By Mid-Michigan Foot & Ankle Center
January 17, 2018
Category: Foot Conditions
Tags: Athlete's Foot   fungus   tineas pedis   problem  

A week ago, you visited your podiatrist because of itchy, burning, cracked feet. No matter how much lotion and Vaseline you used, the dryness just wouldn’t go away. After a quick exam and a series of questions, your podiatrist determined that you were suffering from athlete’s foot. You sighed in relief, happy to know the condition wasn’t life-threatening and then waited to hear how to treat the problem.

Treating Athlete's Foot

A podiatrist can diagnose tineas pedis by simply examining the affected foot or feet. Sometimes it is necessary for the podiatrist to take a small scraping of the skin and examine it under a microscope. Other times it is sent to a laboratory for testing. The culture is examined to see if the fungus that causes athlete’s foot is present.

Once the results are in, the podiatrist will recommend a series of treatment options depending on the length and severity of an individual’s case.

Often times, over the counter antifungal creams and spray can stop athlete’s feet in its tracks. Many cases even clear up in about two weeks. Unfortunately, athletes and others who constantly suffer from wet and damp feet know that it is very easy to have their case of athlete’s foot reoccur. Because of this, many sufferers use medicated powders and sprays as a defense to help keep the condition away.

Over the Counter Options

Usually, athlete’s foot responds well to over the counter medications due to the nature of the fungus. One commonly prescribed over the counter medication is called Lamisil-AT. It is an effective over the counter fungal cream that is typically effective after one week of treatment. Other creams that also work are Desenex, Lotrimin, Monistat-Derm, and Tinactin. The later four usually require four full weeks of treatment before seeing results.

If athlete’s foot appears on the entire sole or top of the foot, then it requires a special antifungal treatment. Usually, a lotion or spray will be ineffective. If this occurs, or your infection lasts more than two weeks, it is important to see a podiatrist right away. Call Dr. Andrew H. Cohen of Mid-Michigan Foot & Ankle Center, located in Saginaw and Bay City, Michigan. Call 989-790-8009 or make an appointment online today. Don’t suffer more than you have to.

By Mid-Michigan Foot & Ankle Center
January 11, 2018
Category: Foot Conditions

If you have a child that goes to school or goes to daycare, then you know very well that they can pick up any and every illness they come across. Often times, they come home and share it with you, their siblings, and everyone else they come in contact with. While it is natural to catch illnesses to help the immune system grow and fend off future viruses and bacteria, it can become a pain to you and your feet, literally. One of the most common childhood illnesses that occur in a daycare setting is known as Hand, Foot and Mouth Disease.

Hand, foot and mouth disease is a mild, contagious viral infection. It is categorized by sores in the mouth and a rash on the hands and feet. Hand, foot and mouth disease is most commonly caused by a coxsackievirus. This virus is not the same as foot and mouth disease that occurs in hooved mammals.


  • Painful, red, blister-like lesions in the mouth
  • Irritability
  • Loss of appetite
  • A red rash on the feet, hands and sometimes the buttocks.
  • Fever
  • Sore throat

Incubation Period

The first week of hand, foot and mouth disease is the time when your child is the most contagious. The virus can remain in the body for weeks after the signs and symptoms are gone. That means even weeks later other children can contract the painful virus. This also means that a child can carry the disease and continue to spread it to their family and friends after all symptoms have seemed to clear up.

After being in contact with the virus, it usually takes about three to six days for the virus to appear. A fever is typically the first sign of hand, foot and mouth disease, followed by a sore throat and sometimes a poor appetite.

One or two days after the fever begins, painful sores may develop in the front of the mouth or throat. A rash on the hands and feet can follow within one or two days. These rashes can be painful and look like red dots. They are smaller than chicken pox but not usually larger than the size of a pencil eraser.


There is no treatment for hand, foot and mouth disease. Podiatrists recommend frequent hand-washing to help to prevent the disease. When washing hands be sure to use hot water and an anti-bacterial soap. Hands should be washed for two minutes for the best results.

Sometimes it can be hard to figure out whether or not you or a loved one has hand, foot and mouth disease. If you are having a hard time deciding whether it is this disease or another foot problem such as a rash or blister, call Dr. Andrew H. Cohen, of Mid-Michigan Foot & Ankle Center, located in Saginaw and Bay City, Michigan. Call 989-790-8009 or make an appointment online today. Your child’s foot health is important to us.

By Mid-Michigan Foot & Ankle Center
January 03, 2018
Category: foot cancer
Tags: Mycosis  

When you make the decision to see the podiatrist, you usually do so because you have noticed something wrong with the health of your feet or ankles. Thousands of people visit podiatrists every day. They receive examinations, diagnoses, and advice on how to treat their ailments. Sometimes a podiatrist will catch something a little bit different during an exam. If they see red scaly skin patches on the feet, they may diagnose you with mycosis fungoides.

Mycosis fungoides is a form of lymph cancer known for its scaly patched skin. The disease progresses slowly, usually over many years. As it forms it begins to make elevated skin lesions which later turn into tumors on the skin. It is considered a rare disease and is taken very seriously among medical professionals.

Currently, the cause of mycosis fungoides is unknown. It is thought to be linked to lymphoma. Researchers are working to study its causes and to learn more about the disease overall.


  • Red scaly skin
  • Itchy rash
  • Rash growth
  • Ulcers
  • Pain
  • Lesions
  • Tumors

Testing for Mycosis

If your podiatrist suspects that you are suffering from mycosis they will either refer you to a cancer specialist or they will take a skin biopsy. This cancer can show up on the feet or anywhere else on the body that is covered in skin. This means that it can affect the feet.


There is no cure for mycosis fungoides. Treatments such as steroid creams, electron beam radiation, or chemotherapy may be used, if it is in the early stages. It has been noted that the use of ultraviolet light can help to control the disease. Mild mycosis fungoides can be treated successfully with cortisone ointments.


Unlike some other lymphomas, the outlook is generally good for those who suffer from mycosis. Symptoms can usually be controlled with treatment. Unfortunately, treatment is not guaranteed to cure an individual of mycosis. Sometimes no matter what combination of treatment methods are utilized, the mycosis will stay on the individual who suffers from it.

Is your skin dry and patchy? Does it itch or hurt when you touch it? Think that you might have a skin condition? Call Dr. Andrew H. Cohen of Mid-Michigan Foot & Ankle Center located in Saginaw and Bay City, Michigan. It is important to find out what is ailing your feet as soon as possible so that you can prevent a more serious problem from cropping up. Call 989-790-8009 or make an appointment online today. Your foot health is our top priority.

By Mid-Michigan Foot & Ankle Center
December 27, 2017

Podiatrists often see an array of different problems enter their office. They can be foot, nail, or even ankle problems. There is not a condition that is too small or too big for a podiatrist. Arthritis, bunions, spurs, chronic pain, fungus, ulcers, and other foot and ankle conditions are all part of their typical routine. Over time, it is evident that some of these conditions occur more commonly than others. The toenails have three common problems that are treated in the office of a podiatrist. They are not usually life threatening, but it is important to have these three conditions checked out right away if you are exhibiting symptoms.

Fungus - When you have a green or yellow colored nail, you usually have toenail fungus. Fungus is an infection of the nail. It is usually caused by the buildup of bacteria. Fungus likes to spread in damp, dark moist places such as wet shoes, wet socks, or other similar situations. It can cause a nail to thicken and discolor or become brittle and break down. Fungus is tough to treat but is not undying. Podiatrist’s often use antifungal medications to kill the toenail fungus and prevent it from returning to the nail. Over the counter medications can seem promising, but they do not work as well as a medicine prescribed by a podiatrist.

Thickening and Discoloration - Having a hard time clipping your nails? Are they very thick and a little discolored? Are they yellowing or becoming opaque? This may be a sign of nail disease and should be treated by a podiatrist, such as Dr. Andrew H. Cohen of Mid-Michigan Foot & Ankle Center in Saginaw and Bay City, Michigan. He can examine the nailbed and determine the cause.

Ingrown Toenail - Ingrown nails are very common in the world of podiatry. This condition can also be very painful and put the patient at risk for complications. It occurs when the nail grows, curves and cuts into or embeds itself into the skin of the toe. It can cause an infection that will further harm the toe and that can spread to the foot. Podiatrists can cut the problematic nail with special clippers. Sometimes, if the nail is very embedded into the foot, a foot surgery must be performed to remove the nail and prevent or treat infection.

If you think that you may be suffering from any of the problems listed above, it is important that you get them checked out by a podiatrist. Call 989-790-8009 or make an appointment online today. Dr. Cohen will examine, diagnose and treat your toenail so you can live a healthier and happier lifestyle.

By Mid-Michigan Foot & Ankle Center
December 20, 2017
Category: toenail conditions
Tags: Diabetes   Paronychia   psoriasis   jaundice  

It can be frustrating to take off your shoes and see that your nails have begun to yellow. Yellow nails are usually a sign of an illness or infection and should be treated quickly. Although not all causes of yellow nails are serious, it is important not to take an unneeded risk. Here are some causes of yellow nails that aren’t as common but are still very serious.

Psoriasis - Is a chronic autoimmune disease that causes patches of red, flaky skin covered with silver colored scales. It is sometimes causes nail discoloration, typically yellow, brown or green. It can show up on the feet or any other place the body has skin. It can also make it look like there is a drop of oil underneath the nail. Psoriasis can be painful and should be treated by a podiatrist right away.

Paronychia - This is a bacterial infection of the nail or surrounding skin. Its symptoms include redness, inflammation and pus around the edge of the nail. Thickening and discoloration of the nails can also occur. This discoloration often appears yellow. It can be found in the toenails as well as on fingernails. It is important to see your doctor right away for proper treatment.

Diabetes - Type 2 diabetes is often accompanied by poor circulation and nerve damage in the feet which can lead to yellowing or blackening of the toenails. Good foot care is vital for anyone suffering from this condition, so if you have developed yellow toenails and are diabetic, consult your doctor promptly. Patients with diabetes are at a higher risk for foot related problems and should have them checked regularly. Being proactive is key when you suffer from diabetes.

Nail Polish - If you use nail polish regularly, then you are at risk for nail discoloration. Red and orange nail polishes are especially likely to turn your toenails yellow. This is because in many nail polishes, there is iron oxide. This iron oxide causes a chemical reaction with the nail and turns them yellow.  It can be remedied by stopping the use of nail polish and by seeking the help of a podiatrist.

Jaundice - Is a condition in which the liver starts to slow or shut down and is unable to process the bilirubin that the body naturally produces. It turns the skin of the feet and the rest of the body yellow. Sometimes it can even turn toenails yellow.

Do you have any of the conditions listed above? Suffer from a different foot problem not listed? Call Dr. Andrew H. Cohen of Mid-Michigan Foot & Ankle Center, located in Saginaw and Bay City, Michigan. After a consultation, Dr. Cohen will diagnose which condition is causing your yellow nails and feet. Call 989-790-8009 or make an appointment online today. Your foot health is our top priority.


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