KEY TAKEAWAYS:

• Fall creates a practical recovery window. Scheduling bunion surgery after summer can give patients fall and winter to heal before spring activities and sandal season return.
• MIS may offer a faster recovery. Smaller incisions and reduced tissue trauma may mean less postoperative pain and an earlier return to everyday activities for appropriate patients.
• Planning ahead can protect spring plans. Addressing a painful bunion in the fall may allow patients to spend the colder months recovering so they are ready for a more active spring.

With the start of the spring season, you may find that your same bunion starts causing trouble again. Sandals rub against the bump; longer walks hurt; vacations require careful shoe choices; and activities that should feel effortless become decisions about how much discomfort your foot can tolerate. You likely wish you’d had the bunion addressed years earlier.

So, when is the best time of year to have bunion surgery? There is no medically required “bunion season,” and the right timing depends on your health, symptoms, schedule, and recommended procedure. Still, fall can offer a practical window for patients considering minimally invasive surgery (MIS) for bunions. Scheduling treatment before winter may provide valuable recovery time before spring brings warmer weather and a busier calendar. Our podiatrist, Dr. Sarah Stewart, explains.

Why Does Fall Make Sense for Bunion Surgery?

If you enjoy spring walks, vacations, outdoor events, and sandals with less bunion-related pain, it makes sense to consider bunion surgery in the fall. A fall procedure means summer is over and with it, all the outdoor activities that people enjoy during the warmer months. While fall bunion surgery doesn’t mean every patient will be fully recovered by spring, it’s likely you’ll be close. Think of it as giving your foot a generous runway. Scheduling surgery in the fall places several months between the procedure and the return of warmer weather. That can provide more breathing room than scheduling surgery shortly before a spring vacation, wedding, hiking trip, or other event.

Your individual recovery timeline should come from your podiatrist. Trying to rush healing simply because an event is approaching can work against the reason you chose surgery in the first place. Our podiatrist, Dr. Sarah Stewart, can provide a more individualized timeline after examining your foot.

How Long Does it Take to Recover From Bunion Surgery?

The full recovery period depends largely on whether you have MIS or open surgery. Typically, MIS patients can walk in normal sneakers between six to eight weeks after surgery. Compare that to 10 to 12 weeks after open surgery. Eventually, activity is increased as tolerated by the patient. Running and jumping are restricted for approximately 12 weeks, but biking, spinning, walking, and swimming are allowed to progress as the patient tolerates.

Fall may also offer several practical advantages, including the following:

• More recovery time before sandal season. Addressing a bunion months before warm weather gives the foot time to heal before open-toed shoes become part of the daily rotation.
• A quieter activity calendar. For some patients, colder months involve fewer outdoor activities, making temporary activity restrictions easier to accommodate.
• Time to rebuild gradually. Healing is only part of returning to activity. Patients may also need time to transition back into footwear and increase walking based on their surgeon's instructions.
• A reason to stop postponing treatment. If bunion pain has been limiting you for months or years, choosing a specific seasonal window can turn “someday” into an actual treatment plan.

When Should You Schedule Fall Bunion Surgery?

Fall may provide a convenient recovery window, but waiting until the last minute can defeat the purpose of seasonal planning. Surgical consultations, imaging, scheduling, preoperative requirements, and personal obligations all take time.

The end of the year can also become a busy period for elective procedures. If spring is your target for returning to favorite activities, starting the conversation earlier gives you more flexibility to choose a treatment date that works with your life rather than squeezing recovery between commitments.

Give Your Feet the Winter They Need for the Spring You Want

The best time of year to have bunion surgery is ultimately the time that fits your medical needs and allows you to recover without unnecessary pressure. For many patients, fall checks both boxes.

Instead of reaching another spring wishing that painful bump had been addressed sooner, consider using fall and winter as your recovery window. Dr. Stewart is experienced in MIS and can evaluate your bunion, explain your treatment options, and help you understand what your personal recovery may look like.

Spring plans have a way of arriving quickly. If bunion pain is already holding you back, fall may be the right time to start planning for the feet you want to carry you into spring.

KEY TAKEAWAYS:

When a child complains of foot pain without an obvious injury, the cause is often growth-related (like Sever’s disease), overuse, biomechanical strain, or an issue with their shoes. Pain that lasts more than a few days, interferes with sports, or comes with limping should be evaluated, even if there’s no swelling or bruising.

If your child finishes soccer practice and announces that their heel hurts, but there’s no swelling, no bruising, and she swears she didn’t roll an ankle, you may not be that concerned. But by morning, she may be limping, and by the next morning, she may say she “feels fine” again—until the next practice.

If that pattern sounds familiar, you’re not imagining it. Pediatric foot pain without an obvious injury is very common, and it usually has a real, identifiable cause. At Grandville Foot and Ankle, we evaluate active kids and teens for these exact complaints all the time. Here, we discuss what tends to be going on and when it’s worth making an appointment to get an evaluation.

Why Kids Can Have Real Foot Pain Without an Injury

Children’s feet develop for many years. Growth plates are open, ligaments are flexible, and the muscles that stabilize the arch and ankle are still maturing. That combination makes their feet more vulnerable to certain types of pain that adults don’t have.  

Some of the most common reasons a child reports foot pain without a specific injury include the following:

• Growth-related conditions—such as Sever’s disease (calcaneal apophysitis) or Iselin’s disease, which both can cause inflammation at growth plates
• Overuse—from year-round sports, repetitive impact, or rapid increases in activity
• Biomechanical strain—from flat feet, high arches, or in-toeing/out-toeing patterns
• Footwear problems—including shoes that are too small, too narrow, or worn out
• Skin and nail issues—such as plantar warts or ingrown toenails that hurt without looking problematic.
• Stress fractures—tiny cracks in a bone caused by repeated impact rather than a single trauma

Sever’s Disease: a Common Cause of Heel Pain in Active Kids

If your child is 8 – 14,  plays a lot of running or jumping sports, and complains of pain in the back of the heel—especially after activity—Sever’s disease is one of the first conditions we look for. It’s an inflammation of the heel’s growth plate, where the Achilles tendon attaches. Telltale signs include the following:

• Heel pain that gets worse during or after sports
• Limping after practice or games
• Tenderness when the sides of the heel are squeezed
• Tight calf muscles
• Pain that improves with rest but returns when activity ramps back up

Sever’s is generally a self-limiting condition that resolves once the growth plate fuses, but it can be very painful in the meantime. Treatment usually involves heel cushioning, calf stretching, activity modification, and sometimes custom orthotics.

How Overuse Presents in Pediatric Feet

Year-round sports and the same repetitive motions can stress small structures in the foot before parents realize it. Overuse-related pain usually:

• Builds gradually rather than appearing suddenly
• Gets worse with activity and better with rest
• Affects specific spots—arches, the top of the foot, the side of the foot, or the ball of the foot
• Hurts without bruising or swelling, at least not at first

If activity is high and pain has lasted more than a week or two, it’s worth discussing with a sports medicine–focused podiatrist before a small problem turns into a stress fracture.

How Biomechanics and Shoe Issues Can Cause Foot Pain

Children’s feet sometimes hurt simply due to the structure of their feet and/or the shoes they wear:

• Flat feet can cause the arch and ankle to work harder than they should, leading to fatigue and pain after long days.
• High arches concentrate impact on the heels and balls of the foot.
• In-toeing or out-toeing can change how the foot strikes the ground and where stress builds up.
• Old shoes can be problematic when they lack support—especially in kids who insist their shoes “still fit” long after they don’t.

The American Podiatric Medical Association recommends regular shoe checks and prompt evaluation when foot pain affects daily activity in children. Even small structural issues in the feet can become bigger problems if they’re ignored throughout a growth spurt.

Pain Without Swelling

One of the biggest reasons parents wait too long to seek care for their child’s painful feet is that there are no visible symptoms. When kids complain of pain, parents may find the following is true:

• There’s no bruising
• There’s little to no swelling
• Pain comes and goes with activity
• Kids can’t really pinpoint “where it hurts”

These can make pain easy to dismiss—until it interferes with practices, games, or family activities.

When to Schedule an Appointment With Our Podiatrist

It’s a good idea to have your child’s foot pain evaluated when:

• Pain lasts longer than a few days or keeps returning.
• Your child is limping or favoring one foot.
• Pain is interfering with sports, school PE, or play.
• There’s tenderness in a specific spot when you press on it.
• You notice changes in walking, balance, or shoe wear patterns.
• Your child is reluctant to do activities they previously enjoyed.

An evaluation usually starts with a careful exam, gait observation, and questions about activities and shoes. X-rays may be used when there’s a possibility of a stress fracture or growth plate concern. Most of the time, the recommended treatment plan is conservative and non-surgical, ranging from rest and stretching to custom orthotics and footwear adjustments.

Why Parents Shouldn’t Wait

“It’s probably just growing pains” may be exactly right when your child has foot pain. But persistent foot pain in a child is worth taking seriously, even when there’s nothing to see. Identifying the cause early usually means simpler treatment, less time off the field, and a much lower chance of the problem coming back next season.

KEY TAKEAWAYS:

Toe walking is common—and often normal—in toddlers learning to walk, but it usually tapers off by around age 3. When it persists past that age, happens too often, or comes with stiffness, balance issues, or pain, it’s worth having your child evaluated by a podiatrist to rule out tight Achilles tendons, neurological causes, or other treatable conditions.

If you’ve watched your toddler move around on their tiptoes and quietly wondered whether something is wrong, you’re not alone. Toe walking is one of the most common concerns parents bring to Grandville Foot and Ankle, and the answer is rarely simple.

In many children, toe walking is a normal phase that they ultimately outgrow. In others, it’s a sign that something might be wrong—muscle tightness, sensory differences, or a neurological issue. Here’s how to tell the difference and when it makes sense to see a pediatric podiatrist.

When Is Toe Walking Considered Normal?

Toddlers experiment with movement constantly. As they figure out balance, coordination, and how to use the muscles in their legs, many of them spend time walking on their tiptoes—especially when they’re excited, in a hurry, or barefoot on a hard floor.

In general, toe walking is considered normal when:

• It begins as your child is first learning to walk.
• It happens part of the time—your child can also walk flat-footed comfortably.
• Your child can stand with both heels on the ground without difficulty.
• It gradually decreases between ages 2 and 3.
• There are no other developmental concerns, balance issues, or signs of pain.

According to the American Academy of Orthopaedic Surgeons, many young children toe walk occasionally, and most outgrow the habit by their second birthday.

When Should Toe Walking Be Evaluated?

Toe walking deserves an evaluation when it persists, becomes the dominant pattern, or starts affecting how your child stands, runs, or balances. Specific situations to take seriously include the following:

• Toe walking that continues consistently after age 3
• Toe walking on both feet most of the time
• Difficulty bringing the heel to the floor, even when standing still
• Tight calf muscles or limited ankle motion
• Frequent tripping, falling, or balance problems
• Delayed motor milestones or speech development
• Sensory sensitivities (dislike of certain textures, tags, or surfaces under the feet)
• Foot, calf, or knee pain that comes and goes

Any of these signs is a good reason to schedule an evaluation rather than wait and see.

What Causes Toe Walking in Children?

Toe walking can have a wide range of causes. The most common include the following:

Idiopathic Toe Walking

This is the term used when no underlying medical cause can be identified. The child simply prefers walking on their toes. It often runs in families and may persist into early elementary school.

Tight Achilles Tendon or Calf Muscles

When the Achilles tendon is tight, it can become physically difficult—or uncomfortable—for a child to put their heels down. Over time, the tendon can shorten, reinforcing the toe walking pattern. Podiatrists evaluate for this quite often in children.  

Sensory Processing Differences

Some children toe walk because of how surfaces feel against their feet. Sensory-related toe walking may show up alongside other sensory preferences, such as strong reactions to clothing tags, sock seams, or food textures.

Neurological or Muscular Conditions

In a smaller number of cases, persistent toe walking can be associated with conditions like cerebral palsy, autism spectrum disorder, or muscular dystrophy. That’s one of the reasons evaluation is important—so these possibilities can be considered where appropriate.

How Does a Podiatrist Evaluate Toe Walking?

An evaluation at our Grandville office is straightforward and child-friendly. Dr. Sarah Stewart will typically:

• Watch your child walk and stand from several angles
• Check ankle range of motion and Achilles flexibility
• Examine the foot structure, alignment, and overall gait
• Ask about developmental milestones and any sensory or motor concerns
• Coordinate with your child’s pediatrician or other specialists if neurological causes are suspected

Most evaluations don’t require imaging, though X-rays may be used if there’s concern about bone structure or alignment.

What Treatment Options Help With Persistent Toe Walking?

Treatment depends entirely on the cause. Some children need only reassurance and time; however, others benefit from a more active plan. Common approaches include the following:

• Stretching and home exercise programs to lengthen tight calf muscles and Achilles tendons
• Physical therapy referrals for gait retraining and strengthening
• Custom orthotics or supportive footwear to encourage heel-down walking
• Night splints or braces to gently stretch tight tendons during sleep
• Serial casting in select cases of significant tendon tightness
• Surgical lengthening of the Achilles tendon, which is reserved for severe, persistent cases that haven’t responded to conservative care

Why Earlier Evaluation Tends to Lead to Better Outcomes

When toe walking is identified and addressed early, treatment tends to be simpler. Younger tendons stretch more easily, and habits haven’t been reinforced for years. Children who continue to toe walk into elementary school, however, often need more intensive intervention to retrain both their muscles and their movement patterns.

Early evaluation also matters because the same patterns that look like “just toe walking” can sometimes contribute to the following:

• Calf tightness and chronic heel pain in older children
• Sever’s disease (heel growth plate inflammation) in active kids
• Knee, hip, and back compensations that show up in adolescence

When in Doubt, Get it Checked

Toe walking can be perfectly normal. However, if your child is older than 3 and still toe walks consistently, can’t flatten their feet on the ground, or shows other developmental or balance concerns, an evaluation can help give you peace of mind and a clear plan.

KEY TAKEAWAYS:

Onyfix is a painless, nonsurgical treatment for ingrown and curved toenails that uses a flexible composite strip to gently guide the nail back into a healthy shape. There’s no injection, no cutting, and no downtime. Patients can return to school, sports, or work immediately, which makes it especially appealing for kids, teens, and active adults who don’t want to be sidelined.

If your child keeps complaining about the same sore toe, or you’re a runner who has had the same ingrown toenail flare up multiple times in a year, you already know how disruptive this small problem can be. Traditional ingrown toenail surgery works, but it involves a numbing injection, a small procedure, and a few days of downtime that not every family or athlete wants.

That’s why Grandville Foot and Ankle offers Onyfix. This is a modern, nonsurgical option for ingrown toenails and curved nails. Here’s what families, athletes, and busy adults should know about how it works. 

What Is Onyfix?

Onyfix is a nail correction system designed specifically to correct the shape of an ingrown or curved toenail. Rather than cutting away part of the nail, it gently guides the nail to grow in a flatter, healthier position, so it stops digging into the surrounding skin.

During treatment, our podiatrist may do the following:

• Lightly clean and prepare the affected nail
• Apply a thin strip of composite material across the surface of the nail
• Shape and harden the strip in place using a special light

The result feels like a slightly thicker layer on top of your nail—similar to an acrylic. As the nail grows, the Onyfix brace gently encourages it to flatten out instead of curling into the skin.

How Does Onyfix Differ From Traditional Ingrown Toenail Surgery?

Traditional ingrown toenail procedures, such as a partial nail avulsion, are still a great option, especially for severely infected or chronically problematic nails. But they involve:

• A local anesthetic injection into the toe
• Removing a strip of nail and sometimes treating the underlying nail matrix
• A short recovery period during which the toe needs to be kept clean, dry, and protected

Onyfix, by contrast, is:

• Painless. There’s no injection and no cutting.
• Quick. Most applications take just a few minutes.
• Immediate return. Patients can walk, run, swim, or play sports the same day.
• Nonsurgical. The nail is gently retrained, not removed.

For patients who panic at the thought of needles or kids who can’t imagine sitting out of soccer or dance for a week, that combination of features is hard to beat.

Why Onyfix Often Appeals to Kids, Teens, and Athletes

Three groups of patients tend to be especially good fits for Onyfix:

Kids and Tweens With Recurring Ingrown Toenails

Children are particularly vulnerable to ingrown toenails because they often grow out of shoes faster than parents notice. Parents may also trim nails too short or in a rounded shape. Our guide to pediatric foot care explains why catching nail issues early can help prevent infection and avoid more invasive procedures.

Teens Who Don’t Want a Procedure

Teenagers can be very anxious about needles or any procedure that feels “medical.” Because Onyfix involves no injection and no cutting, many teens are far more willing to come in, sit through a quick application, and stick with follow-up care.

Athletes and Active Adults

Runners, soccer players, dancers, and weekend warriors often live with ingrown toenails for weeks because they can’t afford the downtime of a traditional procedure during their season. Onyfix lets them stay in their training schedule while the nail gradually grows out into the right shape.

The Onyfix Experience and Follow-up Care

Most patients describe the Onyfix experience like getting a manicure—except the nail painlessly stops hurting almost immediately because the pressure on the surrounding skin is relieved. There are no special bandages, no medications to apply, and no daily wound care.

Follow-up care typically includes the following:

• A short check-in visit to make sure the brace is working as the nail grows
• Possible reapplication every few weeks until the nail has grown out in its corrected shape
• Routine attention to proper nail trimming and prevention habits, which lowers the chance of recurrence

Because Onyfix doesn’t damage the nail, patients can paint over it, swim, shower, and wear regular shoes between visits.

How to Prevent Ingrown Toenails From Coming Back

Whether or not Onyfix is the right option for you, a few habits will dramatically reduce the chance of an ingrown toenail returning:

• Trim nails straight across, not into a deep curve.
• Make sure shoes have enough room in the toe box—especially for growing kids.
• Replace running shoes and cleats before they get too tight.
• See a podiatrist at the first sign of redness, drainage, or repeated pain.

The American Academy of Pediatrics also recommends seeing a clinician promptly for ingrown nails that don’t improve, are draining, or affect children with conditions like diabetes.

Is Onyfix Right for Your Family?

Onyfix is a strong option for many patients with ingrown and curved toenails, but it isn’t right for every case. Severely infected toes, very thick fungal nails, or very small/damaged nails may need a different approach. Dr. Sarah Stewart will examine the nail, discuss your goals, and recommend whether Onyfix, traditional nail care, or a small in-office procedure makes more sense for your child or you.

KEY TAKEAWAYS:

Minimally invasive surgery (MIS) for bunions uses small incisions to shave the bunion bump and reposition the bone, often with less pain, less scarring, and a faster return to weight-bearing than traditional open surgery. Grandville Foot and Ankle is the only podiatry practice in West Michigan offering a hardware-free MIS bunion correction—an appealing option for younger, active patients who want to fix the deformity early and avoid screws or plates.

If you have a bony bump on the side of your big toe, it may be a bunion. If you have surgery to correct this foot deformity, recovery time can take 2 – 12 weeks, depending on which type of bunion surgery you have—and whether it uses a traditional open approach or a minimally invasive technique.

Dr. Sarah Stewart at Grandville Foot and Ankle is the only podiatrist in West Michigan offering a hardware-free, minimally invasive surgery (MIS) for bunion correction. MIS for bunions is an attractive option for active 20-, 30-, and 40-somethings who typically want to address a bunion before it gets worse but don’t want screws and plates left behind in their foot. Here, she discusses why it’s a meaningful difference, how MIS bunion surgery works, and who tends to be a good candidate.

What Is MIS Bunion Surgery?

MIS for bunions is a newer concept in podiatry and orthopedic foot care. Instead of one long incision down the side of the foot, MIS is performed through several small incisions, often only a few millimeters long. Through these tiny openings, the surgeon uses specialized burrs and instruments to:

• Shave down the bony “bunion bump” on the side of the big toe
• Cut the metatarsal bone so it can slide back into proper alignment
• Realign the toe and surrounding soft tissue

Because the soft tissues, tendons, and joint capsule are barely disturbed, patients tend to experience less swelling, less visible scarring, and less stiffness afterward. Many MIS patients are able to bear weight in a special surgical shoe sooner than they would after a traditional procedure, which is one of the biggest reasons younger, active patients are drawn to it.

How Is MIS Different From Traditional Bunion Surgery?

Traditional bunion procedures—such as an Austin/Akin bunionectomy or Lapiplasty®—correct the deformity through a longer incision and almost always rely on screws and/or plates to hold the realigned bone in place. They’re excellent procedures for the right patient, especially when the bunion is severe or when the joint at the base of the toe is unstable.

MIS Differs in Three Important Ways

• Incision size. MIS uses several small incisions instead of one long surgical cut.
• Soft-tissue disruption. Tendons, ligaments, and joint capsules are largely left alone, which often means less post-op stiffness.
• Hardware. Some MIS procedures still use small screws to stabilize the bone. The hardware-free MIS technique offered at our Grandville office relies on bone position and natural healing with no permanent metal implants left behind.

Why Hardware-Free MIS Is a Big Deal in West Michigan

For most patients, the idea of permanent screws or plates in the foot is a real concern—especially younger patients who may have decades of running, hiking, and standing ahead of them. Hardware can occasionally cause irritation, may need to be removed in a second procedure, and is sometimes felt during certain activities.

A hardware-free MIS bunion correction sidesteps those concerns by:

• Eliminating the risk of hardware irritation or future removal surgery
• Reducing post-op imaging concerns at airports and during MRIs later in life
• Allowing the bone to remodel and heal in its corrected position with no foreign material left behind

Right now, Grandville Foot and Ankle is the only practice in West Michigan offering this technique. For patients who would otherwise drive to a major metro area to find it, that’s a meaningful local option.

Who Is a Good Candidate for MIS Bunion Surgery?

Not every bunion is a good fit for a minimally invasive approach. According to the American Academy of Orthopaedic Surgeons, surgical decisions for bunions depend on the severity of the deformity, joint stability, bone quality, and the patient’s activity goals.

MIS—and especially the hardware-free version—tends to work best for patients who:

• Have mild to moderate bunion deformities
• Have good bone density and overall foot health
• Want a faster return to weight-bearing and active life
• Prefer to avoid permanent hardware whenever appropriate
• Are willing to follow post-op activity restrictions while the bone remodels

More severe bunions, very unstable midfoot joints, or significant arthritis often respond better to traditional procedures like Lapiplasty. That’s why every consultation at our Grandville office starts with X-rays and a discussion of your goals before any treatment recommendation is made.

Why Younger, Active Patients Are Seeking Bunion Correction Earlier

Bunions used to be thought of as an “older person’s problem.” That’s changing fast. We’re seeing more patients in their 20s, 30s, and 40s who don’t want to wait until the bunion is severe before doing something about it. Reasons include the following:

• Pain that’s starting to interfere with running, lifting, and long days at work
• Difficulty fitting comfortably into work shoes, athletic shoes, or dress shoes
• Concerns about the deformity worsening over time and pulling neighboring toes out of alignment
• A desire to fix the issue while bones, tissues, and recovery times are on their side

Younger patients also tend to be the strongest candidates for MIS because the technique works best when bone quality is good and conservative treatments like wider footwear, padding, and orthotics aren’t fully controlling symptoms.

What Recovery From MIS Bunion Surgery Looks Like

Every patient is different, but most people undergoing MIS bunion correction can expect a recovery pattern that looks roughly like this:

• Ability to walk in a protective surgical shoe within days of surgery
• Mild to moderate swelling that gradually resolves over several weeks
• Smaller, less visible scars compared to traditional open surgery
• A return to normal shoes and lower-impact activities within a few weeks, with running and high-impact activity reintroduced gradually

Adjunct therapies, such as in-office laser therapy, can also be used to help reduce post-op pain, improve circulation, and support soft tissue healing.

How to Learn if MIS Bunion Surgery Is Right for You

If your bunion is starting to interfere with your shoes, your workouts, or your daily routine, an evaluation is the best way to know which procedure is right for you. Dr. Stewart will review your X-rays, examine your foot biomechanics, talk through your goals, and explain whether you’re a candidate for hardware-free MIS, traditional bunion surgery, or non-surgical management.

Warning Signs That Your Feet May Be the Problem

There are many foot and ankle problems that could be the cause of athletic performance problems. The way your feet strike the ground, distribute weight, and stabilize your body influences every move you make, so it makes sense that athletic performance could be affected if there are problems with your feet. Here are five warning signs that your feet may be creating issues:

Frequent Heel or Shin Pain

Shin or heel pain that recurs, especially after you exercise or engage in a sport, is often a sign that there’s a problem:

• If you have shin pain, it may be linked to improper shock absorption or muscle overcompensation due to poor foot mechanics.
• If you have heel pain, which is often linked to plantar fasciitis, it can stem from tight fascia caused by misalignment or collapsed arches.

Pain recurrence is a definite red flag and suggests there’s a root cause that hasn’t been corrected yet. That root cause may be a factor in reduced athletic performance.

Your Shoes Show Uneven Wear Patterns

When the soles of your shoes wear down unevenly—maybe there’s more wear on the inside edge or outer heel—it’s often a sign your foot isn’t distributing pressure and force properly. Uneven wear patterns can indicate the following issues:

• Overpronation – the inward rolling of the foot after landing, causing the arch to flatten too much
• Supination – the outward rolling motion of the foot when you walk or run, shifting your weight to the outer edge of the foot.

Over time, abnormal pressure can strain the tendons, joints, and ligaments in the foot and ankle. If these issues aren’t addressed, the imbalance can affect the knees, hips, and even lower back alignment.

Ankle Instability

If your ankles are prone to rolling, there may be a deeper structural issue, such as the following:

• Biomechanical misalignment. If you have flat feet or high arches, either can shift balance and reduce joint control.
• Chronic instability. This can increase the risk of sprains and long-term joint damage if not diagnosed and addressed early.
• Improper foot position. This can weaken stabilizing muscles or create ligament laxity.

Leg and Feet Fatigue

If you have unusual fatigue in your feet and legs—they feel tired quickly, even during your normal daily routine—it can signal that there may be an inefficiency in the way your body moves. When alignment in your foot or ankle is off, muscles have to work harder to stabilize each step, leading to early fatigue. This often shows up as aching arches, sore calves, or a heavy sensation in the legs. Fatigue is your body’s way of compensating for a lack of structural support.

Slower Recovery After Activity

If soreness lingers longer than expected after exercise or daily movement, your biomechanics may be contributing to your pain in the following ways:

• Poor alignment increases micro-stress on tissues, slowing healing between activities.
• Repetitive strain without proper support can lead to chronic inflammation.
• Over time, delayed recovery can progress into more serious overuse injuries.

How These Problems Affect Athletic Performance

Any of these foot/ankle problems can affect how you move. When your foot and ankle mechanics are off, your muscles compensate—often leading to reduced performance and higher injury risk. Athletes may notice:

• Decreased speed or endurance
• Recurring pain or tightness
• Longer recovery times
• Plateaued performance despite training

These warning signs may be subtle at first, but they reflect how your feet and ankles are functioning and how they’re affecting movement. Getting a proper diagnosis for the underlying cause of your foot or ankle problem is important and may stop minor issues from developing into more serious conditions.

This past weekend, the Grandville Foot and Ankle team set up a booth at the Grandville Buck Creek Run. We trudged out in the early morning to fill our booth with ice packs and gatorade to support all the local runners. It was great to see our community come together to watch these runners finish and accomplish their goals. We stood in amazement watching the runners cross the finish line and were glad we could provide them with some relief and support. Of course, we thought about the health of their feet- we can’t help it, it's what we do! 

While running is great for your overall health and a good way to get outdoors, it can be particularly hard on the feet. Common issues include blistering, foot and heel pain, Achilles tendonitis, plantar fasciitis, and more! Many runners neglect their feet until there is injury or pain apparent. As a runner, it is important to take extra good care of your feet, keeping good habits and monitoring frequency for any signs of issues after a run. We want you to run comfortably and pain-free!

There are many ways to prevent injury and pain resulting from running. To begin, one of the most important preventive measures is finding supportive shoes. Not all running shoes are created equal. A good running shoe can make a world of difference and prevent many issues. To find the right shoe for you, we suggest researching brands and styles, getting your foot measured to ensure correct sizing, and going for quality over look or price. You should change out your shoes frequently depending on wear. If you notice your shoes are worn out, it's time to order a new pair.

Another way to prevent running related foot issues is to make sure you are warming up, cooling down and stretching properly. Practicing these can prevent muscle strain and injury. There are many stretches, warm-ups and cool-downs that can help your foot, heel and ankle to keep up with you.

Foot maintenance is also a key part of prevention. Maintenance includes cleaning your feet, drying them after the shower, trimming your toenails to the appropriate length and massaging your feet. See our blog post “Foot Care is Self Care” for more tips. 

The most important way to prevent foot pain and injury is to see a podiatrist regularly. It is recommended that frequent runners see a podiatrist at least two times a year. This way, the podiatrist can care for your feet, suggest personalized stretches, and monitor for any issues that may interfere with your ability to run comfortably. 

Make an appointment today with Dr. Stewart to make sure you are at the top of your game. She may assess your gait, explore orthotics options that best suit your needs, and address ANY concerns. Don’t wait, schedule an appointment today.

The Complexities of Deion Sanders' Foot Health:

Deion Sanders has been open about his foot-related challenges, including neuropathy on the bottom of his foot and persistent pain. These issues are often indicative of deeper health conditions. Sanders even revealed that his medical team proposed amputating his entire foot, though they decided against it for now. More recently, he has faced emergency surgery due to a blood clot, further highlighting the complexity of his health concerns. We send our well-wishes for his recovery and hope he receives the necessary support and treatment.

The Role of Podiatrists in Athletes' Foot Health:

The podiatry profession plays a vital role in addressing the foot health needs of athletes like Deion Sanders. Podiatrists are specialized healthcare professionals who focus on the diagnosis, prevention, and treatment of foot and ankle conditions. They possess in-depth knowledge of the biomechanics and demands placed on athletes' feet, allowing them to provide tailored care and interventions.

In Sanders' case, the attention to his foot health goes beyond addressing immediate concerns. It involves understanding the underlying factors contributing to his condition, such as neuropathy of the foot, vascular disease and pain management. 

The Importance of Foot Health in Athletes:

While Sanders is retired from playing in the NFL, it is important to understand that athlete's foot need podiatric care. Athletes rely heavily on their feet for performance, making foot-related problems a significant hindrance. Neglected foot problems can not only impact their ability to compete but also affect their overall well-being and longevity in their respective sports. By prioritizing foot health, athletes can enhance their performance, prevent injuries, and maintain their physical well-being. Regular visits to a podiatrist, appropriate footwear, customized orthotics, and targeted strengthening exercises can contribute to the prevention of foot-related problems and the optimization of athletic performance.

Deion Sanders' ongoing struggles with foot health highlight the significance of specialized foot care. Sanders' case reminds us that foot iproblems can be symptoms of deeper health conditions and emphasizes the need for comprehensive foot health management. 

Schedule with us: 

If you are experiencing similar foot concerns, seeking professional help is crucial. Let Deion Sanders' journey serve as a call to action to prioritize foot health and support those facing podiatry concerns. Schedule an appointment today with us to ensure a specialist gives you the care you deserve.  

The transition into summer weather is an exciting time. As temperatures rise, you may find yourself spending more and more time doing outdoor activities. While this is great, it is important that you go into the season knowing all you can about podiatrist approved summer footgear to avoid any pain or trouble. You do not have to sacrifice style for comfort, live the best of both worlds with our top summer do's and don'ts! 

• Don’t: Wear flip flops
  • This summer favorite is not all it's cracked up to be. While these easy to slip on shoes may be enticing with their breathable wear, they are not supportive with a flat and thin design. You may have firsthand experience with the pain of walking long distances in these shoes. Skip the discomfort this summer, especially if you already struggle with conditions like ankle arthritis.
• Do: Swap these out
  • Ditch the flip-flops for comfort and support. There are many stylish supportive sandal options that will give you the same amount of breathability and ease of slipping on. We recommend looking for soles that have good arch and heel support. For some individuals, custom orthotics may provide additional comfort and support during summer activities.
• Don’t: Walk barefoot outside
  • As much as you can, try to avoid walking barefoot outdoors. While it's tempting to forget shoes in the summer, foot infections and injuries are more likely to occur walking barefoot. 
• Do: Protect your feet
  • When you walk out the door, don't forget to skip the danger and slip on your favorite pair of supportive, breathable summer shoes. 
• Don’t: Give little thought to the structure of your summer shoe
  • The vast styles and options in shoe stores can be intimidating and overwhelming. Keep in mind, many foot problems stem from repeated use of unsupportive footgear. Poor footwear choices can also contribute to bunion causes over time. This season, when you walk into the shoe store to get new summer kicks, look for support and hardy soles.
• Do: Test out the structure and invest in good foot health 
  • A good test to see if your new summer shoes are podiatrist-approved is to try to fold the shoe in half. If it folds, try again! Supportive shoes will stand the test.

 If you find yourself struggling with foot problems and pain, contact us! We’ll get your feet ready to enjoy the summer.

Whether it's playing outside, competing in sports, or running around the house, children are often on their feet more than anyone. Since their feet are developing, it is important that they receive good care. Problems can occur developmentally as well as hygienically. At Grandville Foot and Ankle, we provide thoughtful foot care to children and teens. We strive to keep parents “in the know” about pediatric foot and ankle related issues so that they can have peace of mind. We decided to formulate the following list of pediatric foot care tips so that your family is informed! 

Here are our top tips for pediatric foot care:

Frequently change your child’s footwear. 

We all know that children’s feet grow quickly, it is important not to put off making sizing changes. The shoe should fit comfortably, if they are too small it can cause discomfort and ingrown toenails. 

Foot wear should vary based on activity. Make sure your child has supportive shoes for sports and other physically intense activities. This is preventative for injury and comfort.

Most children are hard on their feet and more active than the average adult, so replacing shoegear several times per year is recommended.

Be on the lookout for any abnormalities or pain 

It is often hard for children to express their sources or levels of pain. Some signs of foot pain to look for are limping, asking to be picked up often, and change in activity habits. That's why we are here to help decipher the issue at hand. When you come in to visit us, we will get to the bottom of you or your child’s concerns. 

Make sure they wear shoes outdoors

While it's fun to go barefoot outside, it oftentimes may result in conditions such as plantar warts, splinters, and cuts. 

Clean your child’s feet frequently 

Teaching your child how to wash and look after their feet is a great life skill! Simply wash with soap and water and make sure that the foot is completely dry afterwards in order to avoid any potential fungal infection. 

Trim their toenails when needed 

Trimming nails when needed and straight across can help prevent any ingrown toenails. It is also recommended that an adult cuts the child’s nails at least until age ten. 

We know that caring for your child is always top of mind. We are happy to help with any foot or ankle concerns that you may have. Visit our appointment page to book a visit now!

Request an Appointment

Change Out Your Socks

Dirt, sweat, and bacteria can build up on your socks throughout the day. It is important to wear a new pair of socks everyday to avoid any infection or odor. 

If your feet sweat a lot, then you may need to change out your socks more often than once a day. Foot powders in our office can help and keep moisture down.

Do a foot soak

There are so many great products out there for a relaxing foot soak! Treat yourself to a spa-like experience at home.

We have great antibacterial and antifungal foot soak treatments that also help with dry skin and athlete’s foot.

Wear comfortable footwear

Wearing the proper footwear can be life changing. Look for shoes that have solid soles and wide toe boxes for your toes for maximum benefits. 

If you are looking for a great place to buy shoes, stop in our office for some recommendations and shoe coupons to local stores!

Make sure your feet are washed and moisturized

Your feet should ideally be washed everyday, especially in the summer when you are outdoors. Moisturizing is an extra step that can boost the skin health of your feet. 

We have several different options for foot-specific creams that help with several different problems including calluses, dry skin, skin cracking, and athlete’s foot.

Wear orthotics 

Custom orthotics are a great way to ease stress on your foot. They increase comfort and may help improve any foot problems you experience. We recommend getting a pair for your feet at our office (your feet will thank you)! Make an appointment today with us to get casted for your perfect and unique pair that fits your lifestyle. 

Massage and heal

Foot massages and laser therapy can help increase blood flow and energy into the feet. Laser therapy can also help repair tissue and reduce inflammation after a long day at work or after injuries. Our office has several different packages to choose from. 

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Chris Pratt is a famous actor that is featured in many well-known movies including Guardians of the Galaxy and Jurassic World. Recently, he stirred up the internet by posting a picture of his case of toenail fungus to his 4 million Instagram followers. He made light of his condition, captioning it, “Met Gala look.” It received many likes and comments. While he expressed humor in the situation, it is important to take toenail fungus seriously and see a doctor to help get the guidance one needs for treatment. Seeking professional toenail fungus treatment early can help improve outcomes and reduce the risk of the infection worsening over time. One commenter remarked, “You need the guardians of podiatry ''. We agree! Others commented giving him advice and shared their own stories of toenail fungus. Toenail fungus, also known as, “onychomycosis” is not uncommon . In fact, it affects around 14% of the population. Many times it may result from foot trauma or other issues such as athlete’s foot.

“You Need the Guardians of Podiatry” 

We hope that Chris Pratt gets the pediatric treatment he needs. Toenail fungus does not typically go away on its own. If you are experiencing toenail fungus, it is important to get it treated as early as possible. If it is left untreated, the nails may split, become discolored and may eventually grow thicker making it impossible to trim yourself. This thickness may also cause discomfort in footwear and with walking. In Chris’ picture we see an example of this discoloration and thickening of the nail.  

Seeking Medical Attention

If you are experiencing toenail fungus, like Chris, there are several routes of treatment that we offer here at Grandville Foot and Ankle. Over-the-counter treatments work sometimes less than 30% of the time so it is important to have other options and better treatments to increase your chances for recovery. These include oral and better topical medications, as well as laser therapy. A biopsy often can help us further customize your treatment and better judge which treatment may work best for your nail changes. Book an appointment today to discuss your options and get the care you deserve.

Request an Appointment

Expressing gratitude towards your feet can be a simple and meaningful way to appreciate them.

Here are a few ways to thank your feet

1. Take a few moments to acknowledge the hard work that your feet do every day, and the essential role they play in your mobility and daily life.

2. Give your feet a rest when you can, by taking a break from standing or walking, and propping them up when you're sitting.

3. Pamper your feet with a foot massage, warm bath, or safe and clean pedicure.

4. Treat your feet to comfortable and supportive shoes, and avoid wearing high heels or other shoes that may cause discomfort or pain.

5. Stretch your feet and toes regularly to keep them flexible and limber.

6. Speak kindly to your feet and offer positive affirmations, such as "thank you for carrying me through the day" or "you are strong and resilient". 

7. Practice good foot hygiene by keeping your feet clean and dry, and taking care of any issues promptly.

8. Give your feet some extra love and support with orthotic shoe inserts.

Dress Orthotic Inserts are on Sale Through February 2023 at Grandville Foot and Ankle

If you're looking for a way to give your feet some extra love and support, consider treating them to a pair of dress orthotics. These specially designed orthotic inserts are made to fit into your dress shoes, providing cushioning, arch support, and other benefits to help improve your foot health and comfort.

Orthotics can be particularly helpful if you spend a lot of time on your feet, suffer from foot pain or discomfort, or have any underlying foot conditions that require extra support. They may also benefit some patients receiving diabetic foot treatment by helping improve comfort and reduce pressure on sensitive areas of the feet. By providing extra cushioning and support, orthotics can help reduce pressure on your feet and improve your overall foot alignment.

If you're interested in trying dress orthotics, be sure to consult with our staff at Grandville Foot and Ankle. We can help you find the right type of orthotics for your needs and ensure that they fit properly and provide the right level of support. With the right pair of orthotics, you can give your feet the care and support they deserve, and enjoy greater comfort and mobility throughout your day.

Love Your Feet

Remember, showing love and appreciation for your feet is not only a way to feel good, but also a way to maintain good foot health and prevent foot problems. By taking care of your feet on a regular basis, you can prevent many common foot problems and enjoy a more active and comfortable lifestyle. However, if you experience any persistent foot pain or discomfort, it's important to call Dr. Sarah Stewart at Grandville Foot and Ankle for an evaluation. Dr. Stewart can provide expert care and advice to help you address any issues and maintain healthy, happy feet for years to come. Remember, loving your feet is an ongoing practice, and it's never too late to start.

Request an Appointment Today

Grandville Foot and Ankle serves patients from Grandville, Jenison, Hudsonville, Georgetown, Zeeland, Grand Rapids, Caledonia, Kentwood, Lowell, and throughout Michigan. Contact us to schedule your appointment with Dr. Sarah Stewart.

Leaving your foot and leg wounds open poses further risk since they are closer to the ground that normally harbors these bugs than some other areas of the body. For example, when you shower, all that bacteria washes right off your body and onto your feet! Another example would be when you are running errands all day in open-toed shoes and your open wound is exposed to pollen that can carry these bugs. No matter what scenario, your wound is always at risk for increased infection when open! Also, the oxygen and good nutrients to help heal your wound usually comes from inside the body and through your bloodstream, not outside of it. This is why we recommend always covering them up with quality wound products and letting your body get to work on trying to heal your wounds.

Would you like to learn more about the wound products we carry in our office?

Give us a call today at 616-534-3920!

Grandville Foot and Ankle serves patients from Grandville, Jenison, Hudsonville, Georgetown, Zeeland, Grand Rapids, Caledonia, Kentwood, Lowell, and throughout Michigan. 
 

1.) I can only have one bug infecting my wound.

False, a lot of wounds are what we call polymicrobial (poly=several, microbial=bugs).

2.) If I take an old antibiotic I have on the back of my shelf it will help me prevent an infection.

False, antibiotics are targeted to certain bugs in your wound and some are ineffective or resistant to certain medications. Also, if the antibiotic is expired, it may not be as effective as one that is current.

3.) Redness, streaking, pus, bad odor are all signs of infection.

True. This is a sign that you  need to call your doctor immediately and get medical attention fast.

4.) Wounds may take months to heal.

True. Depending on several factors that affect wounds, they could take several months to heal. 

Chronic wounds can linger for weeks, even months, and in many cases don’t heal without medical intervention. Read more about the four big reasons your wound may not be healing.

Grandville Foot and Ankle serves patients from Grandville, Jenison, Hudsonville, Georgetown, Zeeland, Grand Rapids, Caledonia, Kentwood, Lowell, and throughout Michigan. Contact us to schedule your appointment with Dr. Sarah Stewart.

1. Bugs

Bacteria, virus, parasite, fungus! All these bugs contribute to an environment around a wound that prevents it from healing. These organisms can sometimes thrive in a wound and then bugs reproduce. Bugs also are usually the reason why people start seeing white and green pus, redness and streaking around a wound, and an awful odor. This is them surviving and thriving on your wound and also why your wound cannot heal because it lacks that “healthy” base.

2. Blood Flow

Wounds require a rich nutrient base to heal which includes good blood flow that brings healthy proteins which are the building blocks for new tissue and oxygen which travels in the bloodstream. If there is not adequate blood flow, then the process of healing is delayed and in some cases can lead to tissue death.

3. Pressure

Usually the first steps to a wound is tissue breakdown which is often caused by abnormal pressures on an area. Frictional forces and pressures over areas that are prominent (toes, arches, balls of feet, heels) leads to an environment that lacks adequate oxygen and can cause small sores that eventually can lead to large wounds.

4. Neuropathy

Feeling our feet and feeling pain is usually the first sign to us that tells us something is wrong. When people cannot feel their feet then there becomes a concern that they may not feel wounds and sores. Neuropathy can be caused by many things including systemic diseases such as diabetes, chemotherapy, aging, medications, back problems, and so many more. Our approach to diabetic foot care includes evaluating wounds, checking for nerve changes, and identifying factors that may delay healing. Neuropathy may lead to a delay in treatment and a worsening wound over time due to not knowing one has a wound to begin with.

If you’re concerned about a wound or sore on your foot, ankle, or leg, please don’t hesitate to make an appointment with our podiatrist. 

Request an Appointment Today

Grandville Foot and Ankle serves patients from Grandville, Jenison, Hudsonville, Georgetown, Zeeland, Grand Rapids, Caledonia, Kentwood, Lowell, and throughout Michigan. Contact us to schedule your appointment with Dr. Sarah Stewart.

If you’re training for a marathon, of course you’d be running a couple times a week or more to build your fitness and mileage. For a fun run, such as the Visser Family YMCA Buck Creek 5K,  you can start training about four to eight weeks before the race. If you’re walking, daily walks will help improve your fitness prior to the race.

Wear supportive shoes

The right shoes for your feet are very important. Getting fit by a professional is key. You can visit Grandville Foot and Ankle for assistance on selecting the proper footwear for your feet.  We provide coupons to West Michigan's Premier Running Store, Striders. When shopping for shoes, it should be done near the end of the day, as your feet are at their largest. Choose a shoe with a toe box adapted to the shape of your feet, wide enough to avoid friction, and long enough to avoid friction while running downhill. Once purchased, you will need to “break” in your new shoes, which means using them in training for several days to ensure that all is well.

Socks

Avoid wearing socks made from synthetic material such as polyester or acrylic.  Instead, wear socks made from 100% cotton or merino wool.

Orthotics

Custom Orthotics not only provide support and cushioning exactly where you need it, but they can actually work to correct or manage common podiatric problems. At Grandville Foot and Ankle, we provide a thorough assessment before any orthotic recommendation. This assessment includes:

Biomechanical Assessment: Patients are fully assessed to record range of movement, gait and function.

Pathological Assessment: Underlying pathology causing foot abnormalities are be evaluated.

Footwear Analysis: Patient footwear is evaluated and recommendations are made for shoes that provide support and when necessary, a wider toe box to allow mobility for deformed feet.

It is key to bring your orthotic along when shopping for new shoes to determine the best fit.

Foot Exam

All feet react differently when it comes to friction. If you are dealing with bunions treatments, claw foot, or a bony outgrowth, you will have more problems with friction than others. In order to prevent these distinctive features from causing pain and/or sport injuries during a race, it is important to identify them while you are preparing for your event and remedy the problem as soon as possible. 

If you’re experiencing any discomfort or pain in your feet, toes or ankles make sure you visit your podiatrist to have your feet checked. Grandville Foot and Ankle will provide a free foot exam to those who are signed up for the 2022 Buck Creek Run. Use the code BuckCreekRun when describing the nature of your appointment while filling out an appointment request. Our podiatrist, Dr. Stewart can also give you tips and advice on how to protect your feet during the run.

Sign Up To Run!

Visser Family YMCA Buck Creek Run

Use the code BCRankle5off for $5 off the 5k registration fee.

Maryanne Claims to Lose Toenails Annually

For those of you who like to watch Survivor on CBS on Wednesdays, you probably found it entertaining when everyone started talking about Maryanne’s toenails. Maryanne discussed how she frequently loses her toenails annually. As if we could not imagine what her toenails looked like, the camera then zoomed in on her toes to show us. Everyone seemed to be surprised and as Drea said, "I am so confused," and as Lindsay said, "...it is not normal to lose your toenails like that." We love that even on Survivor, people have time to talk about and look at their toes! 

Losing a Toenail is Not Normal

As interesting as that was to us here at Grandville Foot and Ankle, we must agree with Lindsay when we say, "losing toenails annually is not normal." When toenails are traumatized or diseased, this can cause splitting (onycholysis), thickening, and discoloration. When there is enough damage to the nail plates, sometimes nails can even fall off or become loose not only underneath the nail, but also at the cuticle area. At times, a new nail can grow underneath an old nail where someone may notice layering of the toenail or ridges beginning as the nail grows out.

Seeking Medical Attention

Sometimes these nails may correct themselves, however sometimes they may not. It is important to notice these changes right away and to get medical attention by a podiatrist like Dr. Sarah Stewart. There are several options for testing the nail to discover the reasons why you may be noticing nail changes and several options for treatments for improvement! Do not wait when you notice these changes! Get seen by a podiatrist.