January 2025

Iselin's disease is a condition that affects the growth plate of the fifth metatarsal bone, located in the foot. It typically occurs in children and adolescents, especially those who are physically active and participate in sports such as running or jumping. The condition is more common in girls aged eight to 13 and boys aged 10 to 14. Iselin's disease is characterized by pain and tenderness on the outside of the foot, near the base of the pinky toe. The pain may worsen with physical activity and improve with rest. Swelling and bruising may also be present in some cases. The exact cause of Iselin's disease is not fully understood, but it is believed to result from repetitive stress or overuse, which leads to inflammation of the growth plate. Treatment typically involves rest, and, in some cases, the use of supportive footwear or orthotics to reduce stress on the affected area. If your active child has foot pain, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and offer viable treatment and relief options.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.

Toe infections can cause significant discomfort, especially for those who are on their feet regularly. Common symptoms of a toe infection include redness, swelling, pain, and oozing, sometimes accompanied by a foul odor or warmth surrounding the affected area. Toe infections may result from ingrown toenails, fungal conditions, injuries, or poor hygiene. For people with diabetes, even a minor toe infection can quickly become a serious issue, due to reduced blood flow and nerve damage, and can potentially lead to severe complications if left untreated. Wearing tight shoes, improperly trimmed toenails, or exposure to bacteria and fungus in damp environments are common triggers of toe infections. A podiatrist can diagnose the underlying cause of a toe infection and provide targeted treatment, such as prescribing antifungal or antibacterial medications, or performing procedures like partial nail removal for severe ingrown nails. If you have a toe infection, it is suggested that you promptly schedule an appointment with a podiatrist for an exam and treatment.

Toe pain can 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as 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.

Midfoot pain is a common complaint that can result from several causes, affecting the arch and the bones in the center of the foot. One common cause is plantar fasciitis, which leads to inflammation of the tissue that connects the heel to the toes. Another possible cause is a stress fracture, often seen in athletes or those who increase their physical activity too quickly. Conditions such as arthritis and tendinitis can also contribute to mid-foot pain, causing inflammation and stiffness in the joints or tendons. Managing mid-foot pain often involves rest and reducing the strain on the foot. Mild pain relievers can offer temporary relief and may reduce swelling. Wearing supportive footwear and using orthotics can provide better arch support and prevent further injury. If you have midfoot pain, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and offer effective treatment remedies.

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.

Selecting the right running shoe is essential for comfort, performance, and injury prevention. One of the first considerations is the terrain you plan to run on. For road runners, shoes with a cushioned, flexible sole are ideal to absorb the impact on hard surfaces. If you prefer trail running, shoes with deeper treads and a more rugged sole offer better traction on uneven and slippery surfaces. Additionally, your running style is important. If you tend to pronate, meaning your feet roll inward, shoes with added arch support will help maintain proper alignment. Those with a neutral stride may benefit from shoes with balanced cushioning. Ensure the shoes provide adequate room in the toe box and a snug fit around the heel to prevent discomfort. Wearing shoes that do not fit correctly may lead to pain and discomfort. If you need help selecting the right running shoe, it is suggested that you consult a podiatrist who can help you choose the correct pair.

If you are a runner, wearing the right running shoe is essential. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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.