The best results I have seen is with barefoot, boots and pads. Shoes by nature, decrease the circulation to the feet. Easycare makes nice products that can help your situation. The only draw back is the feet tend to get thrush when booted, but tea tree oil used regularly on frogs will keep it under control. I remove boots 2 times a day to air the boots and feet out. I am stretching out the time periods by checking the digital pulse and doing small incremental changes, about 15 min. each day.