February 2021

An ingrown toenail occurs when the edges of the nail grow into the surrounding skin rather than over it. This can happen on any of the toes, but most frequently affects the big toe. Certain factors can make someone more likely to develop ingrown toenails. Wearing shoes that are too tight in the toe area can cause the toes to be compressed and can put excess pressure on the nail, pushing it against the skin. Trimming the toenails in a rounded shape or too short can also cause ingrown toenails. Excessive sweating in the feet can make the skin of the nail folds so soft that the nail easily pokes into it. Other factors that may make ingrown toenails more likely include a history of nail infections, having nail shape or structure abnormalities, and having a genetic predisposition to ingrown nails. For more information about how to care for your toenails and prevent ingrown nails, please consult with a podiatrist.

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.

An ankle sprain can be the result of stretched or torn ligaments from suddenly twisting the ankle. As the ankle rolls outward, the foot turns inward, and this can cause the inside of the ankle to become damaged. The symptoms that many patients experience can include immediate bruising, swelling, and difficulty walking. After a proper diagnosis is made, which generally involves having an X-ray taken, treatment can begin. This typically begins by wrapping the affected ankle in an elastic bandage, as this is helpful in providing the necessary support to the ankle during the healing process. Additionally, it is beneficial to elevate the sprained ankle, which can alleviate some of the swelling. If you have sprained your ankle, it is strongly suggested that you consult with a podiatrist who can diagnose and treat this injury.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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.

Orthotics are inserts that are worn inside of the shoes to correct issues with foot deformities, foot alignment, or to relieve pressure from various foot conditions. Orthotics can help relieve foot pain, knee pain, and lower back pain as well. There are 3 common types of orthotics including: soft, rigid, and semi-rigid. Soft orthotics are designed to cushion the foot when planted on the ground. Semi-rigid orthotics are designed to provide a middle ground between stability and cushioning and are often used for patients with flat feet. Rigid orthotics are designed to control movement in the foot that causes pain.  If you believe that orthotics may be right for you, please consult with a podiatrist for professional advice. A podiatrist will custom make your orthotics to maximize your experience.

If you are having discomfort in your feet and would like to try orthotics, 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 Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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.

There are a variety of factors that can lead to pain in the arch of the foot. While a structural imbalance or an injury can cause the pain, plantar fasciitis is the most common culprit. Plantar fasciitis is caused by the inflammation of the plantar fascia, which is tissue that connects the heel to the toes. Because stretching the plantar fascia pulls on the heel bone, the arch pain may lead to heel pain as well. Plantar fasciitis can also lead to a heel spur. Patients who are experiencing pain in the arch of the foot should visit a podiatrist, as pain from plantar fasciitis can worsen over time. Patients should also avoid wearing high heels, and opt for shoes that have extra cushioning and good arch support.

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.