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Young feet are springy, strong, and able to absorb shock. Their flexible joints, firm bones, and tendons help the body handle pressure. Aging changes these structures. Tendons lose some stretch, arches can flatten, and joints can become stiff. The padding under the heel and ball of the foot becomes thinner. As a result, standing or walking can feel less comfortable. Skin may become drier and easier to crack, while small injuries can take longer to heal. These changes can make feet less able to handle impact, pressure, and very hot or cold temperatures.

Age also affects muscle strength, circulation, and nail growth. Weaker foot and calf muscles can reduce balance and cause swelling around the feet or ankles. Bones can become thinner, which raises the risk of a fracture. Reduced blood flow can slow healing and make the feet feel cold. Toenails grow more slowly, become thicker, or turn brittle. Older adults are at increased risk of developing bunions, heel pain, and painful calluses. Arthritis, which is joint damage that causes pain and stiffness, can affect the ankle, big toe, or foot joints. These problems can change how a patient stands and walks, increasing strain in other areas.

A podiatrist can assess circulation, skin health, and the way the feet move. The podiatrist can care for thick toenails and calluses, provide padding or custom shoe inserts, and recommend footwear that provides proper support. Treatment can also reduce pressure on sore areas and address changes in foot shape. Regular visits are especially useful for patients with diabetes, poor circulation, or a history of foot wounds. Prompt care is important for swelling, numbness, or color changes. Sores that do not heal also need prompt care. If you have foot problems related to aging, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.

A bunion is a deformity that develops at the joint where the big toe meets the foot. The big toe gradually shifts toward the smaller toes, causing the base of the joint to become enlarged and more noticeable. Bunions develop slowly, and symptoms become more severe over time. Common signs include pain, swelling, and redness surrounding the joint. Some people also experience stiffness or have difficulty wearing certain shoes because of the enlarged area. As the deformity worsens, it can affect the way the foot functions while walking and standing. Because bunions do not usually improve without professional care, early evaluation is important to determine the severity of the condition and recommend appropriate treatment.

Several factors may contribute to bunion development, including inherited foot structure, abnormal foot mechanics, and certain inflammatory joint conditions. Although wearing narrow or tight-fitting shoes does not directly cause bunions, it may increase pressure on the affected joint and worsen existing symptoms. The deformity may continue to progress, making the toe less flexible and increasing discomfort during everyday activities. A comprehensive podiatry examination helps evaluate joint alignment, foot structure, and the extent of the deformity. Imaging studies may also be recommended to better understand changes within the joint. Early diagnosis allows treatment to begin before the bunion causes greater pain or leads to additional foot problems.

A podiatrist specializes in diagnosing and treating bunions while evaluating the overall health and function of the feet. Professional care focuses on relieving pain, improving mobility, and slowing the progression of the deformity when possible. Treatment is individualized based on the severity of the bunion, the patient's symptoms, and activity level. Regular follow-up visits also allow the condition to be monitored and treatment to be adjusted as needed. If you have pain at the base of your big toe or believe you may have a bunion, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

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?

Podiatrists 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 provider.

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.

Gout is a chronic condition characterized by repeated episodes of joint inflammation due to excess uric acid in the body. When uric acid crystals accumulate in the joints, they can cause sudden and painful flare-ups. Recurrent gout attacks occur when underlying causes are not fully addressed, leading to ongoing crystal formation. This condition commonly affects the big toe but can involve the ankle and other joints as well. The pain can be debilitating and may cause a delay in completing daily activities. Learning about the causes and triggers of recurrence can help individuals better manage their symptoms.

The symptoms of gout include sharp pain, swelling, redness, and limited movement in the affected joint, usually the big toe. These episodes can begin quickly and may last for several days. After repeated attacks, the joint may remain sensitive and prone to future flare-ups. Risk factors include high-purine diets, excess body weight, and inadequate hydration. Certain medications and medical conditions can also contribute to elevated uric acid levels, increasing the likelihood of recurrence.

Temperature and humidity also play a role in the development of gout symptoms. Lower temperatures can encourage uric acid crystals to form more easily in the joints, particularly in the feet. High humidity may lead to fluid loss and reduced kidney function, which can affect the body’s ability to remove uric acid. Additional causes of recurrent gout include poor dietary habits, excessive alcohol intake, and lack of consistent medical care. Recognizing these influences can help individuals take preventive steps.

Managing gout effectively requires a combination of lifestyle adjustments and medical guidance. Maintaining hydration, following a balanced diet, and avoiding known triggers can help reduce flare-ups. Early attention to symptoms can prevent complications and improve quality of life. If you are dealing with recurrent gout attacks, it is suggested that you consult a podiatrist for effective relief, treatment and management solutions. 

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Workplace falls are a leading cause of injury across many industries and can affect employees in offices, warehouses, restaurants, and construction sites. A fall occurs when a person loses balance due to unsafe conditions or environmental hazards. These incidents often result in sprains, lacerations, contusions, or fractures, particularly involving the feet and ankles. Understanding how falls happen and what increases the risk is essential for prevention and safety. Workplace safety measures play an important role in reducing injury rates and improving overall productivity.

Common symptoms after a fall include pain, swelling, bruising, and limited movement. In more serious cases, fractures or deep cuts may require immediate medical attention. Several risk factors increase the likelihood of falling at work, including poor balance, improper footwear, fatigue, and lack of safety awareness. Employees who stand for long hours or perform repetitive tasks may also face a higher risk of foot and ankle strain, which can contribute to instability and falls.

The most common causes of workplace falls include wet surfaces, uneven flooring, cluttered walkways, and poor lighting. Spills that are not cleaned promptly can create slippery conditions, while loose mats or damaged flooring increase the chance of tripping. Cluttered work areas limit safe movement and reduce visibility of hazards. Inadequate lighting makes it difficult to see obstacles clearly, increasing the likelihood of missteps and injury. These preventable conditions highlight the importance of maintaining a clean and well organized environment.

Preventing workplace falls requires attention to safety practices such as proper housekeeping, wearing supportive shoes, and improving lighting conditions. Employers and employees should work together to identify and correct hazards before injuries occur. Early treatment of foot and ankle injuries can help prevent long-term complications and support faster recovery. If you have sustained a foot or ankle injury from falling at work, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.