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.

A hammertoe is a bending deformity that usually affects the second, third, or fourth toe, causing the middle joint to become stuck in a bent position. This can make the toe appear curled and may lead to discomfort, pressure, and difficulty wearing shoes. Hammertoes often develop due to muscle imbalance, foot structure, arthritis, or wearing shoes that are too tight or narrow. Corns or calluses may form on the top of the toe where it rubs against footwear. Early stages may allow for some flexibility, but over time, the toe can become rigid. Treatment includes wearing roomier shoes, using protective padding, or trying custom orthotics to improve alignment and reduce pressure. In more advanced cases, surgery may be considered to correct the deformity. If your toe is becoming painful, stiff, or difficult to move, it is suggested that you consult a podiatrist for proper care and guidance.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Gary Cesar of Michigan Foot and Ankle Center. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best 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.

Peripheral neuropathy affects the feet when damaged nerves disrupt normal sensation and muscle function. People may experience burning, tingling, numbness, weakness, or have difficulty walking. Peripheral neuropathy is often linked to diabetes, autoimmune diseases, infections, or exposure to toxins. Loss of sensation in the feet can increase the risk of injuries. Motor nerve damage may cause muscle weakness or foot drop, an inability to fully lift your foot when walking. Diagnosis of peripheral neuropathy typically involves a neurological exam, blood tests, and nerve studies to evaluate nerve function and identify underlying causes. Managing the root condition, such as improving blood sugar control or addressing nutritional deficiencies, is important to prevent further nerve damage. A podiatrist can assist by diagnosing foot-specific neuropathy, providing guidance to protect the feet, and recommending supportive devices to improve balance. If you have noticed a lack of sensation in your feet, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

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.

Foot pain at night can be frustrating, especially when it keeps you from resting. It may come from overuse during the day, tight muscles, or nerve problems. People with plantar fasciitis often feel pain after long periods of rest. Others may have tingling or burning from nerve issues, such as neuropathy. Poor circulation or flat feet can also lead to discomfort once activity stops. Gentle stretching before bed, wearing supportive shoes during the day and elevating your feet at night may help. Still, nighttime pain should not be ignored. If your feet often hurt after dark or disturb your sleep, it is suggested you see a podiatrist for diagnosis and appropriate treatment.

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.