October 2022

For diabetics, foot health care is an important part of daily life. Problems, such as diabetic neuropathy and peripheral artery disease, that stem from long-term high blood sugar levels can make a daily foot care regimen essential. If sores, wounds, and cuts are not treated, they can develop ulcers that could, over time, lead to more serious problems. One major way a diabetic can ward off potential foot problems is to carefully wash and dry the feet each day. First, use warm, not hot, water. Using mild soap, wash every part of the foot, including the bottom and between the toes. Next, gently pat the feet dry. Avoid rubbing the skin. Finally, carefully dry between each toe. If you have difficulty reaching your feet or performing this task, it is a good idea to ask a family member or health aide for help. Then apply lotion to keep the skin from cracking and to help soften calluses, but be careful to avoid putting lotion between the toes. If you have diabetes-related foot problems, it is wise to seek regular checkups from a podiatrist who is trained to deal with the effects of this disease.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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 peripheral nervous system consists of nerves that reach receptors in the skin for sensations and muscle fibers for motion. Everything starts in the spinal cord and nerves branch out until they reach their destinations. Specific parts of the brain are responsible for moving muscles or sensing pain locations. Peripheral neuropathy is a term that refers to damage to the peripheral nervous system. Different types of peripheral neuropathy create different symptoms. Sensory symptoms include numbness, pain, hot or cold sensations, needle-pricking sensations, and complete loss of sensation. Motor manifestations present themselves as muscle weakness, twitching, paralysis, tremors, and severe cramps. Diagnosing peripheral neuropathy is challenging, both in the condition created and the underlying cause. The condition and its cause are especially important if there is a lack of sensation, as this can make extremities liable to injury without care. Wounds can become infected, and limbs can be in danger. If you feel you might have peripheral neuropathy, contact a podiatrist for proper diagnosis and treatment.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

Repetitive pressure on the feet can cause stress fractures, which are tiny hairline cracks in the bones. The long bones of the feet, known as metatarsals, are the most common location of stress fractures. Heavy training or exercising for long periods, such as getting ready for a marathon, increases the risk of getting stress fractures. Women are more likely to sustain stress fractures than men because of lower bone density. Symptoms, which usually develop slowly, include pain, swelling, and tenderness in the affected area. The first and best way to handle stress fractures is to stop the activity that caused them. If symptoms last more than a week after that, it is a good idea to see a podiatrist who can examine the feet using X-rays or other imaging tests. Once the severity of the fractures is understood, the podiatrist can offer further treatment solutions, including medication, a walking boot or brace, and in extreme cases, a cast or splint. As an active athlete, it may be wise to add a podiatrist to your medical team.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate 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 and ankle needs.

One of the more common congenital foot conditions is known as clubfoot. It develops while the baby is in utero and cannot be treated until birth. The tendons that connect the heels to the leg muscles are too short, and this may result in clubfoot. Research has indicated it affects males more than females, and it can be seen in approximately one out of 1,000 births in the United States. It is beneficial that treatment begins early in the baby’s life, preferably within two weeks of birth. The type of treatment can range from using manual manipulation that may help to move the feet into a normal position, to possibly having surgery performed. In many cases, the child can begin regular sports activities when of age after the preferred method of treatment. Common signs of clubfoot include the foot turning in and downward, with the toes pointing toward the opposite foot. Additionally, the affected foot, heel, and calf muscles may be smaller than the other foot, but the foot may straighten out as the healing process occurs. If you would like more information about clubfoot, please confer with a podiatrist who can answer any questions you may have and address your concerns.

Congenital foot problems require 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.