February 2023

A bony bump that forms on the side of the big toe is considered to be a deformity. This condition is called a bunion and may cause the big toe to shift toward the other toes. A bunion generally occurs from wearing shoes that do not have adequate room for the toes to move freely, thus putting pressure on the joint in the big toe. Interestingly, the word bunion is derived from the Greek word for turnip. A bunion can be red and swollen and shaped like a turnip. Bunions gradually develop, and the growth may be slowed by wearing shoes with a larger toe area. There are also medical reasons linked to the development of bunions, including rheumatoid arthritis and gout, as well as genetic history. Recurring and Severe bunions may require surgery for permanent removal. It is strongly suggested that you confer with a podiatrist who can determine what the best course of treatment is for you.

If you are suffering from bunions, 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 a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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.

It is a well-documented fact about pregnancy that the pregnant woman’s feet may be negatively impacted in some way. For example, a pregnant woman’s feet may commonly swell or become achy. If you are a pregnant woman experiencing these issues with your feet, seeing a podiatrist can help you treat these problems. Specifically, a podiatrist may recommend to you several different things for swelling or achy feet. First, the podiatrist might recommend that you reduce swelling in the feet and lower legs by elevating the feet. Second, the podiatrist might recommend that you wear more comfortable shoes that fit better. Third, the podiatrist might recommend that you use some kind of cooling cream made for the feet during pregnancy. Some of these creams are made with anti-inflammatory ingredients and promote anti-swelling. Some of them also create cooling sensations in the feet. Contact a podiatrist today for more information.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

A lump in the arch of the foot may indicate a plantar fibroma has developed. It is defined as a nodule that forms in the arch, and is found inside the plantar fascia, which is the portion of tissue that connects the heel to the toes. This is a benign condition, but it may cause pain and discomfort. Studies have shown it can be caused by genetic reasons or by a foot injury. Additionally, certain medical conditions can make some patients prone to developing a plantar fibroma. These can include diabetes, epilepsy, or liver disease. Many people have found relief by massaging the affected foot and keeping weight off of it as best as possible. If you have a lump on your foot, please consult with a podiatrist who can effectively diagnose and treat a plantar fibroma.

A plantar fibroma may disrupt your daily activities. 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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.

The heel is unique. It is a cushion of fatty tissue that maintains its shape despite the pressure that is endured daily. Heel pain can occur from wearing shoes that do not fit correctly or standing on hard surfaces for most of the day. Obesity may cause the heels to hurt and may be diminished when additional weight is shed. Some people are born with abnormal foot structures, and this may lead to chronic heel pain. Plantar fasciitis is a common condition of the heel that can cause pain and discomfort. A podiatrist can prescribe custom-made orthotics, which may help to provide relief, and surgery may be necessary for more severe cases. Children who participate in sporting activities may be prone to developing Sever’s disease. This condition affects the heels of children and young teenagers during growth spurts. If you have heel pain for any reason, it is strongly advised that you seek help from a podiatrist who can determine the cause and offer treatment options that are correct for you.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.