Podiatrist Blog

By Nationwide Foot & Ankle Care
November 19, 2019
Category: Foot Conditions
Tags: Toenail Fungus  

Fungal toenails are a common podiatric problem. Characterized by very thick, brittle, and yellow-to-brown nails (particularly on the big foot fungustoes) onychomycosis is both embarrassing and medically concerning. Here at Nationwide Foot & Ankle Care in Livonia, Royal Oak, and Saginaw, MI, your podiatrists, Drs. Randy Semma, Michele Bertelle-Semma, and Stacey Stefansky, diagnose and treat toenail fungus, giving people clearer, healthier nails.


What causes onychomycosis?

Fungus is everywhere, and these microbes just love the moist, dark environments of sweaty shoes and socks, and thrive on people who have compromised immune systems, diabetes, and some inherited foot structures. Traumatic injury to the foot and tight shoes contribute to fungal toenails, too.

Berkley Wellness reports that about 10 percent of the American population has onychomycosis on one or both feet. With increasing age comes greater incidence of this problem, and treatment is very important. After all, toenail fungus will not resolve by itself!


Diagnosis and treatment of fungal toenails

If you're concerned about how your toenails look and feel, see one of our experienced foot doctors in Livonia, Royal Oak, and Saginaw, MI, today. They see many cases of toenail fungus and often recommend one or more tried and true treatments to eradicate it for good.

Your individualized care plan may include:

  • Oral or topical anti-fungal treatments
  • Change in footwear to something with more room in the toe boxes and better circulation of air
  • Wearing clean, moisture-wicking socks every day
  • Daily washing of your feet with soap and water


Maybe it's no big deal

Here at Nationwide Foot & Ankle Care, your team of experienced and caring podiatrists will get to bottom of your fungal toenails and set you on the path to healthier feet. Call us for a consultation. We have three locations to serve you.

In Livonia, phone us at (731) 261-3400. In Royal Oak or Saginaw, call (248) 549-3338.

By Nationwide Foot & Ankle Care
September 11, 2019
Category: Podiatry
Tags: Bunions  

Bunion pain doesn't have to keep you from doing the things you enjoy. Treatments offered by your podiatrists, Drs. Randy Semma, Michele Bertelle-Semma and Stacey Stefansky of Nationwide Foot & Ankle Care, can slow the progression of your condition and ease your pain. The foot doctors treat bunions and other foot and ankle conditions in their offices in Livonia, Royal Oak, and Saginaw, MI.

What causes bunions?

Your risk for developing the condition may increase if you have an inherited foot imbalance, a foot deformity, arthritis, flat foot, short Achilles tendon or leg length difference. Wearing tight shoes or high heels can be a contributing factor.

Making a few changes may decrease pain

Wearing roomier shoes won't correct the misalignment of the joint at the base of your big toe, but shoe choice does play an important role in pain management. Tight shoes or high heels place increased pressure on the front of your foot and worsen symptoms. Buying new shoes is a simple way to decrease your symptoms.

Painful red spots can develop on the side of your big toe or on the top of overlapping toes when you have bunions. Applying adhesive pads to your toes offers a little cushioning and makes wearing shoes more comfortable.

Over-the-counter anti-inflammation medication can be helpful in treating pain and swelling due to bunions.

Your Livonia, Royal Oak or Saginaw foot doctor offers bunion treatments

Your podiatrist may recommend one or more of these treatments or devices:

  • Night splints or taping to improve the alignment of your foot
  • Prescription shoe inserts to cushion the foot and reduce pressure on your bunions
  • Exercises to keep your toe mobile and flexible
  • Cortisone injections to decrease inflammation

Although these treatments can decrease your pain and slow the progression of your bunions, surgery is the only way to correct the alignment of your foot and eliminate the bump. Surgery may be recommended if you have severe pain or your bunions interfere with your daily activities.

Have your bunions taken over your life? Schedule an appointment with podiatrists, Drs. Randy Semma, Michele Bertelle-Semma, and Stacey Stefansky of Nationwide Foot & Ankle Care by calling (734) 261-3400 for the Livonia, MI, office, (248) 549-3338 for the Royal Oak office, or (734) 261-3400 for the Saginaw office.

By Nationwide Foot & Ankle Care
June 27, 2019
Category: Foot Conditions
Tags: Athlete's Foot  

Athlete’s foot, also known as tinea pedis, is a condition that leaves the skin of the feet feeling dry, itchy, blistered, and scaly. Fortunatly, your Livonia podiatrist can recommend treatment options to both provide symptom relief and help clear up the condition altogether.

Athlete's FootHere at Nationwide Foot and Ankle Care, Dr. Randy Semma, Dr. Michele Bertelle-Semma, and Dr. Stacey Stefansky are your podiatrists for the treatment of athlete’s foot.

Cause of Athlete’s Foot

Athlete’s foot is caused by being exposed to tinea fungus, an organism that can infect the skin and lead to itchiness, blistering, and scaling. The tinea fungus readily thrives in environments that are warm and moist, such as locker room floors, showers, and around swimming pools. When an individual develops athlete’s foot, the condition can be difficult to eliminate because shoes also create a warm and humid environment that accommodates the fungus.

Athlete’s foot is best prevented by protecting and caring for the feet. For instance, avoid walking barefoot in locker rooms and around public pools. It is also advisable to wear sandals or other footwear when using locker room showers. Other ways to prevent athlete’s foot include keeping the feet clean and dry, using talcum powder to reduce foot perspiration, and wearing light and airy shoes. It can also be helpful to wear moisture-wicking socks that help keep the feet dry and be sure to change your socks frequently if perspiration is a problem.

Treatment for Athlete’s Foot

Several options are available for treating athlete’s foot. Mild cases of athlete’s foot can sometimes be successfully treated with over-the-counter topical anti-fungal ointments and creams. Serious or persistent cases of athlete’s foot, on the other hand, require stronger treatments only available by prescription. If you think that your condition requires these more powerful treatments, a visit to our Livonia office can determine whether a prescription-strength oral anti-fungal medication or topical ointment is best for treating your athlete’s foot.

Give us a call!

For athlete’s foot treatment, schedule an appointment with Dr. Semma, Dr. Bertelle-Semma, or Dr. Stefansky, today by calling Nationwide Foot and Ankle Care's Livonia office at (734) 261-3400. Appointments can also be schedule at one of their other convenient locations by calling (248) 956-0177 for Commerce Township, (248) 549-3338 for Royal Oak, or (734) 261-3400 for Saginaw.

By Nationwide Foot & Ankle Care
May 07, 2019
Category: Foot Conditions
Tags: Diabetic Footcare  

If you suffer from diabetes, you need to be very wary of your foot's health care. Diabetics are more prone to foot problems because of Diabetesperipheral neuropathy, a development of painful nerve damage in the foot. Read on to learn more about proper diabetic foot care, and if you need personal podiatric treatment, call up Nationwide Foot & Ankle Care, located in Livonia, Royal Oak, Saginaw, and Commerce Township, MI!


More about Neuropathy

Neuropathy often affects the legs and feet, but it can also impact a person's whole body and cause serious health complications. The condition damages nerves, leading to a loss of feeling in the feet. Without this ability, people become unaware of wounds and injuries, allowing them to go untreated until they become much worse.

Consequently, diabetics should examine their feet on a daily basis. Careful and regular inspection is an easy and inexpensive preventative measure. Note several key symptoms:

  • Temperature
  • Skin color
  • Pain
  • Swelling
  • Poor blood circulation and loss of sensation.

In addition to a self-inspection, annual examinations at our offices in Livonia, Royal Oak, Saginaw, and Commerce Township, MI, provide a more thorough exam to detect any signs of changes, like broken skin and/or ulcers.

Another simple but crucial point is to keep your feet clean. It may seem like common sense, but people don't always wash their feet daily with warm water and soap. Dry your feet thoroughly and apply non-irritating moisturizer to keep your feet smooth.

Furthermore, if you develop a foot injury, even a relatively small one such as an ingrown toenail, visit one of our offices for care. We can help prevent infection and keep your foot safe

Other preventative measures include:

  • Avoiding smoking
  • Wearing comfortable shoes
  • Wearing clean, dry socks
  • Never walking barefoot


Give us a call!

For more information on diabetic foot care, call Nationwide Foot & Ankle Care in Livonia, Royal Oak, Saginaw, and Commerce Township, MI!

  • For Livonia, call (734) 261-3400
  • For Saginaw, call (734) 261-3400
  • For Royal Oak, call (248) 549-3338
  • For Commerce Township, call (248) 956-0177
By Nationwide Foot & Ankle Care
March 26, 2019
Category: Foot Pain
Tags: Treatment  

We are now offering Platelet Rich Plasma Injections (PRP) in our Commerce Township office. This new and innovative technology can help with several ailments including chronic arthritis, tendonitis, and healing of fractures. PRP is produced from a person's own blood. It is a concentration of one type of cell, known as platelets, which circulate through the blood and are critical for blood clotting. Platelets and the liquid plasma portion of the blood contain many factors that are essential for cell recruitment, multiplication, and specialization that are required for healing.

After a blood sample is obtained from a patient, the blood is put into a centrifuge, which is a tool that separates the blood into its many components. Platelet-rich plasma can then be collected and treated before it is delivered to an injured area of bone or soft tissue, such as a tendon or ligament. This can be performed in the foot or ankle. Please ask our staff about the procedure if you are interested in
learning more!

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