July 2019

Heel pain is a very common ailment that can be caused by a variety of factors. Heel pain can range from a bruise or a stress fracture, to plantar fasciitis or Achilles tendonitis. The heel bone sits at the back of the foot beneath the ankle. Along with surrounding tissue, the heel bone works to provide balance and side-to-side movement of the back of the foot. If you are unsure of the cause of the symptoms of heel pain, it is important to seek medical attention. The signs that you should look for include an inability to walk comfortably on the affected side, signs of an infection, swelling or discoloration on the back of the foot and heel pain that persists beyond a few days. The heel condition can be diagnosed through your medical history or through physical examinations such as blood work and X-rays. If you are experiencing heel pain, it is advised that you visit with a podiatrist to discuss the best course of action. 

Many people suffer from bouts of heel pain. 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.

The plantar fascia is located on the bottom of the foot. It is a band of tissue that connects the heel to the toes, and if it should become damaged and inflamed, a condition that is known as plantar fasciitis may develop. Common symptoms that are associated with this ailment often include severe pain and discomfort, and it may cause difficulty in walking. It typically originates from overuse from running activities, or as a result of being overweight. Relief may be found when specific stretches are performed that will strengthen the plantar fascia. These consist of stretching the calf, which may be helpful in relieving muscle tightness in the Achilles tendon and heel area. Some patients find it beneficial to roll the arch of the foot on a tennis or golf ball, in addition to pointing and flexing the foot. If you have heel pain, please consult a podiatrist who can guide you toward the treatment that is correct for you.

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.

The medical condition that is referred to as tarsal tunnel syndrome, or TTS, can cause pain and discomfort on the inside of the ankle. It often occurs as a result of nerve damage, which may lead to inflammation. Patients who run or exercise for extended periods of time may gradually experience this type of nerve damage, or it may come from enduring a traumatic injury. Mild relief may be felt by gently stretching the surrounding muscles and tendons, in addition to resting and elevating the affected ankle. This may help to diminish a portion of the swelling. In severe cases, taping the ankle or wearing a brace may provide adequate support as the ankle heals. If you feel you have this condition, it is suggested to consult with a podiatrist who can offer the correct treatment options for you.

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.

Tight calf muscles can lead to uncomfortable foot conditions that include plantar fasciitis, bunions, and tendinitis. There are reasons why calf muscles may be shortened, including genetic factors, wearing high heels for the majority of the day, or problems with posture. When the calf muscles are properly stretched, walking and running activities will typically become easier to perform. An effective calf stretch is done by standing on a step while letting the heel of one foot dip, and then repeating on the other foot. This is helpful in lengthening the Achilles tendon. Those patients who are interested in yoga can perform a downward dog yoga stretch. This is done by placing the hands on the floor, and lifting up and down on the toes. If you would like additional information about the benefits of stretching feet, please consult with a podiatrist.

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with 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.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

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.

The medical term for toenail fungus is onychomycosis. This type of fungus typically lives and thrives in warm and moist environments, which often include public swimming pools, locker rooms, and shower room floors. It is considered to be contagious, and appropriate shoes should be worn while in these areas. There may be existing medical conditions that precede the development of toenail fungus. These can include diabetes, a weakened immune system, or a possible skin injury around the nail and surrounding areas. Some of the symptoms that are associated with this condition often include yellow or white streaks on the nail, brittleness of the nail, and some patients may lose the nail. If you notice symptoms of toenail fungus, it is suggested that you speak to a podiatrist who can properly treat this condition.

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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our offices located in Lansing and Mt. Pleasant, MI . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.