Dr Rehm has collected this list of commonly asked questions to provide some information to aid you in your daily conditions. This page is intended to provide some clarity for the topic that have been brought up repeatedly by patients.

Reading and knowing these helps you give the right answer!


What is the difference between the diabetic formula and the active formula?

All formulas are nutrient based anti inflammatory, moisturizing, conditioning, antioxidant and antimicrobial.

The diabetic formula has special additional patent pending ingredients that counteract the problems that cause damage to the skin in people with diabetes

The active formula is a nutrient based formulation designed to relieve tired aching feet while at the same time supplying nutrients to the skin that moisturize and condition the skin to revitalize active feet.

Do I have to buy the pads and the cream? Can I just buy the cream?

They each have their own function and can work independently, but for best results use the balm riche duo program

Rationale: you wouldn’t polish your car without washing it …
You would’nt condition your hair without using shampoo first

Cleansing the skin first with the cleansing redi-pads removes contaminants, and softens the skin and nails thereby allowing a pathway for both Balm Riche™ foot creams to penetrate deeper.

How long do the products last?

Both Balm Riche™ foot creams last approximately 1-2 months and the cleansing ready-pads last about a month if used as directed.

The formulas are very rich and a little goes a long way

What is special about the Balm Riche formulations and how is it different from others?

First of all the Balm Riche™ duo is a patent pending process that is unique to any other foot care system

All ingredients used are maximum “top notch” quality and are scientifically selected personally by dr. Rehm, a board certified expert in the foot, to work synergistically in combination with each other, creating that special balm riche “healing feeling” and the ultimate soothing, relaxing, energizing and healthful feetness experience.

A key point is that this special combination of ingredients is designed to nourish the protective acid mantle layer of the skin while still allowing deep penetration of the active factors.
Don’t forget that these products create the optimum “friction factor” resulting in a very engaging massage experience.

There is nothing like this foot health phenomena on the market!

Do I have to use them everyday? How often and how long?

Just like you take a shower and you brush your teeth everyday, it follows that because the foot is locked up in a shoe or in contact with the ground every day, it is in contact with many pollutants, impurities, toxins, poisons and chemicals. To maintain foot and nail health, you must have a way to combat these contaminants. Balm Riche™ duo everyday..….is that way!

Also, the skin is continally produced and at the same time moves up to the upper layer of the skin. As these skin cells move up and then outward, they die and are sloughed off. It is necessary to rid the surface of this slough and healthfully condition the skin at the same time.

Does it help my thick, ugly fungus toenails?

This is my favorite question. And i answer the question with a question. And the question is: do you brush your teeth daily? Virtually everybody says yes. Then I would ask, “do you brush your toenails daily?” and most people say no.

Well the toenails are an outgrowth of the skin, just like the teeth are. And the teeth are usually confined to an environment unique to the teeth, and that is the mouth. If we didn’t brush our teeth daily they would develop dental plaque, which contain infection causing organisms.

Well the toenail is confined to an environment unique to the foot, and that is the dark moist environment of the sock and shoe. And so contaminants can grow on the toenail, much like what happens in the tooth and in the mouth.

We brush and cleanse our teeth and mouth daily, and it follows that we must treat our feet and toenails with the same respect and use the balm riche duo regularly if we are to prevent and clean fungus from the foot and toenails.

One of the principle ways that Balm Riche™ is used to contribute to healthy looking and beautiful nails, is to use the Balm Riche™m duo to cut thick, dystrophic or even normal nails.  Thereby diminishing the amount of contamination left to reinfect.

Ideally, first the nails should be thinned and sanded down, to get rid of the “fungus load” on the nail plate that re-infects the whole nail apparatus. Then apply the redi-pads first all over the feet and toenails. Then wipe it off with a clean towel.  The wiping off is an important step in that it helps cleans the skin and nails.  Then apply the foot cream all over and then wipe it off as well, especially in- between the toes, so as to avoid excess moisture. Then before cutting the nails, use a q-tip dipped in the foot cream to apply to the nail borders and under the tip of the nail and under the corners until the sides lift up a little. This should be clipped and the residual mycotic debris locked in the corners will become visible; and then these corners can be cleaned out. The nail fungus will appear to just loosen away and then it can be cut away so easily. This is the debris that re-infects the nail with fungus and other contaminants. This is the keystone to the Dr. Rehm anti-fungal  protocol.

For optimum results, this protocol should be done on a regular basis
And the Balm Riche™ duo is a key part of that.

Will it help dry cracked skin and heels?

Dry cracked heels result from a number of reasons and if there is a medical problem, you should find out about it.

Usuallly though, the first line of treatment for dry cracked heels is using a balm that moisturizes, softens and exfoliates dead skin. The Balm Riche™ duo contains the unique combination of ingredients to help dry cracked skin and heels …heal.

In extreme cases, consult your podiatrist to see if the heels need to be treated mechanically (sanding down) as well.  Use balm riche duo to maintain the soft skin resulting.

Will Balm Richetm help with my calluses?

There are several types of calluses

•   Porokeratosis: caused by plugged up sweat ducts
•   Nucleated keratomas: caused by pounding pressure of the bones in the foot
•   Dispersive keratomas: caused by excess movement and shearing of the skin

Along with balancing the foot during walking, by using appropriate inserts and shoes, balm riche duo can condition and soften the skin to make it less stiff as it hits the ground helping to minimize or eliminate the calluses.

Massaging the foot with balm riche helps break up the inflammatory tissue around the joints and bones that makes the foot stiff.

Stiff skin and stiff bones are bad! And
Balm Richetm is the answer.

Are the products good for a foot massage?

Dr. Rehm has been using foot massage with his foot creams as part of his practice for over 40 years.

Foot massage improves circulation, stimulates muscles, reduces stiffness in the feet, diminishes overall tension and often eases pain. Self-massage gives you a head start on treating many ailments of the feet including blisters, painful calluses, corns and fasciitis.  But you can’t massage without a lubricant as a vehicle for the massage, as the friction will eliminate a lot of the benefits of massage. Balm Riche™ foot creams are made with the optimum “friction factor” allowing the perfect massage with all the penetrating nutrients.

There is nothing better than a Balm Riche™ foot massage!

Will it help before and after my workout?

Doing a “Balm Riche™ foot massage” before a workout relaxes tense muscles and helps remove adhesions due to scar tissue. These can restrict movement, impairing your range of motion, potentially leading to abnormal movement patterns and overuse injuries.

One of sciences biggest discovery is what massage can do after a workout for athletic recovery. Doing a “balm riche foot massage” after a workout or a run:

•   Reduces the intensity of soreness
•   Reduces damaging inflammation
•   Increasing infection fighting blood cells
•   Increases blood flow to the foot
•   Allowing and tolerating harder training
•   Improve recovery and ability to perform next workout

You want to be in perfect shape… to get that perfect shape!

Why are my toenails thick and discolored?

Thick discolored toenails can sometimes be caused by sluggish circulation. Fungus can find a nice home on the toenails, whether or not the person has poor circulation. Sometimes other problems with the toenails can make them thick and discolored such as psoriasis, skin problems or yeast infection.

Solution: It is necessary to find the culprit of these “uchy” toenails. I would suggest going to a board certified podiatrist (certified by the American Board of Multiple Specialties in Podiatry ABMSP) The first thing the doctor would do is to get a culture to find out if and what organisms are growing to determine if any medications are useful. The second thing the doctor would do is to grind them down so they are really thin and get rid of any debris in the nail corners. This way any topical medications used will penetrate easier. The doctor may want to prescribe oral medications as well. It would be well served to prevent these from happening as prevention is the best medicine.

What causes the scaling and dryness on my feet?

Dry scaly skin can be caused by certain medical situations or even pregnancy (be sure to check with your primary care doctor). Sometimes it is just thick and callused because it is an inherited condition or it may happen because the person feet gets a lot of friction with the ground as in going barefoot, wearing flip-flops or harmful shoe materials that may be causing sweating or an allergy. A good portion of the time fungus starts to grow on the skin and forms an athletes foot condition, that may in fact cause extra irritation to the skin and even become infected.

Solution: If over-the-counter medications for athletes foot conditions do not work, please seek an opinion from your podiatric physician and surgeon who is ABMSP board certified. It is always necessary for treatment and prevention to use the proper soap (see ToeSoaks) for the feet, cleansing pad (see ToesEase) and conditioning cream(Balm Riche for non-diabetics and DiabetiCream for those people who have diabetes.)

Why do my heels and my arches hurt?

Heel pain can be due to too much pounding on the heel bone and it becomes inflamed such as a person who is on their feet all day. Heel spurs can develop when the soft tissue on the bottom of the feet that’s attached to the heel bone stretches too much and becomes inflamed. This is called plantar fasciitis. Heel spurs do not hurt but the muscle-tendon-ligament type of tissue that’s pulling on the heel bone is what causes the pain.

Solution: Whether the person needs shots, oral medication or surgery would be determined by your Podiatric Physician. In any case, an orthotic device and well-fitted shoes are in order. This controls the abnormal motion of the foot causing this problem and may even stop the pain…..before you go to your doctor!

What causes my painful corns and calluses?

Corns are a result of hard calluses skin forming on the outside or in-between the toes. It is always due to some pressure or rubbing; usually the toe bones are rubbing together or the tops of the toes are rubbing on the inside of the shoe.

Solution: For the problems on the toes rubbing on the inside of the shoe, this is usually solved by getting a better fitting shoe. Sometimes part of the reason the toe is hitting the inside of the shoe is because the toe is crooked (called hammertoe, mallet toe or claw toe) and these might need to be addressed by your ABMSP board certified podiatrist either surgically or with palliatively.

Why do I have bunions and my toes are crooked and will they get worse?

A bunion is a bump on the medial side of the foot caused by an enlargement of the bone at the first metatarsal and an irritation of the bursal sac there. This irritation is due to an imbalance occurring when a person walks, called over-pronation. Toes are crooked, and depending on what joints are involved, are called hammertoes, mallet toes or clawtoes. They are caused by the same combination of heredity and imbalance in walking as is the bunion deformity.

Solution: The worsening of the bunion and even the pain involved can be halted by wearing a custom-made orthotic device made by your ABMSP board-certified podiatrist, in combination with a well-fitted shoe. Sometimes surgery by a ABMSP board certified podiatrist is needed. The crooked toes can be alleviated in the same manner as is the bunion problem.

What causes the ball of my foot hurt when I walk?

The most common cause of this is because of pinching and eventual scarring of the nerve tissue in between the metatarsal heads. This is termed a Neuroma or a Morton’s neuroma when it occurs between the 3rd and 4th metatarsal heads. The pinching is usually due to an imbalance occurring when walking. This imbalance is called hyper-pronation and will cause squeezing of the nerves with each step.

Solution: If the imbalance is corrected by custom made orthotic devices, made through the process called biomechanical exam and neutral position casting of the foot the nerve could possibly shrink enough over time such that no further treatment would be required. However, very often, various types of injections are used to augment this process. If these conservative measures are employed in a timely manner, surgery, more often than not, is not needed.

Why do my feet burn?

Burning sensation of the feet can occur from trauma to the bottom of the feet, swelling of the feet and legs, hereditary situations, dietary considerations such as a reaction to a high-sugar diet or even frank diabetes mellitus causing a condition called neuropathy. Burning can also be caused by neck and back problems. It is usually associated with the body having too much inflammatory chemicals going to the nerves, one notable cause is preservatives and high sugar content in a persons diet.

Solution: Finding temporary relief for this problem can be problematic but remember that good fitting shoes and orthotic devices will probably not hurt you, but more likely will help you. In this case, ALWAYS bring this problem to the attention of your primary care provider and your ABMSP board certified podiatrist.


Any other questions please email Dr. Rehm at askdoc@drrehmremedies.com