July 2022

Anyone with diabetes is subject to foot and lower leg problems, including ulcers, gangrene, and possible amputation. These conditions may be the result of long-term high blood sugar levels, which can cause neuropathy and peripheral artery problems. For that reason, as a diabetic, constant and vigilant care of your feet is essential. If you are unable to check your feet, please ask someone to help you. Some people use a mirror to check the bottom of their feet. Look for changes in skin color; red indicates a problem with your footwear, but blue or black could mean bruising or blood flow problems. Look for blisters or any break in the skin that could become infected. Keep these areas clean and dry, and apply sterile coverings. Check for moisture between the toes, which is a good place for bacterial or fungal infections, such as athlete’s foot, to develop. Notice any numbness, tingling, or inability to detect temperature, hot or cold. Look for sores that do not heal properly, because they may become ulcerated. As a diabetic, it is a good idea to have regularly scheduled visits with a podiatrist who can help to monitor changes to your feet and treat them quickly. 

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.

Of the many afflictions that can affect the feet, neuropathy is perhaps the most insidious and deceptive. Neuropathy can occur in the feet when the nerves are so badly damaged you might not feel pain when something is wrong with your foot and you may also feel that something is causing pain when nothing is. This nerve damage can occur from an injury, illness, infection, or other cause. Any range of symptoms can be felt because there is a spectrum of different nerves that may be affected. However, there are some self-care tricks that you can utilize for your neuropathy if it is not very severe. For example, you might try soaking your feet in a foot bath filled with chamomile or nettle leaves. These leaves are rich in antioxidants and aid in the pain relief of muscles and joints. It is beneficial to soak in this foot bath for approximately 30 minutes. Additionally, you might try giving yourself a massage or asking a friend to massage the affected areas. The purpose is to promote blood circulation. Lastly, you might consider applying an ice pack to the affected area for short intervals of time about twice a day. These are just some of the many different self-care tricks you might use for your neuropathy. It is always best, however, to consult a podiatrist about your condition. 

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.

One of the most common causes of heel pain is a condition known as plantar fasciitis. This involves inflammation of the band of tissue that runs from the heel to the base of the toes along the sole of the foot. Plantar fasciitis usually causes a stabbing pain in the foot, especially when first getting up in the morning. It is common to runners and people who are overweight. Some simple exercises and stretches can help to ease the pain of plantar fasciitis, and it is important to visit a podiatrist for an exam and diagnosis before embarking on any exercise regime. The standing calf stretch can help loosen the calf muscles that connect your leg to your heel. Stand facing a wall, touching it lightly with both hands. Place one foot straight back and bend the opposite knee while pressing into the wall. Change legs and repeat. A seated towel stretch can be felt in both the calf and the foot. Sit on a mat with both legs straight ahead. Wrap the towel along the ball of one foot and pull it toward you. Hold for 30 seconds and change feet. A podiatrist can recommend other exercises and therapies to ease the pain of plantar fasciitis.  

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.

Stress fractures of the feet are particularly tricky to recognize. They are hairline cracks in the bones, frequently the long metatarsal bones in the midfoot and the calcaneus bone in the heel. They are considered repetitive injuries and that means the more you repeat an activity, the worse they become. But it can take a while before you even notice the problem. Signs that may help to identify a stress fracture include a deep ache in the foot, a dull pain midway into the activity that fades when you rest, and a pain that just doesn’t go away. Other hints are pain that occurs even when you are not active, pain that worsens at night, and pain that begins about a week after increasing your activity level. Treatment for stress fractures may take weeks or even months. As soon as you recognize that something is wrong, it is a good idea to stop the activity causing the pain and make an appointment with a podiatrist for a full examination.

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.