September 2025

Freiberg’s disease is a painful foot condition that affects the metatarsal bones, most often the second metatarsal located near the base of the toes. It occurs when the blood supply to the bone is disrupted, leading to tissue damage and collapse of the bone surface. Causes may include repetitive stress, trauma, or genetic predisposition, and it most often develops in adolescents and young adults. Symptoms include pain in the ball of the foot, swelling, stiffness, and difficulty bearing weight or wearing shoes comfortably. A podiatrist can help by diagnosing the condition, providing orthotics, recommending activity modifications, or discussing surgical options in severe cases. If you have persistent foot pain, it is suggested that you promptly consult a podiatrist who can accurately diagnose the problem and offer effective relief and management solutions.

Some foot conditions may require additional professional care. 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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 noticeable sign of an existing toenail fungus is often a discoloration of the nail. It can be accompanied by a thickening of the nail, and it may appear to be brittle. This contagious condition is caused by a fungus that lives in warm and moist environments. These areas can include public pools, shower room floors, and locker rooms. If you frequent these places, it is beneficial to wear appropriate shoes, which may be helpful in preventing toenail fungus. Patients who enjoy getting pedicures must ensure that the tools that are used are clean and sterile. Additional sources of contracting toenail fungus can consist of wearing shoes and socks that prevent ventilation, or medical conditions such as diabetes and weakened immune systems. If you have developed this condition, it is suggested that you seek the counsel of a podiatrist who can guide you toward proper treatment options.

For more information about treatment, 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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please 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.

A fracture of the lateral malleolus involves the bony prominence on the outside of the ankle. Symptoms often begin with sudden pain following an injury, such as twisting the ankle or a direct impact. Swelling and bruising usually develop quickly, and bearing weight may be extremely difficult. Some people notice instability or tenderness along the outer ankle, while others may even see a visible change in alignment. Because these signs can resemble a severe sprain, imaging is often required to confirm the injury. Treatment depends on the extent of the fracture and the stability of the joint. Simple breaks may be treated with immobilization and gradual return to activity, while more serious cases can require surgery to restore proper alignment. Targeted exercising is often part of recovery. If you suspect an ankle fracture, it is suggested that you promptly consult a podiatrist who can accurately diagnose and treat this condition. 

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
• Swelling around the area
• Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

Hallux rigidus is a form of arthritis that affects the big toe joint, making it stiff and painful. The condition often begins with mild discomfort when walking or bending the toe, but over time the joint loses flexibility. People may notice swelling, difficulty wearing certain shoes, or pain that worsens with activity. In advanced cases, even standing can become uncomfortable as the joint becomes increasingly rigid. This problem usually develops from wear and tear on the joint, past injuries, or inherited foot structure. Because the big toe plays a key role in movement, hallux rigidus can significantly affect mobility and daily comfort. Early treatment may include anti-inflammatory medication, shoe modifications, or custom orthotics to ease pressure. If the joint damage is more severe, surgery may be considered. If you have pain in your big toe joint, it is suggested that you see a podiatrist to ensure the condition is managed properly, mobility preserved, and pain reduced.

Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your 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 tools and technology to treat your foot and ankle needs.

Foot pain can interfere with daily activities, exercise, and overall comfort. It may be caused by iplantar fasciitis, bunions, arthritis, flat feet, sports injuries, or simply wearing shoes that do not fit well. Because the foot is made up of many bones, joints, and soft tissues, even small problems can create significant discomfort. To determine the cause, a podiatrist will take a medical history, examine the foot, and may use imaging like X-rays or ultrasound for a clearer view. An accurate diagnosis is important since many foot conditions share similar symptoms. Treatment varies depending on the diagnosis and may include custom orthotics, targeted exercises, medications, or improved footwear. More advanced cases may require procedures or surgery. If foot pain continues, it is suggested that you see a podiatrist to ensure you get the right treatment and prevent the pain from worsening.

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.