January 2026

Foot and ankle wounds fall into several common categories based on how they develop. Pressure-related wounds form from constant weight or rubbing and are often found on heels, toes, or areas over bone. Arterial wounds are linked to poor blood flow, and usually appear on the toes or outer foot with dry or pale tissue. Venous wounds occur when blood does not return well to the heart and are more common around the ankles with swelling and skin discoloration. Neuropathic wounds develop when sensation is reduced, allowing injuries to go unnoticed and worsen over time. Additionally, surgical wounds may struggle to close after procedures if swelling, infection, or movement interferes with healing. Traumatic wounds result from cuts, punctures, or falls and vary in depth and severity. Identifying the type helps guide care. If a foot or ankle wound is slow to heal, evaluation by a podiatrist is suggested for accurate diagnosis and treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

An ankle sprain is an injury that occurs when the ligaments supporting the ankle are stretched or torn, often due to sudden twisting or rolling of the joint. This injury commonly happens in volleyball when athletes land awkwardly after jumping, change direction quickly, or step on another player’s foot. Repeated ankle sprains can lead to chronic instability, causing the ankle to feel weak, unstable, or prone to giving way during activity. Ongoing instability may increase the risk of further injury and long-term joint problems. A podiatrist can help by evaluating ankle alignment, ligament integrity, and movement patterns. Treatment may include bracing, rehabilitation exercises, and custom orthotics to improve stability and support healing. If you enjoy playing volleyball and have sustained an ankle injury, it is suggested that you consult a podiatrist who can offer effective treatment solutions, enabling you to return to your desired sport as soon as possible.

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.

Peripheral neuropathy is a condition that occurs when the peripheral nerves, which carry signals between the brain, spinal cord, and the rest of the body, become damaged. In the feet, it can affect motor nerves, leading to weakness or loss of coordination, sensory nerves, causing numbness, tingling, or burning pain, and autonomic nerves, which may disrupt sweating and skin health. Common causes include diabetes, infections, vitamin deficiencies, autoimmune disorders, and certain medications. Risk factors include poor circulation, age, and chronic health conditions. Peripheral neuropathy can increase the risk of injury, infection, and foot deformities. A podiatrist can evaluate nerve function, recommend protective footwear, provide specialized care for wounds, and guide treatment strategies to manage symptoms. If you have symptoms of peripheral neuropathy that are affecting your feet, it is suggested that you consult a podiatrist who can help you manage this condition.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

Heel pain can develop for many reasons, and identifying the source of the discomfort often helps guide care. Plantar fasciitis typically causes sharp pain on the bottom of the heel when stepping out of bed, while Achilles tendonitis leads to tightening or burning at the back of the heel. Bursitis can create a deep ache where soft tissue becomes irritated near the heel bone, and a heel spur may cause sharp pain during weight-bearing. Stress fractures of the heel bone cause swelling and tenderness that worsen with activity, and fat pad atrophy leads to a bruised feeling under the heel. Children may experience Sever’s disease, which causes pain at the back of the heel during running and jumping. A podiatrist can identify the reason for the pain, decide whether imaging or surgery is needed, and offer treatment like orthotics, when appropriate. If you have persistent or unexplained heel pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and options for treatment.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.