Podiatrist Blog

By Nationwide Foot & Ankle Care
December 20, 2018
Category: Foot Conditions
Tags: Ingrown Toenails  

Ingrown toenails can be uncomfortable and even painful. If you have an ingrown toenail, we can help. At Nationwide Foot and Ankle Care,ingrown toenail our podiatrists can treat your existing ingrown toenails and help you prevent them from coming back. It is especially important to see a podiatrist if an infection has developed, in which case you might need an antibiotic. At Nationwide Foot and Ankle Care, Dr. Randy Semma, Dr. Michele Bertelle-Semma, and Dr. Stacey Stefansky are your podiatrists for the treatment of ingrown toenails in Livonia, MI.

What are Ingrown Toenails?

Ingrown toenails can develop when the sides of the toenails are growing too close to the skin surrounding the nail. When the toenail is too close to the skin, it is likely to press against the skin. This pressure can lead to redness and swelling, as well as discomfort and pain. In some cases, an infection can even develop. Ingrown toenails are most common on the big toes, but can develop on any toe.

Several factors can contribute to the development of ingrown toenails. Trimming the toenails in a rounded manner rather than straight across can result in the development of ingrown toenails. Socks or shoes that are too tight on the foot can also lead to the development of ingrown toenails. Other causes of ingrown toenails include heredity, injuries to the toes or feet, and a fungal infection on the feet.

Treating Ingrown Toenails

You can prevent ingrown toenails by keeping the feet clean, wearing properly fitting socks and shoes that are not too tight, and trimming the nails straight across. For times when an ingrown toenail does develop, several different options are available for treating the nail. A podiatrist can determine which method is best for you. Methods for treating ingrown toenails in Livonia include:

  • Pain relief medications
  • Wearing loose-fitting footwear
  • Soaking the feet in warm water
  • Surgical removal of ingrown toenails

If you have an ingrown toenail, the podiatrists at Nationwide Foot and Ankle Care can help. For the treatment of an ingrown toenail in Livonia, schedule an appointment with Dr. Semma, Dr. Bertell-Semma, or Dr. Stefansky by calling Nationwide Foot and Ankle Care at (734) 261-3400. For an appointment in Royal Oak, call Sore Feet Podiatry at (248) 549-3338 or for Commerce Township, call Maple Park Podiatry at (248) 956-0177.

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!





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