March 2024

Tailor's bunions, also known as bunionettes, are bony protrusions that develop on the outside of the foot at the base of the little toe. Similar to traditional bunions, they can cause pain, inflammation, redness, and difficulty wearing certain shoes. Tailor's bunions are often caused by pressure and friction, leading to the misalignment of the fifth metatarsal bone and the little toe. The discomfort and limitations caused by tailor's bunions can significantly impact one's quality of life, especially in terms of footwear choices and mobility. Simple activities such as walking or standing can become painful and challenging. If you have such a bunion and it is causing severe pain, it is suggested that you make an appointment with a podiatrist for interventions that can help.

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.

Cold feet can often signal poor circulation, a condition where blood flow to your extremities, especially the feet, is not adequate. There are several common causes of poor circulation in the feet. One is peripheral artery disease, where arteries narrow due to plaque buildup, reducing blood flow to your lower limbs. Diabetes can also contribute to poor circulation due to high blood sugar levels damaging blood vessels and nerves, leading to decreased sensation and blood flow. Additionally, conditions like Raynaud's disease cause blood vessels to narrow dramatically in response to cold or stress, further limiting blood flow. Smoking also worsens circulatory issues as it constricts blood vessels. It is important to get checked for any underlying health issues if you have circulatory issues in the feet and lower limbs. If you are experiencing cold feet on a regular basis, it is suggested that you consult a podiatrist, a foot doctor who can diagnose the source of the issue and offer treatment solutions for poor circulation. 

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Dr. Gary Cesar of Michigan Foot and Ankle Center. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.

Healing wounds properly involves cells moving and tissue rebuilding in a coordinated way. But in some wounds, like those in diabetes, this process does not work well due to various issues like poor blood flow, infections, and ongoing damage. There's hope for treating such wounds better. By understanding and fixing these issues, following proper care, and using new medical technology, there can be improvement for people with stubborn wounds. If you are diabetic and have chronic foot wounds, it is suggested that you make an appointment with a podiatrist to discuss any new medical technology that might be applied to your case and provide you with relief.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Sever’s disease, a common cause of heel pain in children, happens due to overuse. It is caused by repetitive strain on the heel bone's growth plate from the calf muscles pulling on the Achilles tendon. Risk factors can include flat feet, having tight muscles, running on hard surfaces, and wearing shoes that do not fit well. It typically occurs during bone growth years, between the ages of 7 to 15 years. Symptoms can include heel tenderness, tight calf muscles, and pain during activity. Diagnosis is based on history and examination, with some cases needing an MRI. Wearing custom-made orthotics and heel lifts may help patients to find relief, while severe cases may need a cast or boot. Complications are rare, and most patients recover in a few weeks to months, with a return to sports in two to eight weeks. If your child has heel pain, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and appropriate treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their 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 injuries.