syndrome (as the only possible last option)… however, I did some research on this and it doesn’t seem to fit exact (doesn’t feel like a balloon and they didn’t test with puncture)

- It’s been almost three years since the onset of the injury, and I’ve been limited to physical activity ever since b/c of it… it feels good after I haven’t done anything for a while, but after I start to get active for more than a week or two, it starts to creep back

That’s most of it…

Pain- Located about 6 inches above my ankle, medial side of tibia, almost as if it’s on the back of the bone, hurts while resting and pain is easily aggravated by doing the “kermy” groin stretch (squatting butterfly), hurts in spot to apply pressure on back calf in that area, inhibits jumping ability, lifting legs does not hurt it… seems to be only impact

I’ve been playing basketball once again and it is STILL badly bothering me… I’m willing to do whatever it takes to get it better. I want to walk on to this basketball team here at Iowa, but I need to get rid of this impossible pain first. Of the many doctors I have visited, all have given up on me and exhausted all their options. I’ve been told to move on. Is there anything you can tell me that I haven’t been told already? You can’t believe what this has done to me mentally…I’m willing to do just about ANYTHING. Do you think there is anyone anywhere willing to do some form of research on me?

Thank you so much for your time.

Adam
 

Hi Adam,

Thank you for your email. I used to exclusively practice sports medicine before I went into Diabetic Foot Medicine. It sounds like you have a type of Shin Splint. You didn’t tell me whether you had a stress or regular fracture there on the bone. My best guess is that some muscle that’s tight is pulling on your bone in the area of maximum pain. In addition, this is probably exacerbated by hyper-pronation. If I were able to examine you, I would probably find some muscle / tendon attachments that are affected. It takes a very special diagnostician to make sense of this problem. This would probably wind up being a very astute podiatrist who is used to dealing with sports injuries. The treatment would probably require custom made semi-rigid orthoses made with a neutral position cast and the appropriate posting and heel lift. Physical therapy, diapulse and stretching would probably be instituted as well as oral anti-inflammatories. The choice of shoes is important as well. You have an unusual problem, but once diagnosed, it is a fairly simple problem to treat. I share your frustrations, as I am an athlete with challenges regarding my arthritic hip and I know how important your sport is to you. Please call me any time at The Diabetic Foot & Wound Treatment Center to talk more about this.

And Keep up the Good Work!!!!

Don’t Give Up!!!!

 

Doctor Rehm,

I've had 2 surgerys on my left knee for a torn meniscus. I work on a hard concrete floor 8 to 10 hrs a day and my knee hurts after a few hours and i would like to know if you think arc support would help. - Mike

Dear Mike,

Thank you for your question. The effects of arch supports on the knee is a subject of great concern by many professionals. We have found clinically and empirically that arch supports serve to help protect the knee from harmful forces. This would definitely help to heal and protect a knee post-operatively. Following your doctors orders, physical therapy, appropriate exercise and footwear that may include arch supports is the algorithm of choice for people with knee problems. Please make sure the arch supports are custom fit and your surgeon has cleared you for wearing this type of footwear. If there is any other information needed, please feel free to call me direct.

 

Dear Doctor Rehm,

I am a diabetic II and have had two spinal operations to relieve the pressure on my lower back. Is it possible that Foot EFX can help my feet and legs, which still give me a lot of pain?

Thank you,

Roger
 

Dear Roger,

Thank you for your question. You have a complicated situation. Your nerve pain could be contributed to by your diabetes and/or your spinal problems. The goal of any orthotic device, shoe insert, insole or orthopedic shoe would be to help distribute your weight properly so you are not putting any undue pressure on your lower extremity and walking with optimum biomechanics.

I welcome all questions by phone as well and would consider it a pleasure to talk with you.

 

Hi Doctor Rehm,

In comparison to my left foot, the toes on the right foot appear to be swollen (they don't hurt) but are much fatter than the toes on the left foot. Also, I experience a shooting, burning pain in the Arch of the right foot. It can happen at any time, but moreso during the night. What could be contributing to such discomfort? I am not diabetic but am overweight and do wear an Arch Support.

Please help!!

Paula

Dear Paula,

Thank you for your question! Swelling in the feet can be due to a number of different problems, as well as shooting, burning pain. There could be two different problems or the swelling can be causing pressure on the nerves. Back to the swollen foot, I would make sure there is not an injury to the foot, first; like a fracture, strain or sprain. If a local problem in the foot is not present, then one must consider the possibility of a medical situation causing the problem. Please consult your podiatrist, and/or your primary care physician. As far as the burning pain in the arch, one must assume that a nerve is involved and is being pressured in some way, or the nerve is inflamed or enlarged. Once the diagnosis is made, then some type of foot insert would be helpful in maintaining proper biomechanics and balance.

If I can be of any further help to you, please do not hesitate to call.

 

Dear Doctor Rehm:

I am a diabetic II and have had two spinal operations to relieve the pressure on my lower back. Is it possible that Foot EFX can help my feet and legs, which still give me a lot of pain?

Thank you,

Roger M.

Dear Roger,

Thank you for your question. You have a complicated situation. Your nerve pain could be contributed to by your diabetes and/or your spinal problems. The goal of any orthotic device, shoe insert, insole or orthopedic shoe would be to help distribute your weight properly so you are not putting any undue pressure on your lower extremities and walking with optimum biomechanics.

I welcome all questions by phone as well and would consider it a pleasure to talk with you. [ph number emailed]

 

Doctor Rehm,

I just received a recommendation for surgery and the "Strayer Procedure" to relieve my foot pain. I have been struggling with this pain since January. Do you know anything about this procedure or do you have a product that might relieve the symptoms to avoid the surgery? - Deb M.

Deb,

The Strayer procedure is a surgical procedure designed to lengthen the Achilles tendon. It is often very effective in correcting problems associated with this type of ankle problem. It is very difficult to ascertain whether your pain is coming from something related to this without an official diagnosis from a qualified medical authority. Once your medical problem, if one exists, is corrected then it is certainly appropriate to address the biomechanics with appropriately fit arch supports, orthotic devices, or any prescription prosthesis.

Please feel free to contact me for any further information.

 

Doctor Rehm,

I am a 41 year old female. I have had three surgeries including an ankle fusion and have also had a stress fracture in my right ankle - all in a five year period. I now have a pea-sized lump on the outside of my ankle between the achilles tendon and ankle bone. This is causing a lot of pain even waking me up at night and my toes sometimes get numb. My Dr. says he thinks it may be a ganglion cyst. I have been on an anti-inflamitory for about a month now and the pain hasn't subsided at all. At this point he wants to do an MRI - I guess to get a true diagnosis. What can be done about a cyst that causes that much pain and numbness in the toes? And could it have been caused by all the trauma to my ankle over the last few years? Also you should know that I have a job where I am on my feet nine hours a day. Thank you for any informaion you can give me. - Sharon


Dear Sharon,

Thank you for your question. Certainly your problem can be a cyst such as a ganglionic cyst or a fatty cyst. It could also be plantar fibromatosis, a growth on the plantar fascia, a prominent arch plantar fascia or bone, as in pes planus or Charcot Foot. If a doctor suggested other tests such as an MRI, then this would be an appropriate way of diagnosing this definitively. If conservative therapy does not work, then surgical excision is the indicated option and treatment of choice. This definitely could have been caused by trauma. It is really hard to diagnose a problem without having more information. I would be glad to discuss this with your podiatrist or yourself. Please feel free to call me to discuss this in over the phone.

 

Dear Foot Efx,

Where the arch of my left foot is, it looks like half of a ball. Could this
be a fallen arch? I bought supports but they are extremly painful pressing against it??? I appreciate your answer.

Thanks,

Berdoboy!

Dear Berdoboy,

Thank you for your question. A bump on the bottom of the feet can be a form of plantar fasciitis or a plantar fibromatosis, among other things. This should be checked out soon by your Podiatrist. Call me if you would like.

 

Doctor Rehm,

I had a problem with plantar fasciitis and with about a year of physical therapy it is well now. Do you think the Foot Efx Arch Support would help me with not getting plantar fasciitis back again. I do a lot of walking when I play golf and this seems to be when I would have the pain.

Thanks,
Rick M.

Dear Rick

Thank you for your question,

Plantar fasciitis can be caused by over-stretching of the tissue on the bottom of the foot called "plantar aponeurosis". If this tissue is allowed to rest, then it might be able to heal or remain asymptomatic. If the arch support is able to hold that foot without having this tissue stretch, and thereby rest, it is the treatment of choice.

 

Dr. Rehm,

I crushed my right heel in a car accident in Jan 2000. My ankle aches or is in pain 24/7. Would your product help me?

Victoria

Dear Victoria,

Thank you for your question. A heel fracture can be a very serious situation and without further information, I have no idea what that fracture was like. Arch supports often offer support to the heel area, but in your case I have no idea as to whether that area is injured or not. I feel I really need to talk to you on the phone to answer this question appropriately.

 

Doctor Rehm,

I have fibromyalgia... a severe case... will these help with the pain in my feet, legs, and ankles?

thank you...

Lin


Hi Lin,

Thank you for your question. These foot balancing products are designed to improve foot posture. When foot posture is improved, it is reasonable to assume that pressure is reduced on those painful areas that your fibromyalgia is responsible for, therefore attaining some degree of relief.

Talking to your podiatrist or rheumatologist, or primary care physician regarding the use of oral anti-inflammatories, massage, or physical therapy would be helpful as well. If there is any other information that is needed, please do not hesitate to call me: [Ph # emailed]

 

Doctor Rehm,

Does knock knees have anything to do with the feet?

Hazel


Dear Hazel,

Thank you for your question. What is commonly called Knock Knees is a medical condition called Genu Valgum. This means that the lower leg is in a valgus or position pointing away from the Midline of the body. That means the foot hits the ground everted and often pronated. This is an unstable position for walking that causes mechanical imbalance. If this is your problem, please see a foot professional for advice.

 

Doctor Rehm,

I have swelling on the top of my right foot beginning at the base of my 2nd & 3rd toes. It feels like a soft lump. It is painful to the touch and very painful to walk. It is not red, bruised or hot. It has been sore for several days, but is now worse when trying to walk. It is not painful when I am sitting or lying, unless I touch it. I have RA but this does not feel like arthritis pain, although I have pain in the past that I did not recognize as arthritis. I will probably end up seeing a physican, but would appreciate your input.

Thank you for your time....

Sally S.

Dear Sally,

Thank you for your question. A swelling on the top of your foot can be an arthritic inflammation or a cystic situation, like a ganglionic cyst. It is very hard to diagnose the problem with the information you gave me. If you would like, you can call me. [Ph # emailed.]

 

Doctor Rehm,

I am not diabetic, but suffer from severe neuropothy from CIDP (chronic inflammatory demylinating polyneuropothy), and have for about 4 years. For the last couple of years I have been bothered by chronic ulcers on the bottom of my feet which were extremely hard to heal. I now have developed Charcot foot on my right foot with an ulcer right below it which will not heal. The ortho doc is trying to put off surgery until the ulcer heals, but that doesn't look like it will happen, at least no time soon. I have already been off work with my feet up 2 1/2 months. Is there something else that could be done? Should I be getting a second opinion. He is supposed to be the best in the area.

Thanks for the help.


Thank you for your question,

Neuropathic ulcers in persons with good circulation should heal with Total Contact Casting and appropriate off-loading of the area. I agree that the ulcers should heal in most cases before the surgery is performed, but sometimes it is necessary to do to surgery so that the ulcer can be healed. It is very difficult to know without seeing your foot. I would be willing to talk to you on the phone and view recent photos if you would like.

Thank you very much for the opportunity to participate in your care.

 

Doctor Rehm,

I am am my feet on concrete for the full 8 hour shift , 5 days a week. The balls of my feet, mostly the left feel like it is burning most of the time. Do you recommend certain shoes?

Joanne

Dear Joanne,

Thank you for your question. You need to protect your feet against three types of pressure: 1) Direct pounding pressure 2) shearing or tearing pressure 3) rubbing or friction pressure. You have to “ride on good tires”. To do this requires a good shoe and arch support that controls the motion of the arches in the foot and to make the foot more stable. I happen to like the Spira shoe that is available at FootEfx. Please feel free to contact me.

It’s a pleasure to be able to help you. Please let me know if there is anything else needed.

 

Hello,

I was thinking about purchasing a Foot Efx for my mother. She has arthritis and is a little over weight. Her knee caps and ankles hurt all of the time. The doctor prescribed finding a good arch support to relieve some pain. I'm not sure which product i should buy. I dont know which is better for her knees!! Could you please inform me which is best and what the price will be!

Thank you,

Ashley

Thank you for your question, Ashley. Your mom should go into the store to be fitted for an arch support. The criteria that should be used is whether it feels good. If it is hurting your mom in any way, unless it is merely an adjustment problem, it is probably not the right arch support for her. Your Foot Efx technician is skilled enough to know whether it is the right support for her or not. Please feel free to contact me again. I would like you to be completely satisfied with the answer.

Thank you for your question.

 

Doctor Rehm,

I saw your commercial on TV the other day and I was just wondering if you could help me. My husband is a big man and he has a tendency to walk on the outside of his boots and he complains about his back and feet hurting all the time. You can walk behind him or just pick up his boot and look on the bottom and you can tell that he walks the outside of the boot out. Could you tell me what this is called or also what we could do to fix the problem. Please respond back as soon as possible. Thank you so much.

Julie

Dear Julie,

You are assuming the pain is coming from walking on the outside of his boots. This may not be the case. If it is the case, however, your husband has a supinated walk and needs to pronate as he hits the ground. He may not be able to pronate enough to get to the ground and this causes a pain separate from the pain that excess pronation normally causes. In any case, if the pain is coming from Pronation at all, he must have pronatory relief with an insert (arch support or orthotic) in a shoe that is appropriate, such as a Spira shoe. Any inflammation that this might have caused should be addressed as well. This is usually done with physical therapy, oral anti inflammatory meds, or just plain massage. I hope that I have answered your questions.

 

Doctor Rehm,

I have high arches and pain when I wear shoes even with arch supports in them. When I sit my feet hurt even more. My feet and heels are constantly in discomfort. My mother has foot problems and I believe I've inherited her problems. No shoe seems to be comfortable enough for my feet. Any suggestions?

James

Dear James,

Your feet hurting regardless of whether you are weight bearing or not, suggests to me that biomechanics are not the sole cause of your problem. There are a number of medical situations that must be ruled out to determine the correct cause of the problem. Please see your foot health care professional. Feel free to email me as desired.

Thank you for your question.

 

Doctor Rehm,

Do I need anything from a doctor before I come? I have had a bunbionectomy and a ruptured plantars facisitis and wear inserts now but would like to be fitted.

Please make sure you are healed from your rupture and your bunionectomy before purchasing any new foot wear that your doctor did not prescribe. If your doctor tells you these conditions are totally healed, then your level of comfort is the final arbiter of the type of foot wear you buy, including non prescription arch supports. Although not necessary, a letter from your doctor would be helpful to your Foot Efx professional.

Thank you for your question.

 

Dear Doctor Rehm,

My mother is 90 years young. She has been in excellent health, except for a little problem with high blood pressure which is in control now. Last year while doing her yard she fractured a vertebra. The doctor diagnosed her with a fractured vertebra, curvature of the lower spine; osteoporosis. She is feeling better, but still walks bent over.

Would the shoes, arch supports and cushions help her and her posture? Would she have to go to the store to be fitted? I live in Dallas and she lives in Denison.

Thanks much for your help.

Dee
 

Dear Dee,

I always say, “You have to ride on good tires!!” Shoes and arch supports are always helpful in back problems if they are fitted correctly and are comfortable and do not make the problem worse. If there are any further questions please Email me back.

Editor's note: Dee, It would be necessary for her to come into a Foot Efx store at least once for a proper measurement and fitting.

 

Doctor Rehm,

Do you have any solutions for plantar fibromas, not just in the heel area but a lump in the middle of the arch on the bottom of the foot?

Thank you!

John S.

Dear John,

Plantar fibromas are organized growths usually on the bottom of the foot. Injection therapy can be used to treat them; othotic devices can be used to take the pressure off of them, or they can be surgically removed.

Please feel free to email me if you need any other information.

Thank you for your question.

 

Doctor Rehm,

Will any of your products be helpful for problems caused by one leg being slightly shorter than the other? I am suffering from lower back pain (scatica) and have had a hip and knee replacement. My physical
therapist seems to think that one leg is shorter than the other. My othopedic surgeon did some measuring and doesn't seem to think that this is a problem.

Thanks for your information,

Alice D.


Dear Alice,

Thank you for writing to me your question. Limb length discrepancy always affects the way someone walks. Typically the long leg wants to become shorter when walking and therefore tends to pronate, and the short leg wants to become longer and therefore supinates.

Any insert that helps control these factors will be important in balancing your walking. Ask your orthotist/prosthetist, pedorthist, or podiatrist if a heel lift inside and outside the shoe would be helpful as well.

If there are any other concerns, please feel free email me back.

Please consider me a friendly resource for your foot concerns.

 

Doctor Rehm,

In your informercial you discuss Plantar fasciitis, which I have been sufering from. Your website does not even mention this injury. Why?

I have gotten orthotics, and have laid off active excercise, handball, for three months, and still it is very slow to heal, tho I do not abuse my foot (left heal). There has been some improvement.

Will your products help , or is it just a very slow to heal injury?
Thank you,

Max E.

Dear Max,

Plantar fasciitis is a very complicated injury to the plantar aponeurosis of the foot, often due to overpronation and overuse. Usually a combination of orthotic, shoe and oral anti inflammatory therapies are very effective. Some doctors prescribe stretching and night splints as well. Sometimes surgical intervention is necessary. Please, however, make sure that it is plantar fasciitis and not an acute injury or tear.

[Editor's Note: Max, the info on our website for Plantar fasciitis was grouped in with Heel Spur Syndrome, which it is usually associated with. In response to your letter, we've added an entire new page devoted to Plantar fasciitis.)

 

Dear Doctor Rehm,

I have recently had sciatic back surgery, and I'm having severe heel and mid foot pain. I've have had to go back to work, which insues a lot of walking (apx) 5 mpd. I've bought the best work boots that I could for my circumstances @ Red Wing. I'm looking for someone to help me. - David H.

Dear David,

It’s always best to control abnormal movement in the foot to alleviate the abnormal forces in the back. An orthotic with the appropriate shoe is the best way to deal with that, as well as stretching, oral anti-inflammatories and physical therapy as designated by your physician.

 

Dear Doctor Rehm,

I'm a diabetic and a friend recommended that I use a foot scrub made from sugar, Joy diswashing liquid, canola oil and rosemary. Is this safe? Thank you. - C.D.

Dear C.D.,

"There is nothing within those ingredients that would be necessarily harmful to a diabetic unless they have an open wound. You should know that I've specially designed a moisturizing cream and cleanser just for diabetics. Look for it at your local Foot Efx store.