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Toe walking happens when a child walks primarily on the balls of the feet instead of placing the heels down in a typical walking pattern. In some cases, this walking style may be linked to muscle, nerve, or structural conditions, but many children show this pattern without a clearly identifiable medical reason. For some families, it is mainly a concern because of how the walking looks, while others notice balance problems, tight muscles, discomfort, or difficulty with activity. Evaluation includes a detailed medical history, physical examination, and, when needed, further testing to look for underlying causes. Treatment depends on the child’s age, how long the pattern has been present, and whether tightness has developed in the calf or Achilles area. Care may include stretching programs, supportive devices, or other interventions to improve movement. If your child continues to walk on their toes, it is suggested that you visit a podiatrist for an evaluation and management tips.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Gary Cesar of Michigan Foot and Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
If you have any questions, please feel free to contact our offices located in Lansing and Mt. Pleasant, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wearing the wrong safety footwear at work can lead to several painful foot conditions over time. Tight or ill fitting shoes may cause bunions, which appear as a bony bump at the base of the big toe due to joint misalignment. Constant friction can also lead to corns, which are thickened areas of skin that develop from pressure. Blisters may form when the skin rubs repeatedly against the shoe, creating fluid filled pockets that can become irritated. These issues often develop gradually and may worsen with long hours on hard surfaces or in restrictive footwear. Symptoms can include soreness, swelling, redness, and difficulty walking comfortably. A podiatrist can assess posture, alignment, and how weight is distributed through the feet, helping reduce strain linked to poor footwear. If you have foot pain from wearing the wrong work shoes, it is suggested that you consult a podiatrist who can offer relief tips and guide you on the correct shoes to wear.
While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor will treat your foot and ankle needs.
Working on Your Feet
Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.
Positive Changes
Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.
Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.
Eliminate Pain
Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.
Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.
With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.
If you have any questions please contact our offices located in Lansing and Mt. Pleasant, MI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout is a form of inflammatory arthritis that develops when uric acid crystals build up in a joint, most often with severe pain in the big toe. The condition usually appears suddenly, often at night, with intense pain, redness, warmth, and swelling. Some people describe the pain as sharp and throbbing, making even light pressure uncomfortable. Risk factors include older age, diets high in red meat or sugary drinks, certain medications, and excess body weight. Gout happens when the body either produces too much uric acid or cannot remove it effectively. Flare-ups may come and go, but without proper care, they can become more frequent. A podiatrist can diagnose gout, confirm it with testing, and provide treatments that reduce pain and prevent joint damage. Gout can be very painful and may cause difficulty in completing daily tasks. If you have symptoms of gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this painful condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our offices located in Lansing and Mt. Pleasant, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pickleball is a fast-growing sport that combines quick movements with sudden stops and turns. These actions place stress on the feet and ankles, especially when running, lunging, or shifting direction. Two common problems linked to pickleball are ankle sprains, which happen when the foot twists, and Achilles tendon injuries, which affect the strong band that connects the calf muscle to the heel. Some people may also develop tendon irritation, known as tendinitis, or muscle strains in the lower leg. Risk factors include age, previous injuries, and reduced flexibility or strength. Symptoms include pain, swelling, stiffness, or difficulty walking after play. A podiatrist can examine the foot and ankle, use imaging if needed, and create a treatment plan. Care may include bracing, custom orthotics, or guidance to improve movement and reduce stress on the joints. If you have foot or ankle problems after playing pickleball, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Gary Cesar of Michigan Foot and Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
- Plantar Fasciitis
- Achilles Tendinitis
- Achilles Tendon Rupture
- Ankle Sprains
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
If you have any questions please contact our offices located in Lansing and Mt. Pleasant, MI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.







