Podiatrist Blog

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.

By Nationwide Foot & Ankle Care
August 01, 2017
Category: Foot Conditions
Tags: Bunions  

Foot conditions which cause pain and discomfort can quickly take a toll on your daily life, especially when they begin affecting standing andBunion walking. Bunions are no different, and, though they start painlessly and grow slowly, can become very painful. However, you can find relief from your bunion pain with help from your podiatrist. Find out more about relieving bunion pain and treating this common condition with Dr. Randy Bernstein, Dr. Randy Semma, and Dr. Michele Bertelle-Semma at Nationwide Foot and Ankle Care with locations in Livonia, Royal Oak and Commerce Township, MI.

Do I have a bunion? 
Bunions are very slow growing and many patients do not realize they suffer from this condition until it begins causing them pain. However, you and your podiatrist can work together while your bunion is in its early stages in order to prevent its growth and treat the symptoms it causes. Some early warning signs and symptoms of bunions include:

  • a lump on the inside of the foot at the base of the big toe
  • pain or discomfort around the joint of the big toe
  • decreased range of motion of the big toe
  • redness or irritation on the side of the foot due to friction
  • the big toe growing towards the small toes, causing the smaller toes to overlap
  • corns or calluses where the toes overlap

Bunion Treatment in Livonia, Royal Oak and Commerce Township
If your podiatrist catches your bunion in its earlier stages, you could prevent its growth by wearing properly fitting shoes which have enough room in the toe box for the toes to lie flat. Other conservative treatment options include orthotics that improve the support and stability of your shoes. Your doctor will also advise you to avoid wearing ill-fitting, too-narrow or high heeled shoes. If conservative treatment options don't provide you with relief, surgery may be needed. This surgery removes the bunion and realigns the toe.

For more information on bunions or their treatments, please contact Dr. Bernstein, Dr. Semma and Dr. Bertelle-Semma at Nationwide Foot and Ankle Care with locations in Livonia, Royal Oak and Commerce Township, MI. Call (734) 261-3400 to schedule an appointment in Livonia, (248) 549-3338 to schedule an appointment in Royal Oak, and (248) 956-0177 to schedule an appointment in Commerce Township today!

By Nationwide Foot & Ankle Care
June 12, 2017
Category: Foot Health
Tags: heel pain  

Find out what might be causing your heel pain and when to seek medical attention.heel pain

Heel pain is an annoying issue, and one of the most common complaints we hear about. Most people will deal with heel pain at some point during their lifetime and for many people, the cause is plantar fasciitis. Our Royal Oak, Commerce Township and Livonia, MI, podiatrists Dr. Randy Bernstein, Dr. Randy Semma and Dr. Michele Bertelle-Semma are here to provide you with a little more insight into how plantar fasciitis happens and when you should see a doctor about your heel pain.

What is plantar fasciitis?

There is a thick band of fibrous tissue that runs along the soles of the feet from the heel to the toes. This tissue is known as the plantar fascia and it provides support to the arches of your feet. If you have plantar fasciitis, this means that there is inflammation and irritation.

What causes plantar fasciitis?

There are many reasons why you may be dealing with plantar fasciitis. This condition is more common in older individuals, as well as those who are athletic or have to be on their feet for long periods of time. You may notice pain in just one foot or you may have plantar fasciitis in both.

You may also be prone to plantar fasciitis if you suddenly increase the intensity or duration of your exercise regimen. Perhaps you have only been running a couple miles on the treadmill but you suddenly decide to run another extra mile outside on rocky terrain. This can lead to some pretty inflamed fascia.

If you wear shoes that don’t provide enough support or are too old, if you have flat feet or high arches, or if you are overweight, you may also be prone to plantar fasciitis.

When should I see my Royal Oak, Commerce Township, or Livonia, MI, podiatrists?

There is a lot of information on the Internet regarding ways to handle your plantar fasciitis, from avoiding high-impact exercises to icing the heel to wearing orthotics. Most cases of plantar fasciitis will go away on their own with the proper care. Of course, if you think you may have plantar fasciitis, it’s a good idea to give us a call. Any new symptoms or changes to your feet should always be assessed, just to be on the safe side.

If your heel pain is also accompanied by numbness or tingling in the heel, a fever, redness or skin around the heel that’s warm to the touch, then you should give us a call right away, as you may have an infection. If at-home treatment doesn’t ease your symptoms and heel pain doesn’t go away in a week, it’s also a good time to turn to us for more effective care.

Nationwide Foot & Ankle Care is dedicated to serving the Livonia, Royal Oak and Commerce Township, MI, areas to provide you with the comprehensive foot care you need. Whether you are dealing with diabetes or heel pain, we offer the treatment and care you need whenever you need it most.

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