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Peripheral neuropathy affects the feet when damaged nerves disrupt normal sensation and muscle function. People may experience burning, tingling, numbness, weakness, or have difficulty walking. Peripheral neuropathy is often linked to diabetes, autoimmune diseases, infections, or exposure to toxins. Loss of sensation in the feet can increase the risk of injuries. Motor nerve damage may cause muscle weakness or foot drop, an inability to fully lift your foot when walking. Diagnosis of peripheral neuropathy typically involves a neurological exam, blood tests, and nerve studies to evaluate nerve function and identify underlying causes. Managing the root condition, such as improving blood sugar control or addressing nutritional deficiencies, is important to prevent further nerve damage. A podiatrist can assist by diagnosing foot-specific neuropathy, providing guidance to protect the feet, and recommending supportive devices to improve balance. If you have noticed a lack of sensation in your feet, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
- Numbness
- Sensation loss
- Prickling and tingling sensations
- Throbbing, freezing, burning pains
- Muscle weakness
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
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.

Foot pain at night can be frustrating, especially when it keeps you from resting. It may come from overuse during the day, tight muscles, or nerve problems. People with plantar fasciitis often feel pain after long periods of rest. Others may have tingling or burning from nerve issues, such as neuropathy. Poor circulation or flat feet can also lead to discomfort once activity stops. Gentle stretching before bed, wearing supportive shoes during the day and elevating your feet at night may help. Still, nighttime pain should not be ignored. If your feet often hurt after dark or disturb your sleep, it is suggested you see a podiatrist for diagnosis and appropriate treatment.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
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.

Tarsal tunnel syndrome, also known as posterior tibial neuralgia, is caused by compression of the posterior tibial nerve as it travels through the tarsal tunnel along the inside of the ankle. This compression can lead to pain, tingling, numbness, or a burning sensation in the foot and ankle. Risk factors for developing tarsal tunnel syndrome include having flat feet, which can stretch the nerve, previous ankle injuries that cause swelling, or conditions like arthritis and diabetes that lead to nerve damage or inflammation. Symptoms may worsen with prolonged standing, walking, or physical activity and pain can radiate into the toes or heel. If you have pain in this part of your foot, it is suggested that you visit a podiatrist for an accurate diagnosis and treatment.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.
Tarsal Tunnel Syndrome
Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.
Common Cause of Tarsal Tunnel Syndrome
- Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
- Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
- At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.
The Effects of Tarsal Tunnel Syndrome
- Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
- The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
- If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.
A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.
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 and ankle needs.