By Mid-Michigan Foot & Ankle Center
May 26, 2017
Category: Toe Pain

An ingrown toenail is simply a nail that is growing into your skin and causes pain, swelling and discomfort.  If your ingrown toenail does not show any sign of infection you could try to let the nail grow out and see if it heals on its own.  At Mid-Michigan Foot and Ankle Center we suggest a warm Epsom salts bath before you try any other remedy.  If the nail does not improve with in a couple of days, then a visit with our Podiatrist is recommended.

The causes of ingrown toenails?

  • Footwear that crowds the toes will push the corners of your nail into the skin
  • Cutting toenails too short on the sides of the big toe can cause the skin to overgrow around the nail
  • Injuring your toe nail like dropping something on your toe or kicking something too hard
  • Poor foot structure and posture or how you walk or stand effects the long-term condition of your big toe nail
  • Unhealthy foot hygiene with excessive sweating is a risk factor

Preventing an ingrown toenail......

  • Cut the nail straight across without rounded corners
  • Make sure shoes fit well and are not too tight
  • Keep feet clean and dry
  • Drug store antibiotic medications
  • Surgically remove the ingrown portion of nail with a procedure called toenail avulsion
  • Permanent removal will remove the cells in the nail bed so the toenail will not come back

Ingrown toenails my look like….

  • Red and painful around the nail
  • Skin near the nail is swollen and tender
  • When the nail pierces the skin, bacteria can get in and cause an infection and you may see blood or pus

Recovery time for the permanent removal procedure of an ingrown toenail can take up to two weeks with little inconvenience. You will need to wear soft spacious shoes or open toed sandals during recovery time.  If you need any type of treatment it should be as soon as symptoms start especially with diabetic patients who have nerve damage in or near your foot. You can trial with home remedies, such as soaking in warm water a couple times a day and using gauze to gently push the skin away from the nail.  If these symptoms continue call us at 989-790-8009 for an appointment at one of our locations in Saginaw, or Essexville, Michigan. Toe nails should grow out and not in.




By Mid-Michigan Foot & Ankle Center
May 18, 2017
Category: Foot Conditions
Tags: Bunions   Hammertoes   orthotics   corns  

The summertime is for sandals and bare feet so treating it early could make the difference. Corns are annoying and sometimes painful if there is repeated pressure on your toes. There are certain medicated products that can treat corns but people who have delicate skin or poor circulation in their feet should consult a podiatrist quickly. Andrew Cohen at Mid - Michigan Foot and Ankle Center can help you get rid of your corns.

How Do I Know it’s a Corn?

  • It will be a thick, hard patch of skin that appears mostly on your toes.
  • A bump can grow on the skin and become flaky and dry around that area.
  • Tenderness and pain will occur in time and the corn will become uncomfortable.  

What Can I Do?

  • Soak your foot in hot water and baking soda to soften.
  • Rub crushed garlic on the corn and let it dry, cover it with a band aid and leave on while you sleep.
  • Sand the corn away with a pumice stone or nail file to remove dead skin.
  • Make a cream out of baking soda lemon juice and water to apply to the corn.
  • Soak a cotton ball in castor oil and tape to the corn overnight.

What Causes Corns?

  • Walking barefoot or not wearing socks in your shoes.
  • Sports activates that put pressure on feet
  • If you have bunions, hammertoes or damaged sweat glands it is likely that one will form.
  • Diabetes or other conditions that involve poor blood flow increases the chance of getting a corn.  

Our specialists may recommend to surgically treat the corn or suggest special shoes or shoe orthotics that will reduce pressure over the area where the corn is.  It isn’t hard to get rid of a corn and there are many home remedies that you could try but, the best way to keep it in control would be to make an appointment and seek regular foot care. This is helpful for those who tend to get corns often and especially if they are diabetic. In those cases, if the corn becomes infected then you should seek medical care right away by calling our office in Saginaw or Essexville Michigan at 989-790-8009. Call to schedule a visit today before your corn gets out of control. 

By Mid-Michigan Foot & Ankle Center
May 10, 2017
Category: Foot Conditions
Tags: Toenail Fungus   podiatrist  

Summer is approaching fast and that means you will be exposing your toes. The last thing you would want is to have an infected nail standing out like a sore thumb or should we say a sore toe?

Causes of nail fungus:

  • If your toes are warm and wet more times than they are cool, dry and breathing.
  • Mold or yeast can be a factor but not the most common.
  • Overgrowth of fungi in and under the nail.
  • Tools at the salon that are not sanitized properly.

Symptoms of nail fungus:

  • A distorted nail that looks like it may lift off the bed.
  • An odor coming from the infected nail.
  • A brittle or thick nail.
  • White or yellow streaks on the nail.
  • Flaking white areas on the nail’s surface.

Treating nail fungus:

  • Topical ointments are not always effective and can be costly but can work if monitored by your podiatrist.
  • Surgical treatment is the quickest approach and can have a more definite result.
  • Laser procedure is less invasive than surgery. The heat from the laser kills the bad fungi and could save the nail from getting worse.

Preventing nail fungus:

  • Don’t share nail clippers, files, shoes or socks. Even if you know the person you’re sharing them with.
  • Avoid injury to your nail like cuts, bruises and stubbing.
  • Use dry cotton socks and don’t let them sit wet for too long.
  • Wear hoes that allow air to circulate and keep feet dry.
  • Shower with flip flops in public facilities to avoid catching bacteria.

Interesting facts about nail fungus:

  • Most people with diabetes develop infections in their toe nails.
  • Spending time in areas that are wet, damp and moldy can increase the risk of developing fungi.
  • At least 50% of home remedies fail as a permanent solution.
  • 5% of people develop nail fungal infections and 20% are over the age of 60 while 50% are over the age of 70.

Some risk factors include poor circulation, diabetes, age, psoriasis, immune disorders and over perspiration. If you find that you suffer from one of these conditions then you are at a higher risk for contracting nail fungus. Call Mid – Michigan Foot and Ankle Center at 989-790-8009 and schedule an appointment with Dr. Andrew H. Cohen today. The quicker you treat your nail problems, the more likely your nail will heal.



By Mid-Michigan Foot & Ankle Center
May 04, 2017
Category: Foot Conditions
Tags: Flat Feet   Diabetes   podiatrist  

If your feet hit the ground with a print that shows most of your foot, chances are you have flat feet. The best way to test that theory is to wet the bottom of your foot and make a foot print on a dry concrete surface. This will show your fallen arches and get you on the right track.

At Mid-Michigan Foot and Ankle Center we test and treat flat feet so you can move forward with a better step. This condition is usually associated with pronation (when your ankle bone leans inward as you walk) and when flat feet become painful it means the tendon in your foot has become inflamed or torn. Ignoring this condition can lead to permanent disability but if you take time to follow some of these simple suggestions you may see permanent results instead.  


  • Stretched or damaged tendons
  • Rheumatoid arthritis
  • Abnormality from birth
  • Obesity
  • Diabetes
  • Aging
  • Pregnancy

These causes are contributing factors with flat feet in one way or another and eventually take you back to the importance of medical treatment. Most people who have flat feet do not experience pain however, there are symptoms that may help you diagnose the problem yourself.

Here are some “ if’s “  to help.

  • If you notice that your feet are easily tired.
  • If you have pain in your arch or heels.
  • If you experience any difficulty standing or have back and leg pain.
  • If you have trouble standing on your toes.
  • If the inside bottom of your feet become swollen.


  • Consult a podiatrist for medical treatment as soon as possible.
  • Weight loss can take the pressure off the bones, ligaments and tendons in your feet.
  • Physical therapy may be recommended depending on the diagnosis.
  • Supportive shoes will help long term changes. Avoid tight shoes, high heels or unnaturally shaped shoes.
  • Orthotics that are custom made can give the best results.

If you think you may have flat feet or would like to confirm your own diagnosis, contact Dr. Andrew H. Cohen at Mid - Michigan Foot and Ankle Center located in Saginaw or Essexville Michigan. For an appointment call 989-790-8009 and let us help keep your feet in the best shape!

By Mid-Michigan Foot & Ankle Center
April 27, 2017
Category: Heel Pain

Heel pain has many facets and facts. The pain can come by way of spurs, strains and stress. Plantar Fasciitis may be the most common while, Heel Spurs can be more annoying than anything else. Either way a quick trip to Mid-Michigan Foot and Ankle Center could nip the problem in the bud before it has a chance to bloom! 

What is Plantar Fasciitis?

The symptoms for plantar fasciitis are most pronounced in the morning when you rise and shine. You feel immediate pain as you place your heels down on the floor.  Although there isn’t much shining with that pain, the rising part needs to happen. Which is why treatment may be the best way to ensure less pain as you wake in the morning and face your day.

  • REST ~ gives your body a chance to calm down and chill out from all the pain you just put it through by walking or exercising with inflamed tissue.
  • STRETCH ~ when you stretch the fascia muscle you are half way there. Flexibility can prevent the ailment from ever happening.
  • RESET ~ Taping the foot gives instant relief of symptoms and reduces some of the pain under the heel.

What is Heel Spur?

A Calcium deposit that causes a bony protrusion on the underside of the heel bone.  Most times they are painless but if irritated it can cause pain to the heel making it difficult to walk. They are more prevalent among athletes who must run and jump continuously throughout their sport.  However, there are some things you can to do to stop the progression of a spur.

  • EXERCISE ~ keeps things moving and reduced the chance of calcium deposits to settle in the heel.
  • MEDICATION ~ with your doctor’s supervision, can provide temporary relief.
  • CORTISONE ~ these injections go straight to the problem by way of a needle and are very specific and effective in reducing the symptoms.

If you suspect a problem with your heels, call Dr. Andrew H. Cohen at our Saginaw or Essexville office for an appointment at 989-790-8009. We encourage you to call for advice, concern or just basic questions on your podiatry needs. But if you are experiencing the type of heel pain we talked about, come see us and let the Heel Experts Heal your pain!

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