March 2021

As we age, biomechanics—the study of structure, function and  movement—become more important to our foot health. Aging causes tissues in our feet to stiffen and the range of motion and joint mobility to decrease, and we tend to put weight more on the inside of our feet—causing them to flatten and reduce the amount of force we have pushing forward when we walk. These are just some of the contributors to our propensity to experience foot pain and even increase our risk of falling as we get older. However there is hope. There are some exciting advancements in biomechanics—specifically footwear and orthotic devices—that can help improve foot health in older adults by adjusting gait and redistributing pressure away from certain areas of the foot which helps increase mobility and reduce pain. If you or someone you love is experiencing pain in the feet or reduced mobility, contact a podiatrist who may be able to help you feel and walk better.

If you need your feet checked, contact Dr. Gary Cesar of Michigan Foot and Ankle Center. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

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.

Orthotics are specially designed shoe inserts that help correct imbalances and provide additional support to the feet. They can be purchased over the counter or be custom made by a podiatrist. Orthotics can help provide relief from a variety of conditions such as corns, calluses, ulcerations, tendonitis, heel pain, recurring stress fractures, and even hip and lower back pain. Since orthotics are designed to address specific problems, they can work in various ways that include relieving pressure by redistributing body weight or by providing extra shock absorption. Patients who believe that orthotics may help relieve their foot and ankle issues should consult with a podiatrist. A podiatrist looks at a variety of factors, such as the foot’s structure and function, biomechanics and lifestyle factors, to determine the right fit for each individual patient.

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.

Big toe pain is often characterized by discomfort while walking, tenderness, swelling, bruising, discoloration, misalignment of the toe, and bumps or other disfigurements of the feet. The big toe can hurt for a variety of reasons. Injuries, such as a fracture, sprain, bruise, or dislocation of the toe can occur when the toe is struck by an object or stubbed. Nerve damage to the toe can be caused by Morton’s neuroma, a thickening of the nerve tissue in the foot in response to injury, irritation, or compression. Inflammatory conditions such as gout or rheumatoid arthritis can lead to joint pain. Bunions are also a common source of pain and disfigurement of the big toe. If you have pain in your big toe, please see a podiatrist for a proper diagnosis and treatment.

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.

The large tendon on the back of the ankle connecting the calf muscle and the heel bone is known as the Achilles tendon. When this tendon tears, an Achilles tendon rupture may occur. A rupture is often common in sporting activities that involve pushing off the feet and sprinting, such as basketball and tennis. While Achilles tendon ruptures tend to happen more to males and people between the ages of 30 and 40, they can happen to anyone. Those who have poor flexibility, an inactive lifestyle, or are taking steroid medications may be at a higher risk for an Achilles tendon rupture as well. Signs of a rupture can include abrupt pain in the affected area, the feeling of getting kicked in the back of the leg, hearing a “pop” in back of the leg, weakness, and bruising or swelling in the area. If you believe that you have ruptured your Achilles tendon, or you would like to learn more about preventing a rupture, please consult with a podiatrist.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, 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.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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.

A stress fracture may gradually develop from frequently participating in running and jumping activities, and can be uncomfortable. Effective treatment for this type of injury generally begins with ceasing the activity that caused the pain, and wearing a boot or cast that will help to provide the support that is necessary as the healing process occurs. Prevention of further stress fractures may be accomplished by warming up properly before running, and gradually increasing the intensity of your physical activity. It is suggested that a podiatrist be consulted who can offer you preventative and treatment options.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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 Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.