December 2020

An ulcer that develops on the foot is a wound that may not heal. This type of ailment can cause severe pain and discomfort and is common among diabetic patients. Redness on and around the affected area is often the first sign of a foot wound, and additional symptoms can include an unpleasant odor and possible drainage. There are several reasons why foot wounds may occur. These can consist of living a sedentary lifestyle, nerve damage, or circulation problems. Additionally, medical conditions such as high blood pressure and diabetes may make developing wounds on the feet more likely. If you are prone to foot wounds, it is strongly suggested that you are under the care of a podiatrist who can effectively treat this problem.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

An ingrown toenail occurs when the toenail curls and grows into the skin surrounding the nail. Ingrown toenails usually become painful, red and swollen, and if left untreated, they can become infected. Common situations that cause ingrown toenails include wearing tight fitting shoes, improperly cutting the toenails, having sweaty feet, or sustaining a toe injury. If you are struggling with an ingrown toenail, soaking the feet in warm water for 15-20 minutes, 3-4 times a day is recommended. However, if the ingrown toenail persists, it is important to have it checked by a podiatrist in order to prevent an infection. In severe cases, a podiatrist may need to remove the nail via surgery.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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.

Plantar fasciitis occurs when the ligament that runs along the bottom of the foot, called the plantar fascia, becomes inflamed. Plantar fasciitis causes pain in the heel, which is usually worse in the morning, after prolonged standing, or after an intense workout. It can also be associated with a heel spur, which occurs as a spike of bone that points out from the heel bone. Common risk factors for developing plantar fasciitis include playing sports that put stress on the heel bone, being flat footed, being middle-aged, obesity, pregnancy, and spending a lot of time on your feet. Common methods of relief include taking nonsteroidal anti-inflammatory drugs, resting the foot, and wearing proper footwear or orthotics. If you are suffering from heel pain, don't hesitate to speak with a podiatrist.

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.

Computed tomography angiography (CTA) and magnetic resonance angiography (MRA) are two kinds of noninvasive imaging studies that can be used to visualize the blood flow in different areas of your body, including your lower limbs. A podiatrist may request that you undergo one of these imaging studies if they suspect that you might have peripheral artery disease, a condition that causes poor circulation to the lower limbs. Both of these tests require the patient to lie down on a motorized bed that moves through a scanner, which takes images of your lower legs. CTAs require the injection of an intravenous contrasting agent and the use of radiation in order to see your blood flow, while an MRA may or may not require the use of a contrasting agent, but does not use radiation. For more information about these and other tests to assess blood flow in the lower limbs, please speak with a podiatrist.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, 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.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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.