June 2025

Wearing high heels regularly can lead to a range of foot and ankle problems. The forward pitch of the foot in high heels places significant pressure on the forefoot, often leading to bunions, hammertoes, corns, and neuromas. Prolonged wearing of high heels can also contribute to plantar fasciitis, a painful condition involving the tissue on the bottom of the foot. High heels limit ankle mobility, which increases strain on the Achilles tendon and calf muscles. Over time, this can shorten and tighten the tendon, raising the risk of tendon tears and muscle cramping. The altered posture caused by high heels shifts the body's alignment and places extra stress on the ankle joints, leading to pain or instability. A podiatrist can assess the impact of wearing high heels on foot structure, recommend custom inserts, and determine whether surgery is needed for long-term problems. If you are experiencing foot or ankle pain from wearing high heels, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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.

Flat feet can have a significant impact on posture, movement, and stability, especially in females. The arch of the foot plays a key role in absorbing shock and distributing weight. When the arch collapses, it can affect balance, reduce agility, and place additional strain on core muscles, leading to fatigue and instability. Symptoms may include foot pain, swelling, and difficulty with physical activities. Risk factors include genetics, pregnancy, and obesity. A podiatrist can evaluate foot structure, recommend supportive footwear, and assign exercises that improve strength and alignment. If you have flat feet and notice persistent foot discomfort or instability, it is suggested that you consult a podiatrist for help in restoring function and improving overall movement.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Gary Cesar from Michigan Foot and Ankle Center. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of 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 and treatment technologies for all your foot and ankle needs.

Sever’s disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children, especially those involved in sports. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress from activities like running and jumping. This condition typically affects children between the ages of eight and 14, during growth spurts when the bones grow faster than the muscles and tendons. Symptoms include heel pain, swelling, and tenderness, often worsening with activity and improving with rest. Children may limp, walk on their toes, or complain of stiffness in the heel, particularly after sports or physical play. A podiatrist can diagnose Sever’s disease through a physical exam and a review of the child’s activity level and medical history. Treatment focuses on rest, stretching exercises, heel cushions, and custom orthotics to reduce strain and support healing. If you think your child may have this condition, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment solutions.

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.

Gout is a form of inflammatory arthritis that can affect women, particularly after menopause when protective hormone levels decline. Causes include high levels of uric acid in the blood, which form sharp crystals in joints. Risk factors include genetics, obesity, certain medications, and diets high in red meat or alcohol. Symptoms often appear suddenly and include intense pain, redness, swelling, and warmth in the affected joint, commonly the big toe. The pain can be severe, causing difficulty in walking, and may limit daily activities. A podiatrist can help manage gout through medication, lifestyle guidance, and joint care. If you are experiencing sudden foot pain or swelling, it is suggested that you seek professional evaluation from a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. 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 form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.