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Forefoot surgery refers to procedures performed on the front portion of the foot, including the toes and metatarsals. It may be suggested when pain or deformity does not improve with conservative treatment. Common reasons include bunions, hammertoes, and certain fractures. Symptoms may include persistent pain, swelling, or difficulty walking. A podiatrist evaluates the foot and may use X-rays before recommending treatment.

Several types of forefoot surgery are available, and the procedure depends on the condition being treated. Bunion surgery can realign the big toe and correct bone positioning. Hammertoe surgery may straighten a bent toe and improve function. Metatarsal procedures can address painful pressure beneath the forefoot. Surgery may also repair fractures or remove damaged tissue when appropriate. Risk factors include family history, foot structure, and previous injury. Poorly fitting shoes can aggravate forefoot problems. During surgery, the podiatrist uses a procedure selected for the diagnosis. Depending on the condition, this may involve making an incision, realigning a bone, or correcting soft tissue. Afterward, healing begins with protecting the surgical area and controlling swelling. The podiatrist may recommend a surgical shoe, limited weight-bearing, and elevation. Follow-up visits monitor healing and may include X-rays. Gradual return to normal activity is based on healing progress and medical guidance.

Forefoot surgery can provide an option when structural problems interfere with comfort and mobility. Recovery varies according to the procedure and health factors. Patients can support healing by following wound-care instructions, protecting the foot, and attending scheduled appointments. Your podiatrist will explain what to expect before surgery and provide aftercare instructions. If you have forefoot pain or a condition that may require surgery, it is suggested that you consult a podiatrist who can determine if this surgery is right for this.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Gary Cesar of Michigan Foot and Ankle Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

An ankle sprain happens when ligaments surrounding the ankle are stretched or torn beyond their range. The ankle joint helps connect the foot and lower leg while allowing movement during walking and activities. It also supports the weight of the body with every step. Symptoms of an ankle sprain can include pain, swelling, and difficulty walking. Some people may also feel weakness or instability when placing weight on the affected foot.

Ankle sprains commonly occur when the foot suddenly twists, rolls, or turns during movement. Stepping on an uneven surface can force the ankle into an awkward position. Falling and changes in direction can also increase the chance of injury. Risk factors include previous ankle sprains, poor balance, and footwear that does not provide adequate stability. A severe sprain may involve significant swelling or difficulty bearing weight and should be evaluated promptly.

A podiatrist will begin by asking how the injury happened and reviewing your symptoms. The ankle and foot are examined for tenderness, swelling, and instability. X-rays or other imaging tests may be recommended when a fracture or more serious injury is suspected. Treatment may include rest, compression, and activity changes. Depending on the injury, a podiatrist may recommend an ankle brace, or medication when appropriate. Follow-up visits can help monitor healing and determine when normal activity can safely resume.

Most mild ankle sprains improve with proper care, but returning to activity too quickly can increase the risk of another injury. Protecting the ankle during recovery and following podiatric guidance can support healing. Wearing stable shoes and being cautious on uneven surfaces may also help prevent future sprains. Ankle sprains are often painful and may cause difficulty in completing daily activities. If you have an ankle sprain, it is suggested that you consult a podiatrist for effective relief and treatment methods.

Ankle sprains are common but need immediate attention. If you need your feet checked, 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 Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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.

Pregnancy brings many physical changes, and the feet can be affected more than expected. As body weight increases and the center of gravity shifts forward, pressure may be distributed differently across the feet. This can change the way a woman walks and may contribute to foot discomfort. Pregnancy also increases levels of relaxin, a hormone that loosens ligaments throughout the body. In the feet, this can affect the plantar fascia, which is the strong band of tissue that helps form the arch. As these structures become more flexible, the feet may flatten, widen, or increase in length. Some of these changes can remain after pregnancy.

Changes in the foot arch can lead to over-pronation, which happens when the foot rolls inward too much while bearing weight. This can increase strain on the plantar fascia and may contribute to plantar fasciitis. A lower arch can also increase stress on the legs and back. Bunions may develop as the shape and alignment of the foot change. Swelling, also called edema, is another frequent concern during pregnancy. Increased body fluids and pressure on blood vessels can contribute to swelling in the feet and ankles. Swelling may also be accompanied by aching, numbness, or tingling.

A podiatrist can evaluate pregnancy-related foot pain, and identify changes in foot structure or walking patterns. Because some changes can become long-lasting, professional assessment may be helpful when symptoms begin affecting comfort or mobility. A podiatrist can examine arch height, foot alignment, and areas experiencing increased pressure. Professional podiatric care can also help determine whether symptoms are related to common pregnancy changes or require additional medical attention. Foot problems during pregnancy should not automatically be dismissed when they are persistent or painful. If pregnancy-related foot pain, swelling, or structural changes are making walking uncomfortable, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

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 care needs.

Peripheral artery disease, or PAD, occurs when arteries become narrowed or blocked, reducing blood flow to the legs and feet. A common cause is atherosclerosis, which develops when plaque builds up inside the arteries and impedes blood flow. Adequate circulation supplies the feet with oxygen and nutrients needed for healthy tissue and normal healing. When circulation is reduced, minor cuts, blisters, or sores may take longer to heal and can become more difficult to manage. PAD may progress slowly, and some people have few noticeable symptoms at first. Recognizing possible warning signs can encourage timely evaluation and care.

Common symptoms of PAD include aching, cramping, or pain in the legs or feet while walking that improves with rest. Other signs may include numbness, weakness, and skin discoloration. More advanced PAD can cause persistent foot pain, including discomfort that becomes worse at night. Reduced circulation may also interfere with wound healing. Persistent sores, cuts, or blisters can increase the risk of infection and should receive prompt attention.

Smoking is a major risk factor for PAD because tobacco can damage blood vessels and interfere with circulation. Diabetes, high blood pressure, and a family history of vascular disease can also increase risk. PAD may significantly affect foot health by contributing to cold feet, skin changes, and a greater risk of infection. People with diabetes may face additional concerns when circulation problems occur with reduced sensation.

A podiatrist can examine the feet for signs of poor circulation and recommend additional testing when necessary. Evaluation may include checking skin temperature, color, and existing wounds. Treatment focuses on addressing risk factors, managing underlying conditions, and protecting the feet from injury. If you have symptoms of PAD, it is suggested that you consult a podiatrist for an accurate evaluation and appropriate treatment recommendations.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, 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.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.