Category Archives: Foot Pain

Diabetes and Foot Pain – Stop Suffering NOW!

As a podiatrist that sees a LOT of patients that suffer from diabetes, I can clearly vouchPicture of Medical Alert Bracelet for Post Diabetes and Foot Pain that diabetes and foot pain go hand-in-hand.

Prior to delving into the causes and control of diabetes and foot pain, I would like to bring light to some staggering facts regarding the prevalence of this multi-faceted disease.

Did you know that:

      • About 30 million people in the United States alone suffer with a diagnosis of diabetes.
      • Approximately 1 in every 10 people over the age of 20 has diabetes and 1 out of 3 has pre-diabetes.
      • Approximately 1 in every 4 people over the age of 65 has diabetes.
      • Nearly 1.5 MILLION new cases of diabetes are reported every year in the United States.

Picture of Needle with Insulin for Post Diabetes and Foot Pain

If you are suffering from diabetes, you are definitely not alone.

Now… on to what you came here to read about: Diabetes and Foot Pain!


Diabetes and the Four Most Common Types of Associated Foot Pain

Typically we see four distinct types of foot pain associated with diabetes:

          • Nerve Pain,Picture of person suffering from Diabetes and Foot Pain
          • Pain due to Circulatory Insufficiencies,
          • Muscle and Joint Pain and
          • Pain from Frequent Infections.

Each of the four categories of pain mentioned above can definitely be caused by alternative conditions unassociated with diabetes, but there is a much higher incidence of these specific types of foot pain in those whom do have this dreadful disease.

I cannot “cure” you or your loved one of diabetes (I wish that was possible), but I can educate and recommend some simple solutions to aid in minimizing and/or eliminating pain associated with foot pain and diabetes.

So… sit back, relax and let’s further discuss each of these four different types of foot pain.


Nerve Pain and Diabetes – Neuropathy

By far the most common contributor to foot pain in a diabetic patient stems from damage Picture of Nerves for post Diabetes and Foot Painto nerves and is termed Peripheral Neuropathy.

Peripheral Neuropathy can further be divided into three subsequent categories with altering signs and symptoms for each category. The three sub-categories of Peripheral Neuropathy include the following:

          • Sensory Neuropathy,
          • Motor Neuropathy and
          • Autonomic Neuropathy.
Sensory Neuropathy

Sensory Neuropathy tends to be the most prevalent cause of pain in individuals suffering with diabetes out of the Peripheral Neuropathies and is therefore the one that we will discuss in the most detail.

Typically, with Sensory Neuropathy we see a direct correlation between high blood sugar over a period of time and an increase in this type of pain. In other words, the more controlled (normal) an individual’s blood sugar is, the less likely that this type of pain will present and/or intensify.

The symptoms of Sensory Neuropathy are very individualized amongst patients but tend to include some form of the following in the feet and/or legs:

      • Burning pain,PICTURE OF BURNING FIRE
      • Tingling,
      • Numbness,
      • Stabbing-type pain and/or
      • Excessive pain that is not proportional to the stimulant (i.e. significant pain from a simple touch).

Most of the time the different types of pain noted above will intensify in the evening and at night. This pain can become very detrimental as it becomes not only an added stressor, but can also affect sleep pattern. As a direct result, blood sugar tends to increase which further stimulates the increase in this type of pain.

Do you see how this could easily spiral out of control?

What can be done for relief of this type of pain?

Picture of a Question Mark for Post Diabetes and Foot Pain

As mentioned earlier, Sensory Neuropathy is extremely individualized with different people experiencing different types of pain at a multitude of intensity levels. With that being said, treatment for this condition is very personalized as well. Particular remedies work for some and not others.

There are ALWAYS going to be oral prescription medications, such as Lyrica and Gabapentin (Neurontin), that are overly prescribed for the treatment of Sensory Neuropathy. While I do have my own reservations on some of these drugs due to significant side effects and the build-up of tolerance it is essential that you or your loved one have an in-depth conversation with the prescribing doctor prior to initiating these for control of pain.

That being said, there are some great alternatives that have worked fabulously on my patients for the control of this type of unnerving pain. Two of my absolute favorites thatPicture of Penetrex Pain Cream for Post Diabetes and Foot Pain can be used in conjunction with one another include:

While the other two types of Peripheral Neuropathy are far less cumbersome, I would like to briefly discuss them for completeness’ sake.

Motor Neuropathy

Motor Neuropathy can contribute to foot pain in a patient with diabetes because of the direct effect of the disease process on the nerves that innervate our muscles.

Picture of Nerve Innervating Muscle for Post Diabetes and Foot Pain

This can cause muscles (typically in the thigh area first) to feel achy and/or weak. Other areas of muscles that are routinely affected are those in the shin area and feet.

As a result of this weakness, walking imbalances can occur. When this happens, we tend to see friction areas occur on the feet due to increased rubbing in the shoe and therefore an increase in callus formation which can become painful.

The goal in the treatment of Motor Neuropathy is to minimize damage to the feet from gait abnormalities via the use of supportive foot inserts and padding.Picture of HappyStep Shoe Insoles for Post Diabetes and Foot Pain

My #1 recommendation for the best supportive inserts is one that my patients say they could not live without:

Autonomic Neuropathy

Lastly, Autonomic Neuropathy can affect the nerves to the parts of our body that lack conscious control.

One example of this includes our sweating mechanism. When an individual’s sweating PICTURE OF DRY CRACKED FEET WITH SEVERE FOOT FUNGUS ON POST WHAT IS FOOT FUNGUSmechanism is altered we may begin to see thickened nails and skin that becomes abnormally dry and cracking which can predispose an individual to bacterial and fungal infections.

I consistently recommend hydrating products for the treatment of Autonomic Neuropathy with great results. These products include oils and diabetic foot cream that routinely condition the feet and are essential in the prevention of the complications of this condition.

A favorite amongst my patients includes the following:

Picture of Foot Cream in Unique Gifts


Diabetes and Foot Pain due to Circulatory Insufficiencies

Circulatory insufficiencies can also be a causative factor for intense pain and diabetic PICTURE OF INCREASED BLOOD FLOWindividuals are at a greater risk for this complication.

For you to better understand how circulatory insufficiencies can lead to pain, especially in diabetics, here is a quick review of the function of our arteries, capillaries and veins which are the primary sub-components of our circulatory system:

      • Arteries
          • Carry oxygenated blood from our heart to nourish our vital organs and tissues.
      • Capillaries
          • Take the oxygenated blood from our arteries directly to the specific tissues and then carries the de-oxygenated blood away from our tissues.
      • Veins
          • Carry de-oxygenated blood from our capillaries back up to our heart to be replenished with new oxygenated blood.

High blood sugars associated with diabetes have a direct impact on the wellness of these arteries, capillaries and veins.

Arteries

Diabetes, or high blood sugar, accelerate the formation of fatty deposits within our arteries. As a result, the walls of our arteries become thickened and may even begin to develop calcium deposits. As this continues, the lumen (channel with which blood travels) becomes smaller and less blood is able to get through.

Picture of Artery Lumen Blockage for post Diabetes and Foot Pain

This most commonly affects the arteries behind the knee and calf.

Over time, with the shrinking of the lumen, blood flow to the feet can become partially or even totally blocked.

Our tissues require oxygen to survive and when they don’t receive it, an extreme pain ensues. Often times this pain is described as a “strangling” type of pain.

Capillaries

High blood sugars tend to cause our capillaries to become thickened and stiff as well. When this occurs, the capillaries become unable to be as efficient as they should be in delivering the oxygenated and nutrient-rick blood directly to our tissues.

Patients suffering from these phenomena typically experience the similar type of “strangling” pain as associated with arterial insufficiencies.

Veins

Our veins carry blood against gravity. In order to be efficient at this, our veins have tiny little valves that help push this blood upward from our feet to our heart.

When our arteries become blocked and are no longer able to handle the associated blood flow, they will sometimes form small channels above the blockage in order to re-direct the blood directly over to the veins.

When this occurs, the veins can become stressed, taking on more blood than they can handle. The result is veins that become swollen and painful.

Eventually, the veins become so full that some of the valves contained within them break. Blood is no longer able to be pushed up against gravity and as a direct result, pools in the feet and legs.

Picture of Venous Valves for Post Diabetes and Foot Pain

This blood pool can cause extreme swelling and, in time, leaking of fluids from the skin. This can create ulcerations, or sores, which usually occurs around the ankle area. These ulcerations are known to be quite painful.

Treatment/Prevention of Vascular Insufficiencies

If you are experiencing any of the signs/symptoms of vascular insufficiency, it is imperative that you see your medical doctor right away. Ulcerations need to be treated immediately and a lack of treatment can cause the condition to quickly get out of control.

Your doctor may recommend support hose, physical therapy, oral medications and a variety of surgical procedures which are extremely successful in improving circulation.

If you have found this article prior to any significant complications arising from vascular compromise, there are some preventative measures that can easily be incorporated into your daily routine in an attempt to avoid these problems.

Some of my recommendations to my own diabetic patients include the following in order to successfully improve circulation and deter the complications that arise with a lack thereof include the following:

Picture of REVITIVE Circulation Booster for Post Diabetes and Foot Pain


Diabetes and Muscle and Joint Pain

Another frequent source of discomfort associated with the feet and legs common in patients with diabetes includes muscle and joint pain.

This type of pain is an indirect consequence of the diabetic neuropathy and circulatory insufficiencies talked about above via walking imbalances.

If you will recall from my section above on Motor Neuropathy, the muscles of the feet and legs can become weak and can even atrophy, or shrink thereby resulting in gait abnormalities. When this occurs, the tendons (which attach the muscle to the bone) can become stiff and contract.

As a direct result, our feet and joints will function in ways that are not intended in an attempt to allow us to remain mobile. They may stiffen in bent positions due to an excess of blood sugar combining with our normal joint proteins. When this occurs, it is termedPICTURE OF FOOT WITH SEVERE ARTHRITIS FOR POST FIBROMYALGIA AND FOOT PAIN diabetic glycosylation.

While this is by no means the only cause of foot deformities such as hammertoes, bunions and bone spurs, diabetic glycosylation of the joints of the feet definitely can be a source of resultant pain, infection and/or ulcerations.

Some strategies that I have had great success with involving my diabetic patients for this particular source of pain include the following:


Diabetes and Foot Pain Associated with Frequent Infections

Due to medical and nutritional alterations that occurs within the body, individuals with diabetes are far more susceptible to fungal, yeast and bacterial infections.

Bacterial Infections

Bacterial infections can show up on any area of the body that becomes irritated, ulcerated or injured and are commonly witnessed on the feet of patients suffering from diabetes.

Signs of a bacterial infection can include one or more of the following:Picture of Infected Ulcer for Post Diabetes and Foot Pain

      • Redness,
      • Warmth,
      • Swelling,
      • Foul Odor,
      • Discharge and/or
      • Pain.

Even if a diabetic patient experiences numbness in the feet due to Sensory Neuropathy, it is commonly reported that they experience pain when a bacterial infection is present.

A bacterial infection can remain isolated to the skin (cellulitis) or can disperse to infect the bone (osteomyelitis).

Bacterial infections can be life-threatening and should be treated as such. If you or your loved one has diabetes and experience any of the signs and/or symptoms of a bacterial infection noted above, you should see your physician immediately.

Fungal or Yeast Infections

Fungus and/or yeast are common causes of many infections in individuals with diabetesPicture of Thick Toenails and are most recognized in the form of Athlete’s Foot or Fungal Toenails.

For a full breakdown of these infections and successful treatment recommendations, please visit the following:

The Prevention of Frequent Infections

To begin, I want to stress that if you are suffering from a bacterial infection and have diabetes, you MUST call your physician immediately. I have seen infections deemed minor become fatal overnight.

If it is a toenail fungus or Athlete’s Foot that you are experiencing, click on the appropriate link above and you will be directed to the absolute, tried-and-true best remedies (as well as anything you might want to know about those conditions). Don’t waste your money on the hundreds of products out there that really just don’t work.

If you want to know the best way to prevent the occurrence of and maximize your ability to fight off infections then you must think about strengthening your immune system.

Risk Factors for Toenail Fungus - Immune System

Some of my recommendations to strengthen the immune system when you have diabetes include the following:Picture of NutriChem Immune Booster for post Diabetes and Foot Pain

In addition, it is essential to understand that not all individuals with diabetes experience pain associated with infections and every diabetic should make it routine to visually and manually inspect their feet every day.


Diabetes and Foot Pain – My Conclusion

If you have made it this far then you can now recognize the correlation between diabetes and foot pain and the extreme importance of prevention and treatment.

PICTURE OF FEET FOR POST FIBROMYALGIA AND FOOT PAIN

I would like to close with a review of the causes of diabetes and foot pain and also provide a little insight on my #1 recommendation for the prevention/treatment of each.

Nerve Pain
  • Sensory Neuropathy
    • Penetrex Pain Relief Cream – My patients swear by this product for neuropathy pain!
      • Apply anywhere you experience pain, discomfort, burning, tingling, and/or numbness.

Picture of Penetrex Pain Cream for Post Diabetes and Foot Pain

  • Motor Neuropathy

Picture of HappyStep Shoe Insoles for Post Diabetes and Foot Pain

  • Autonomic Neuropathy
    • O’Keeffe’s for Healthy Feet Foot Cream
      • Apply daily to the feet.
      • Contains a high concentration of glycerin in order to draw in and retain moisture, which is essential for healthy, hydrated skin.
      • Contains Allantoin which helps to penetrate the thick, rough skin on the feet.
Picture of Foot Cream in Unique GiftsPain from Circulatory Insufficiencies

Picture of Revitive Circulation Booster

Joint and Muscle Pain
    • Miko Shiatsu Foot Massager
      • Provides deep kneading, gentle vibrating, rolling, and heat features with pressure settings that have the ability to target multiple pressure points to ensure relaxing pain relief.

Picture of Miko Shiatsu Foot Massager for post Diabetes and Foot Pain

Pain Associated with Frequent Infections
    • NutriChem Immune Booster
      • Strengthens our natural defense mechanisms and immunity function.
      • Eliminates toxins that cause weakening of the immune system.
      • Contains an unsurpassed combination of super foods, herbs, antioxidants, vitamins and minerals.

Picture of NutriChem Immune Booster for post Diabetes and Foot Pain


I appreciate you taking the time to read this article. I want you to know that I truly am here to help you. Should you have any questions over any of the material presented in this article OR any other condition related to the feet please do not hesitate to comment below.

Sincerely,

Misty D. Baker DPM

Podiatric Physician and Owner/Creator of FixUglyNails.com

Fibromyalgia and Foot Pain – MUST READ!

Have you been diagnosed with OR just believe that you are suffering from Fibromyalgia?

How are Fibromyalgia and foot pain related?PICTURE OF FEET FOR POST FIBROMYALGIA AND FOOT PAIN

As a podiatric physician, I can vouch that most patients that I see that have been diagnosed with Fibromyalgia have some form of pain within the feet.

Also,… on numerous occasions I have actually diagnosed Fibromyalgia on patients that present to my office with a primary complaint of foot pain.

So… to me, Fibromyalgia and foot pain go hand-in-hand.

We, in the medical community, must not be quick to disregard this diagnosis with a patient that presents with atypical, non-specific foot pain.

The need to delve deeper into Fibromyalgia and foot pain is present and essential.

With foot pain being so prevalent among those with this often-misunderstood disorder, also referred to as FMS, I believe that it is vital that we understand Fibromyalgia and exactly how it correlates with many types of foot pain.


Fibromyalgia and Foot Pain – What Exactly is Fibromyalgia Syndrome?

Got chronic pain?

FMS is actually one of the most common conditions associated with chronic pain with over 5 million people in the United States alone being affected.

PICTURE OF A LOT OF PEOPLE FOR POST FIBROMYALGIA AND FOOT PAIN

With that being said, the journey that one goes through until an adequate diagnosis of Fibromyalgia Syndrome is made can be quite frustrating as most patients whom suffer from this often misdiagnosed condition are usually at their wits-end, have suffered from chronic pain for years and are desperate for relief.PICTURE OF FIBROMYALGIA RIBBON FOR POST FIBROMYALGIA AND FOOT PAIN

So… what exactly is Fibromyalgia?

Fibromyalgia = pain.

It is not your typical pain, but a chronic, widespread type of pain that can best be described as an exaggerated tenderness.

Typically, a diagnosis of FMS must be considered when one presents with the following:

  • Chronic Pain – This generally means that the pain has been present for a minimum of 3 months or longer.
  • Widespread Pain – Pain is usually generalized and felt throughout both the upper and lower body. While this should be a tell-tale clue towards a diagnosis of Fibromyalgia, this is only the case with the majority. The actual symptoms of this condition may vary considerably from one person to the next with some exhibiting the majority of their pain in specific body areas such as the shoulder, neck or feet.
  • Increased Pain Sensitivity – Do you experience a lot of pain with even the smallest amount of pressure? This exaggerated pain response should definitely raise a red flag for a diagnosis of Fibromyalgia. In other words… people with this condition are more aware of pain that others would usually ignore. There is a decreased pain tolerance and an increased sensitivity to pain.
  • Cyclic Pain – Fibromyalgia symptoms are usually expressed as an atypical pain that varies in intensity with the typical patient experiencing both “good days” and “bad days”. Upon further investigation, one can usually correlate an increase in symptoms directly with an increase in physical activity and/or stress.

Can you see why Fibromyalgia is so frequently misdiagnosed?

Physicians are often so quick to want to provide a typical diagnosis and treatment for pain that often important components, such as the overall well-being of the patient and actual triggers and frequency of pain, are easily missed.


CALL TO ACTION FOR TREATMENT OF FIBROMYALGIA AND FOOT PAIN


Why Do I Believe That There Is A Definitive Correlation Between Fibromyalgia And Foot Pain?

Studies show that over half of individuals suffering from Fibromyalgia have foot pain; PICTURE OF WORDS FIBROMYALGIA AND FOOT PAINhowever, I strongly believe that this is an under-estimate considering the large amounts of patients that I have seen with foot pain and personally diagnosed with FMS who were previously misdiagnosed.

If I had to make a guess on the relationship between Fibromyalgia and foot pain I would go as far to say that about 75% (3 out of 4) of patients with Fibromyalgia experience some form of pain within the feet.

Why do I believe this?

There are two important facts that lead me to the conclusion that there is a definitive correlation between Fibromyalgia and foot pain.

1. Because individuals that suffer from FMS have an increased sensitivity to pain, I tend to see that when a patient with this condition presents with a foot ailment, we are catching this ailment at a much earlier stage as compared to one that presents without fibromyalgia with the same complaints.

In other words, as stated above, a patient with Fibromyalgia experiences pain with a foot condition that would not normally be advanced enough to cause pain in a disease-free individual.

For more on this see the case study below.

2. One of the recommendations for the treatment of Fibromyalgia is increased physicalPICTURE OF WALKING FOR EXERCISE FOR POST FIBROMYALGIA AND FOOT PAIN activity, such as walking. This proves to create a vicious cycle in one already struggling with Fibromyalgia.

Why?

Well… as one begins to increase physical activity with exercise, our feet naturally tend to get abused.

Whether this abuse is due to inadequate shoe gear, a minute gait abnormality OR just the stress and strain from increased requirements and load on the feet, an individual without Fibromyalgia tends to adapt to these new requirements of the feet.

However, in persons with Fibromyalgia, these newly introduced expectations of the feet tend to lead to the enhanced development of some form of foot pain.


Fibromyalgia and Foot Pain: A Case Study

One recollection of an example of the correlation between fibromyalgia and foot pain includes a specific diagnosis of arthritis in the 1st metatarsophalangeal joint with two separate patients that I recently saw in the same day at my office.

Just for clarification purposes… below is an x-ray of a foot with no foot deformity at the involved joint.

PICTURE OF NORMAL FOOT XRAY WITH WORDS FOR POST FIBROMYALGIA AND FOOT PAIN

On to the case study…

Patient A reports to my office with fluctuating pain in her foot. Some days it is a 1 out of 10 with 10 being the worst and other days it is a 7.

X-rays showed the following:

PICTURE OF XRAY WITH WORDS OF MILD ARTHRITIS IN FOOT FOR POST FIBROMYALGIA AND FOOT PAIN

Just in case you aren’t an expert at reading x-rays (as I suspect you aren’t) there is very minimal joint deformity noted as compared to the normal x-ray above.

Also,… the physical appearance of any joint deformity is predominantly absent.

PICTURE OF MILD BUNION FOR POST FIBROMYALGIA AND FOOT PAIN

In simpler terms, you would not expect this patient to be having the amount of pain as described.

In addition, upon further questioning, patient A reports the following:

  • Sensitivity to touch,
  • Problems sleeping,
  • Generalized fatigue,
  • Problems thinking clearly,
  • Stress,
  • Anxiety,
  • Mild depression and
  • Headaches.

In walks patient B.

PICTURE OF FOOT WITH SEVERE ARTHRITIS FOR POST FIBROMYALGIA AND FOOT PAIN

As you can see above, patient B has significant, visible deformity and upon taking x-rays I see the following:

PICTURE OF XRAY WITH SEVERE ARTHRITIS WITH WORDS FOR POST FIBROMYALGIA AND FOOT PAIN

Patient B reports a consistent daily pain of 3 out of 10 on a scale of 1 to 10 with 10 being the worst.

Patient B denies all the following:

  • Problems sleeping,
  • Generalized fatigue,
  • Problems thinking clearly,
  • Stress,
  • Anxiety,
  • Mild depression and
  • Headaches.

Upon speculation of a diagnosis of Fibromyalgia, patient A is sent to a specialist for further testing. The diagnosis is confirmed… Patient A has FMS.PICTURE OF FEET FOR POST FIBROMYALGIA AND FOOT PAIN

You can easily see from this one case study that the correlation between Fibromyalgia Syndrome and enhanced foot pain is confirmed.

To clarify… I do NOT want to continue boring you with case-study after case-study, but I see examples just like this literally all the time!


Fibromyalgia and Foot Pain – The Solution

We have clearly identified the problem of a relationship between Fibromyalgia and foot pain; so, what is the solution?

That is easy to answer… control and treat the Fibromyalgia.

That is much easier said than done, right?

How do you do that?

It took me years and years to find the most effective way of treating FMS.

I have not only prescribed numerous prescriptions that were developed specifically for this condition, but also consulted numerous specialists to no avail.

I can FINALLY say with confidence that I have found THE ABSOLUTE BEST WAY TO MANAGE FIBROMYALGIA and foot pain, and; it doesn’t even require a prescription!

CALL TO ACTION TO PURCHASE THE BEST TREATMENT FOR FIBROMYALGIA AND FOOT PAIN

This “magic solution” to treat the symptoms of Fibromyalgia and foot pain is routinely recommended by the Fibromyalgia experts and is all that I recommend to my patients for the treatment of their fibromyalgia and foot pain.

My treatment, that has worked wonders, for many, many, many of my patients consists of one amazing product: Turmeric Curcumin with Bioperine by BioSchwartz.


The Benefits of Turmeric Curcumin with Bioperine by BioSchwartz for the Treatment of Fibromyalgia and Foot Pain

Let’s face reality… the treatment of Fibromyalgia and foot pain is very difficult.

Most supplements used for many situations do NOT do what they say they are going to do.PICTURE OF TURMERIC CURCUMIN WITH BIOPERINE BY BIOSCHWARTZ FOR TREATMENT OF FIBROMYALGIA AND FOOT PAIN

But… what if I told you that there is an all-natural supplement that has the ability to cure chronic pain?

Well… there surely is and I see Turmeric Curcumin with Bioperine by BioSchwartz positively working on my personal patients to fight the chronic pain associated with Fibromyalgia every single day!

Let’s take a glimpse of the benefits of Turmeric Curcumin with Bioperine by BioSchwartz.

  • Prevents chronic discomfort/pain in feet and within the body as a whole,
  • Relieves joint pain throughout the body,
  • Reduces inflammation,
  • Reduces skin dryness,
  • Boosts memory and brain function,
  • Improves digestion,
  • Promotes cardiovascular health,
  • Enhances immune and nervous systems,
  • Enhances mood,
  • Boosts energy and
  • All-natural with no side effects.

Sound too good to be true? Try it for yourself now… you will NOT be disappointed.PICTURE OF MONEY BACK GUARANTEE

I can personally guarantee you that this product really DOES work for fibromyalgia pain, but if for any reason you aren’t 100% satisfied with your purchase, there is a 100% money-back guarantee. You have NO excuse.

If you suffer from chronic pain due to Fibromyalgia, do something about it and ORDER THIS PRODUCT NOW!


Fibromyalgia and Foot Pain – The Conclusion

If you are struggling with Fibromyalgia and foot pain then STOP now!

There is absolutely no reason to be fighting this condition when the absolute best solution is simply one click away!

Fibromyalgia and foot pain are debilitating when combined and when left untreated can significantly and negatively impact your life.

Order this amazing product now… don’t continue to suffer!

CALL TO ACTION TO BUY THE BEST TREATMENT FOR FIBROMYALGIA AND FOOT PAIN