January 2019

Rheumatoid arthritis usually affects small joints first, but it can move to larger joints, such as ankles. If this condition spreads to the ankles, then it can hinder one’s ability to walk, and cause extreme discomfort. Symptoms of rheumatoid arthritis usually come in flares that can last anywhere from a couple days to a couple weeks. These symptoms include inflammation and stiffness in the joints of the ankle. If this goes untreated, then this condition has the potential to permanently change the structure of the ankle joints. Rheumatoid arthritis also breaks down cartilage in the ankle that protects the bones from rubbing together, so this may create friction that will cause further weakness and instability. Oftentimes, people with rheumatoid arthritis in the ankles also experience symptoms in their feet. If you feel that you may have rheumatoid arthritis in either your feet or ankles, then it is strongly recommended that you consult with a podiatrist to receive treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and 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 care needs.

Fungal nail infection (onychomycosis) is one of the most common nail disorders among adults. It is a mycotic infection that occurs underneath the nail plate. The nail can become deformed, lifted, brittle, and discolored. These symptoms may lead to acute pain in the toenail area. There are various types of fungal nail infections and various types of treatments. One form of treatment is laser therapy, which also consists of varying methods. Photodynamic therapy uses light irradiation and a photosensitizing drug to find specific cells and destroy them. Other laser therapies that involve neodymium yttrium-aluminum-garnet or low-level lasers aim to selectively hinder fungal growth. Laser therapies are selective to the localized infection, which decreases the chance of systemic side effects. If you are interested in laser treatment for a fungal infection, consult with a podiatrist for further guidance.

Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor will assess your condition and provide you with quality treatment for fungal nails.

What Are Toenail Fungal Infections?

Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.

Symptoms of Toenail Fungal Infections Include:

• Nail thickening
• Brittleness of the nail
• Discoloration of the nail

Diagnosis for Fungal Nails

Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.

What Is Laser Treatment?

Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.

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.

A fungal infection of the skin that typically affects the feet is known as athlete’s foot. The name originated from people who are active in sports because their socks and shoes tend to be sweaty from participating in their chosen sport, despite the fact it can occur in anyone. There are several symptoms that are associated with this contagious foot condition, including mild to severe itching, redness, soreness, and a general uncomfortable feeling in the feet. The fungus that causes athlete’s foot lives and thrives in warm and moist places, and these may include public pools, locker rooms, showers and surrounding areas. If athlete’s foot is left untreated, it may lead to infection, and it’s important to know how this ailment may be prevented. This may be accomplished by wearing appropriate shoes in public areas, washing and drying the feet daily, and using anti-fungal powder frequently, which may help to eliminate or reduce excess sweat. If you are afflicted with this condition, it is suggested to consult with a podiatrist, so proper treatment can begin.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. Gary Cesar from Michigan Foot and Ankle Center.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

• Hydrate your feet by using lotion
• Exfoliate
• Buff off nails
• Use of anti-fungal products
• Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best 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 and ankle needs.

The medical condition that is referred to as planter hyperhidrosis is defined as excessive sweating of the feet. Many patients may experience extreme discomfort, and this may be a result of shoes and socks that are frequently wet. There are several symptoms that may be associated with this ailment, and these may include foot infections such as toenail fungus or athlete’s foot, blisters on the feet that may come from excessive friction, or a strong and unpleasant foot odor. There may be preventive measures that can be implemented to ease the discomfort of plantar hyperhidrosis, including utilizing antiperspirants on the feet, wearing layers of cotton socks, which may be helpful in absorbing sweat, or taking oral medications. If you are afflicted with this uncomfortable foot condition, it is suggested to speak with a podiatrist who guides you to begin the correct treatment.

If you are suffering from hyperhidrosis contact Dr. Gary Cesar of Michigan Foot and Ankle Center. Our doctor can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best 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 and ankle needs.

If you are experiencing pain and discomfort on the sole of your foot, you may have what is referred to as Morton’s neuroma. It is an inflammation and thickening of the nerve near one of the toes, and may be caused by wearing shoes that do not have adequate room for the toes to move freely in. Some patients have foot conditions, which may include bunions, hammer toes, and flat or high arches, and this may lead to the development of Morton’s neuroma. If you feel you may have this ailment, it is important to obtain a proper diagnosis, which may include having an X-ray, MRI, or ultrasound performed. Treatment options, which may be considered may include performing gently stretching exercises that may be helpful in loosening the ligaments and tendons, in addition to resting and massaging the bottom of the foot. It is strongly suggested to consult with a podiatrist who can perform the correct tests that are needed for a proper diagnosis, in addition to discussing treatment techniques.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Gary Cesar of Michigan Foot and Ankle Center. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.