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Fungal infections occur when fungi infect the toenail, leading to discoloration, thickening, and brittleness. Symptoms of a fungal toenail include yellow, brown, or white discoloration of the nail, along with thickened or distorted nail shape. In more severe cases, the toenail may become crumbly or even separate from the nail bed, causing pain or discomfort. Fungal toenail infections are typically caused by exposure to moist environments like sweaty shoes or communal showers, and nail damage. People with diabetes or a weakened immune system are more susceptible to these infections. A podiatrist can diagnose a fungal toenail infection through a simple examination and may recommend antifungal treatments, either topical or oral. In some cases, the nail may need to be removed to fully treat the infection. Regular foot care, wearing proper footwear, and maintaining good hygiene can also help prevent future infections. If you have a fungul toenail infecftion, it is suggested that you schedule an appointment with a podiatrist.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
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.

Plantar fasciitis is a major cause of heel pain. It occurs when the plantar fascia, a thick band of tissue along the bottom of the foot, undergoes degeneration at its attachment on the heel. This often leads to sharp pain near the heel, especially when standing up after rest. Plantar fasciitis is linked to excessive foot pronation, high or low arches and prolonged standing. Other factors include running, wearing improper footwear, and being overweight, along with tight calf muscles and a stiff Achilles tendon. A podiatrist can assess your foot structure, gait mechanics, and risk factors to determine the best course of treatment. Supportive footwear, custom orthotics, and stretching exercises may help reduce strain on the plantar fascia. If symptoms persist, a podiatrist may suggest corticosteroid injections to relieve inflammation or night splints to keep the fascia stretched. Surgery is considered when pain does not improve with other treatments. If you have symptoms of plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Overpronation
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
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.

Bone spurs on the feet are common, especially among people over 60. These bony growths develop over time, typically where bones meet joints, often due to repetitive stress or aging. They can form on the heel, the ball of the foot, or around the toes. Symptoms include pain, swelling, or a noticeable bump on the foot. The pain may worsen with activity, especially after prolonged walking or standing. The primary cause of bone spurs is the wear and tear on the cartilage in the joints, which leads to bone growth as a response. Factors like arthritis, flat feet, or abnormal foot mechanics can increase the risk of developing bone spurs. A podiatrist can diagnose bone spurs through physical exams and imaging tests. Treatment options include custom orthotics to relieve pressure, anti-inflammatory medication, targeted exercises, or in severe cases, surgery to remove the spur. If you suspect you have a bone spur, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnose and correct treatment solutions.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
- Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
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.