Podiatrist Blog

By Nationwide Foot & Ankle Care
October 08, 2018
Category: Foot Conditions
Tags: Bunion  

Is your foot changing shape? Is there a pronounced bump at the bottom of the big toe? Has walking become uncomfortable? These symptoms and others often indicate a common podiatric problem called a bunion. In Commerce Township, Livonia, and Royal Oak, MI, Dr. Randy Semma, Dr. Michelle Bertelle-Semma, and Dr. Stacey Stefansky treat bunions, thereby helping their patients remain active and comfortable.

How Bunions Happen

The American Orthopaedic Foot & Ankle Society says that these bony deformities happen to children, teens, and adults, with women and seniors being especially prone to developing them. Precipitating factors include:

  • Lax connective tissue in the foot
  • Osteoporosis
  • Heredity (they tend to run in families)
  • Narrow, tight, high-heeled shoes
  • Flat feet
  • Fractures and sprains around the first metatarsophalangeal joint

Typically, when the foot doctor sees a suspected bunion, it looks red, irritated, and may have a callus or corn. Calluses often form on the bottom of feet which have bunions. Accompanying the bunion may be arthritis, bursitis, a limited range of motion, a deformity called hammertoes, and there may even be a crossing of the big toe over the second or third toe. Pain, of course, accompanies the deformity in varying intensity.

During a bunion inspection, you can expect that, along with a visual inspection of the foot, the podiatrist will make you walk to check your gait, and may take digital X-rays to visualize the joint.

Treating Bunions

Most people do well with non-invasive interventions. Bunionectomy, or surgical removal of the bump and re-alignment of the big toe, is more the exception rather than the rule in treatment.

As part of a customized care plan, the foot doctor may advise:

  • Over-the-counter analgesics to reduce discomfort
  • A night splint for the adolescent patient whose bones are more malleable
  • Shoe padding
  • Customized orthotics, or shoe inserts, to correct gait problems and reduce friction on the joint
  • Stretching exercises
  • A change in footwear

As simple as the last intervention is, it usually works wonders. Quality shoes with room in the toe box allow for proper alignment and less friction on the first metatarsophalangeal joint. The American Podiatric Medical Association advises that women wear heel no higher than 2-1/2 inches to keep undue pressure off the forefoot.

Comfortable Feet

You can have them once again. Contact Nationwide Foot & Ankle today for a consultation on your bunion. We have three convenient locations:

  • For Livonia, call (734) 261-3400
  • For Royal Oak, call (248) 549-3338
  • For Commerce Township, call (248) 956-0177
By Nationwide Foot & Ankle Care
August 24, 2018
Category: Foot Health
Tags: Athlete's Foot  

Women's athlete's footAthlete's foot is mostly associated with athletes, but this fungal can infect anyone. There are several precautions to take, according to your Commerce Township, Livonia, and Royal Oak, MI, foot doctors, that will help prevent or manage this foot condition.

More About Athlete's Foot:

Athlete's foot can infect anyone, especially individuals who expose their feet to moist surfaces.

Here are some symptoms to keep an eye out for:

  • Scaly rash
  • Itching
  • Stinging and burning sensation
  • Raw, moist skin between toes

Foot Care Advice in Commerce Township, Livonia, and Royal Oak:

There are several preventative measures to take:

  • You should wear shower shoes, flip-flops, or sandals when near pools, in gyms, or public showers and locker room areas.
  • Keep your feet clean and dry. The fungus thrives when your feet are wet and when you're wearing tight-fitted shoes. This is especially a problem when it's hot outside and your feet sweat profusely.
  • Make sure you wash your feet every day with soap and water, then completely dry them.
  • Don't wear the same shoes every day. Give your shoes a chance to air out and dry before wearing them again.
  • Don't share towels, linens, or shoes with someone who has athlete's foot. It usually spreads through skin-to-skin contact and touching a contaminated surface like a blanket or doorknob.
  • Avoid synthetic socks. Wearing socks made from natural fabrics, or fabrics that quickly dry and/or wick moisture to help keep your feet dry.
  • Don't walk around barefoot in hotel rooms since foot fungus may be on the floor.
  • Change your socks when they get wet, instead of waiting for them to dry while on your feet.

Athlete's foot shouldn't be a serious problem, but if it takes too long to heal, you need to speak to your foot doctor. If you have any questions or concerns about athlete's foot, call your Commerce Township, Livonia, and Royal Oak, MI, foot doctor today!

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.





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.