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Your feet might know you have diabetes before you do. Changes in sensation, skin texture, and healing can be early signs of nerve and circulation issues. Many people focus on blood sugar numbers, but overlook their feet. That is, until a problem appears. Diabetes can dull the ability to feel pain, so a small cut or blister can go unnoticed and worsen. Skin may become dry and cracked as nerves struggle to regulate moisture, making infections more likely. Poor circulation slows healing, turning minor wounds into major concerns. Even the shape of your feet can shift over time due to muscle imbalances. Ignoring your feet can lead to serious complications, but daily checks, wearing proper footwear, and regular podiatry visits keep them healthy. If you have diabetes, it is suggested that you include a podiatrist on your health care team.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
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.

Diabetic peripheral neuropathy is a condition caused by prolonged high blood sugar levels that damage the nerves, especially those in the feet, toes, and ankles. Many people first notice numbness, tingling, or burning sensations, which can become more intense at night. Some patients may feel sudden, sharp pains or an electric shock-like sensation in their feet. As diabetic peripheral neuropathy progresses, loss of balance and coordination may also occur due to weakened ankle muscles and decreased sensation. This can lead to an unstable gait that increases the risk of falls. Changes in foot structure, such as hammertoes, may develop as nerve damage affects muscle function. One significant concern is the inability to feel cuts, blisters, or pressure points, which can result in unnoticed wounds that may become infected. A podiatrist can evaluate nerve function, provide foot care strategies, and recommend treatment to help prevent complications like foot ulcers and deformities. If your feet and toes feel numb, it is suggested that you schedule an appointment with a podiatrist to find out if peripheral neuropathy is causing the problem.
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.

Gait abnormalities can place excessive strain on the feet, toes, and ankles, leading to pain and an increased risk of injury. Common gait abnormalities include propulsive gait, where a person leans forward while walking and spastic gait, which involves stiff, dragging movements. Steppage gait occurs when the foot drops, requiring exaggerated lifting of the leg. Waddling gait causes instability resulting from hip weakness, while ataxic gait results in unsteady, wide-based steps. Magnetic gait creates a sensation of the feet sticking to the ground, and antalgic gait shortens steps due to pain. These walking patterns may result from arthritis, nerve conditions, foot deformities, or injuries. A podiatrist can perform a gait analysis, which evaluates foot alignment, pressure distribution, and movement mechanics. This assessment helps identify the underlying cause of abnormal walking patterns and determines the best approach for relief. Treatment may include orthotic devices, footwear modifications, or even surgery. If you are experiencing foot pain while or after walking, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.
If you have any concerns about your feet, 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.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
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.