I hear this question daily, but I cannot answer it without telling you about a patient I treated about a year ago. DW came into the office complaining of pain, numbness and tingling in both of his feet and lower legs. Medically he had diabetes, high blood pressure, and migraine headaches. He was a long distance truck driver in the Midwest during the spring and summer months and would spend his winters here in Florida. He and his wife happened to be renovating their home here so he was very active.