Podiatrist Blog

By Nationwide Foot & Ankle Care
July 12, 2018
Category: Foot Health
Tags: Plantar Fasciitis  

Plantar fasciitis is a very common foot problem. Although it tends to be more common among people who engage in certain types of plantar fasciitisphysical activity like running, spend a lot of time on their feet, or have low arches (flat feet), anyone can develop plantar fasciitis. The podiatrists at Nationwide Foot & Ankle Care, Dr. Randy Semma and Dr. Michelle Bartelle-Semma offer a number of treatment options for plantar fasciitis and other foot and ankle injuries in Livonia, MI.

Plantar Fasciitis Prevention and Treatment in Livonia, MI

Heel pain is one of the most common symptoms of plantar fasciitis, which is caused by inflammation or strain/tears to the plantar fascia ligament. Most people experience a sharp stabbing pain in the heel first thing in the morning, after exercise, or from spending an extended amount of time on their feet.

In addition to physical strain and foot design, other factors that may increase the risk of developing plantar fasciitis include:

  • Age (more common in people over the age of 40)
  • Being overweight, which can add additional strain on the foot
  • Spending long amounts of time on your feet

How is Plantar Fasciitis Treated?

Some cases of plantar fasciitis can be treated conservatively. Your podiatrist may recommend a course of physical therapy, orthotics or splints to provide greater arch support, and lifestyle modifications to reach and maintain a healthy weight. If conservative treatments are ineffective or you suffer from chronic heel pain due to plantar fasciitis, your podiatrist may also recommend steroid injections or Extracorporeal Shock Wave Treatment (ESWT), which uses sound waves to target inflamed tissue.

Find a Podiatrist in Livonia, MI

For more information about prevention and treatment for plantar fasciitis and other foot and ankle problems, contact Nationwide Foot & Ankle Care by calling (734) 261-3400 to schedule an appointment in Livonia, (248) 549-3338 in Royal Oak, or (248) 956-0177 in Township, MI.

By Nationwide Foot & Ankle Care
April 23, 2018
Category: Foot Health
Tags: heel pain  

How your podiatrists in Livonia, Royal Oak, and Commerce Township, MI, can help with heel painheel pain

If you suffer from heel pain, you already know how annoying it can be. You have things to do, and people to see, but your heel pain can keep you on the couch. Don’t ignore your heel pain and hope it goes away on its own because it may get worse. Podiatrists, Dr. Randy Semma and Dr. Michele Bertelle-Semma at Nationwide Foot & Ankle Care want to share the facts about heel pain and what you can do to get relief. They have two convenient office locations in Royal Oa, and Livonia, MI, to help you and your feet.

There are some simple reasons why you might experience heel pain, and you can usually get some relief with home remedies. These are just a few of the more common reasons for heel pain:

  • Dry skin, which can cause deep cracks and fissures on your heel and cause heel pain; you should always apply a thick, cream moisturizer to your heels especially in summer when your feet are exposed.
  • Heel bruises, which are caused by stepping on sharp objects; you can try icing your heel several times each day and remember to wear supportive, protective shoes.
  • Bone spurs, which are caused by muscle and ligament strain or excess calcium deposits; bone spurs aren’t a condition you can treat yourself. You need to call the experts at Nationwide Foot & Ankle Care.

Plantar fasciitis, which is caused by inflammation of the thick band of tissue which runs across your heel, the plantar fascia; you can try icing your heel and taking over-the-counter anti-inflammatory medication, but your best line of defense is calling the experts at Nationwide Foot & Ankle Care. They have several effective treatments including:

  • Padding and taping your heel and foot
  • Physical therapy and stretching exercises
  • Custom orthotics, walking casts, or night splints
  • Cortisone injections into your heel

Get some help for your heel pain by talking with the experts. You depend on your feet to take you through life, so don’t ignore them. Instead, pick up the phone and call your podiatrists, Dr. Randy Semma and Dr. Michele Bertelle-Semma at Nationwide Foot & Ankle Care, with offices in Livonia, Royal Oak, and Commerce Township, MI. Call today!

By Nationwide Foot & Ankle Care
February 26, 2018
Category: Foot Conditions
Tags: ngrown Toenails  

Ingrown toenails are an uncomfortable but very common foot problem. Dr. Randy Semma and Dr. Michele Bertelle-Semma see many ingrown toenailpatients who are experiencing the discomfort of ingrown toenails at their Nationwide Foot & Ankle Care practices in Livonia, Royal Oak, and Commerce Township, MI. Fortunately, treatment for ingrown nails is typically simple and straightforward. You'll learn more as we answer some frequently-asked questions about ingrown toenails in this post.

What is an ingrown toenail?

Most commonly affecting the big toe on one or both sides, ingrowth happens when the edges of the nail begin to push into the skin that surrounds it. This breaks the skin, which leads to redness, swelling, pain, and even infection. Many of our patients at Nationwide Foot & Ankle Care tell our podiatrists that their toe is very tender and hurts to place even slight pressure on it.

How do ingrown toenails happen?

When your podiatrist treats ingrown toenails, it's often because of an improper nail trimming technique. Some people have a tendency to cut their nails so they're curved like the shape of the toe, which leads to the edges growing into the skin. Trimming straight across will lessen your chances of ingrowth. Tight-fitting socks, stockings, or shoes can also cause the toenails to grow incorrectly, as can a prior injury that disrupts the normal growth of the nail. It's also been determined that ingrown toenails are hereditary.

How are ingrown toenails treated?

Your Commerce Township podiatrist will start with an examination that includes a discussion with you about your symptoms. If you do have an ingrown toenail, part of the nail may be removed to stop the improper growth pattern; you may need a local anesthetic. It may also be necessary to take antibiotics if an infection is present. It is especially important for people with circulation issues, such as those with diabetes, to seek treatment for an ingrown toenail right away.

For evaluation of any foot or ankle-related issue, including ingrown toenails, contact Dr. Michele Bertelle-Semma or Dr. Randy Semma at Nationwide Foot & Ankle Care today. We have locations in Commerce Township, Livonia, and Royal Oak, MI, for your convenience.

By Nationwide Foot & Ankle Care
December 11, 2017
Category: Foot Conditions
Tags: Foot Pain  

The feet undergo a great deal of stress daily. Whether walking, jogging, climbing stairs, or standing for extended periods, the feet endure foot paindaily wear and tear, which can lead to foot pain. Pain can develop in any area of the feet, including the heels, ankles, and toes. There are several treatment options for alleviating foot pain. At Nationwide Foot & Ankle Care, Dr. Randy Bernstein, Dr. Randy Semma, and Dr. Michele Bertelle-Semma are your podiatrists for treatment of such conditions as bunions, ankle injuries, or plantar fasciitis in Royal Oak, MI.


A common source of foot pain around the toe area is bunions. Bunions are bony protrusions that develop on the side of the foot near the big toe when the toe joint slips out of place. Since bunions protrude outward, they are easily irritated as the shoe’s interior rubs against them throughout the day. Fortunately, there are several treatment options for alleviating the pain associated with bunions. Treatment includes wearing orthotic inserts or wearing footwear with a roomy toe box. Surgery to remove the bunion and realign the toe joint is another option.

Ankle Injuries

Ankle injuries are another common source of foot pain. Sprained ankles, in particular, are a common injury. When an ankle is sprained, the ligaments inside become stretched or torn, which often results in acute foot pain. Left untreated, an ankle injury can result in long-term or chronic foot and ankle pain, which underscores the importance of seeking treatment. Treatments for ankle injuries include resting the ankle, applying ice, using compression bandages, or undergoing surgery to repair torn ligaments.

Heel Pain

Heel conditions are another reason for foot pain. Two of the most common types of heel conditions are plantar fasciitis and achilles tendinosis, also known as tendonitis. Plantar fasciitis is associated with pain on the bottom of the heel, while achilles tendinosis is associated with pain at the back of the heel along the achilles tendon. In Royal Oak, plantar fasciitis and achilles tendonitis treatments include wearing orthotic shoe inserts, physical therapy, applying ice to the heels, resting the feet, or surgery.

Whatever type of foot pain you are experiencing, there are treatments that can help. In Royal Oak, plantar fasciitis, achilles tendinosis, and other types of foot pain can all be treated by the podiatrists at Nationwide Foot & Ankle Care. To schedule an appointment with Dr. Bernstein, Dr. Semma, and Dr. Bertelle-Semma, call one of the three locations. For Royal Oak, call (248) 549-3338. For Livonia, call (734) 261-3400 or call (248) 956-0177 for the Commerce Township location.

By Nationwide Foot & Ankle Care
October 05, 2017
Category: Foot Health
Tags: diabetic foot care  

Paying extra attention to your feet can help you avoid serious health complications if you have diabetes. Podiatrists Dr. Randy Bernstein, diabetic foot careDr. Randy Semma, and Dr. Michele Bertelle-Semma of Nationwide Foot & Ankle Care in Commerce Township, Livonia and Royal Oak, MI, discuss diabetic foot care and share a few tips.

What foot problems can occur as a result of diabetes?

Glucose, a natural form of sugar produced by your body, serves as a source of energy for your cells, muscles and organs. When you have diabetes, you produce too much glucose. If your diabetes isn't controlled, you can experience a range of health problems, including vision impairment and kidney and heart disease.

High blood sugar levels increase wound healing time. If a sore on your foot becomes infected, it can be very hard to fight the infection, even with antibiotics. High levels can also damage nerves throughout your body, including those in your feet. Unfortunately, you'll no longer feel painful sensations that can indicate the presence of an infection if you have severe nerve damage.

What can I do to prevent these complications?

Decreasing your risk of these serious complications can be as easy as:

  • Scheduling Daily Foot Examinations: If you can't feel your feet, you won't be able to tell if you have a sore or blister. Take a look at your feet once every day. Switch to another pair of shoes if you see a red spot from too-tight shoes. Call our Commerce Township, Livonia or Royal Oak office if you notice any signs of trouble, such as open sores, blisters, calluses, ingrown toenails, calluses, skin color changes, red streaks or warm or cold feelings in your feet.
  • Choosing Comfortable Shoes: Shoes that don't fit well or are too tight can rub against your feet, causing blisters. Look for shoes that not only provide ample room for your feet, but also cushion them.
  • Wearing Orthotics: Orthotics, podiatrist-designed shoe inserts, can be helpful in decreasing pressure that can lead to blisters.
  • Visiting the Foot Doctor: Even small wounds or blisters can quickly become infected if you have diabetes. Visiting the podiatrist at the first sign of trouble can help you avoid complications that can threaten your health.

Are you concerned about a diabetic foot care issue? Schedule an appointment with Drs. Bernstein, Semma and Bertelle-Semma of Nationwide Foot & Ankle Care by calling (248) 956-0177 for the Commerce Township, MI, office, (734) 261-3400 for the Livonia office and (248) 549-3338 for the Royal Oak, MI, office.

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