John and Fala. Thank you for your response to my question. I will see my doc in a week or two and ask about the Capsaicin although I doubt he will prescribe it as it sounds as if it is still being investigated. I use the neoprene socks and wool shoe inserts suggested by John earlier. I also use the hot Hand toe warmers. In the evening I use my go to Rockdove slippers and Cozy Winter large foot of the bed heating pad which I absolutely love. Fala, what kind of foot warmer are you talking about? I appreciate your responses really appreciate Connect for all of the suggestions and discussions it provides. Hope you have happy healthy holidays, Bcool