They have started at the feet and will go up. They do each toe. My understanding from the neurologist is that where I am completely numb, the nerves are dead and will not resurrect. Not an Easter miracle, per tge neurologist. Where there is pain and tingling, nerves are still alive. Goal is to keep them from dying and degeneration from spreading. He is curious about my shock therapy treatments though he never mentioned them as an option. I will mention the cake to foot option to my shock wave doc.