Quick answer: Sesamoiditis Big Toe Pain Michigan has multiple potential causes including mechanical, neurological, vascular, and inflammatory. The patterns we see most often are overuse, poorly-fitted shoes, and biomechanical imbalance. Red flags requiring urgent evaluation: warmth/redness (infection), inability to bear weight (fracture), and unilateral swelling without injury (DVT). Call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
The most important clinical decision with Sesamoiditis Big Toe Pain Michigan isn’t which treatment to start with — it’s identifying the correct subtype. That changes everything. Call (810) 206-1402.
Quick Answer
Sesamoiditis Big Toe Pain 2026: Causes & Treatment DPM relates to toe deformity — typically caused by imbalanced muscles + footwear. Most patients improve in depends on severity with conservative care. Same-week appointments in Howell + Bloomfield Hills: (810) 206-1402.
Medically Reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist, Balance Foot & Ankle Specialists, Michigan. Last updated April 2026.
Sesamoiditis is inflammation of the sesamoid bones — two small pea-shaped bones embedded in the flexor hallucis brevis tendon under the first metatarsal head at the base of the big toe. It is one of the most common causes of ball-of-foot pain in dancers, sprinters, basketball players, and anyone who spends significant time in high-heeled footwear. Despite its frequency, sesamoiditis is frequently misdiagnosed as plantar fasciitis, Morton’s neuroma, or a metatarsal stress fracture, delaying treatment and allowing progression to the more serious complication of sesamoid fracture or avascular necrosis. At Balance Foot & Ankle in Howell and Bloomfield Hills, MI, Dr. Tom Biernacki, DPM diagnoses and treats sesamoiditis with a thorough approach that addresses both symptoms and the underlying biomechanical cause.
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See Dr. Tom’s Top Shoe Picks →What Are the Sesamoid Bones and Why Do They Hurt?
The sesamoid bones are the only bones in the foot not connected directly to another bone via a joint — they are embedded within tendons, functioning like the patella (kneecap) of the big toe. The medial (tibial) and lateral (fibular) sesamoids sit plantar to the first metatarsal head and bear significant compressive force during the push-off phase of gait — approximately three times body weight on each push-off step. Activities that amplify this force — toe raises, sprinting, dancing in relevé, jumping, walking in high heels — repetitively overload the sesamoids and their surrounding soft tissue, producing the inflammatory response we call sesamoiditis. The medial sesamoid is more commonly affected than the lateral because it bears a larger share of the load and is more directly under the first metatarsal head.
Symptoms of Sesamoiditis
Sesamoiditis produces a dull aching or sharp pain directly under the first metatarsal head — the ball of the foot just behind the big toe. In our clinic, the three most consistent findings are point tenderness directly over the sesamoids on plantar palpation, pain that is worse with big toe dorsiflexion (pushing the toe upward), and pain aggravated by walking barefoot on hard surfaces or in thin-soled shoes. Unlike plantar fasciitis, sesamoiditis is not characteristically worse with first steps of the morning — it is more consistently related to activity. Swelling over the ball of the foot is present in acute or moderate cases. Dancers describe pain particularly in relevé; runners describe pain at push-off that improves during warm-up but worsens with mileage.
Diagnosing Sesamoiditis — Ruling Out Fracture First
The critical diagnostic task with sesamoiditis is distinguishing inflammation from a sesamoid fracture — either acute (from a single traumatic event) or stress fracture (from cumulative overload). Standard AP foot X-ray identifies most sesamoid fractures, but the medial sesamoid is naturally bipartite (congenitally split into two pieces) in approximately 10–20% of the population — a finding that is frequently mistaken for a fracture. Comparison X-ray of the opposite foot is helpful: a bipartite sesamoid is typically bilateral and symmetrical; a fracture is typically unilateral with irregular, non-corticated margins. When fracture is suspected despite negative X-ray, MRI is the definitive modality: sesamoid stress fracture shows bone marrow edema; sesamoiditis shows tendon and periosteal inflammation without cortical discontinuity. Bone scan is an older alternative that demonstrates increased uptake in both sesamoiditis and fracture and cannot differentiate the two.
Differential Diagnosis — Other Causes of Big Toe Ball Pain
Several conditions produce pain in the same anatomical region as sesamoiditis and must be distinguished. Hallux valgus (bunion) produces medial prominence and pain at the MTP joint but not directly under the sesamoids. Hallux rigidus (big toe arthritis) causes dorsal MTP joint pain with limited motion and crepitus. Gout — sudden severe pain, warmth, and swelling at the first MTP joint — typically has systemic features and elevated serum uric acid. Turf toe is an acute hyperextension injury to the plantar plate and sesamoid complex with immediate onset of pain after a specific event. Plantar plate tear produces second toe crossover deformity with MTP joint instability. Interdigital neuroma (Morton’s neuroma) causes burning pain in the third and fourth web space rather than directly under the sesamoids. Sesamoid avascular necrosis is a late complication of undertreated sesamoid stress fracture, requiring MRI for diagnosis.
Conservative Treatment for Sesamoiditis
Conservative treatment resolves the majority of sesamoiditis cases when implemented consistently. The foundational treatment is sesamoid offloading: a dancer’s pad (a U-shaped, donut-holed pad that surrounds the sesamoid without placing pressure directly on it) is placed inside the shoe to redirect plantar pressure away from the first metatarsal head. Combined with a stiff-soled shoe that limits big toe dorsiflexion and thus reduces sesamoid compression during push-off, this offloading strategy allows healing of the inflamed periosteal and tendinous tissue. Custom functional orthotics with a first metatarsal cut-out and sesamoid accommodation are the long-term solution for patients with underlying pes planus (flat foot) or hallux abducto valgus that increases medial sesamoid load. MLS Class IV laser therapy accelerates soft tissue healing and reduces the inflammation cycle in recalcitrant cases. Activity modification — particularly eliminating high-heeled footwear, dance activities, and barefoot walking on hard surfaces — for a minimum 6–8 weeks is essential and the most frequently skipped component of treatment.
Cortisone Injection for Sesamoiditis
Cortisone injection into the first MTP joint or sesamoid sheath is an effective adjunct for moderate-to-severe sesamoiditis that is not responding to offloading and activity modification alone. Injection under ultrasound guidance ensures accurate depot placement adjacent to the inflamed sesamoid without direct injection into the tendon substance (which risks tendon weakening). Injection reduces acute inflammation within 3–5 days, providing a therapeutic window during which offloading can begin to address the mechanical cause. Repeated injections are avoided because multiple cortisone injections into the sesamoid region have been associated with sesamoid osteonecrosis (avascular necrosis) — a serious complication requiring surgical sesamoidectomy. No more than 2–3 injections per sesamoid over the lifetime of conservative management is the general guideline.
Surgical Options — When Conservative Care Fails
Surgical intervention is indicated for sesamoiditis that has failed 6–12 months of comprehensive conservative management, confirmed sesamoid stress fracture with non-union, or sesamoid avascular necrosis. Sesamoidectomy — surgical removal of the affected sesamoid — is the definitive procedure. Isolated medial sesamoidectomy has good long-term outcomes when proper surgical technique is used, including careful preservation of the flexor hallucis brevis tendon insertion to prevent the development of hallux valgus (bunion) or cock-up deformity from loss of medial sesamoid function. Removal of both sesamoids is avoided whenever possible due to the high rate of post-surgical deformity when the entire sesamoid mechanism is disrupted. Recovery from sesamoidectomy involves 4–6 weeks in a post-operative shoe followed by progressive return to athletic footwear at 8–12 weeks.
Red Flags — When to Seek Urgent Evaluation
Seek same-day podiatric evaluation if: you had a sudden, traumatic onset of severe big toe ball pain (possible acute sesamoid fracture or turf toe requiring immobilization); the area under the first metatarsal head is warm, red, and swollen without a clear injury (possible gout requiring urgent uric acid testing and medication); you are a diabetic patient with any pressure-related skin breakdown or ulceration under the ball of the foot; or you have been treating sesamoiditis conservatively for more than 6 months without significant improvement (possible undiagnosed sesamoid stress fracture requiring MRI).
Sesamoiditis Treatment at Balance Foot & Ankle — Michigan
Dr. Tom Biernacki, DPM evaluates sesamoiditis with in-office X-ray, comparison views to assess bipartite anatomy, musculoskeletal ultrasound for tendon and soft tissue assessment, and MRI coordination for suspected stress fracture. Conservative management including dancer’s pad fitting, custom orthotic fabrication with sesamoid accommodation, cortisone injection under ultrasound guidance, and MLS laser therapy are all available at the same visit. Appointments at our Howell office (4330 E Grand River Ave, Howell MI 48843) and Bloomfield Hills office (43494 Woodward Ave #208, Bloomfield Hills MI 48302). Call (810) 206-1402 or
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Dr. Tom’s Recommended Products for Bunions
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Our board-certified podiatrists treat this condition at two convenient locations. Same-day appointments often available.
These are products I personally use and recommend to my patients at Balance Foot & Ankle.
- Correct Toes Toe Spacers — Silicone spacers realign toes to natural position — reduces bunion pain and slows deformity progression
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Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we trust for our own patients.
Dr. Tom’s Recommended Insoles
PowerStep is the brand I prescribe most — medical-grade OTC support without the custom orthotic price tag.
- PowerStep Pinnacle Insoles — The OTC orthotic I recommend most — medical-grade arch support at a fraction of custom orthotic cost. Works in most shoes.
- PowerStep Maxx Insoles — For severe arch pain or flat feet — maximum correction and support when Pinnacle isn’t enough.
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🧦 Dr. Tom’s Pick: DASS Medical Compression Socks
Medical-grade 15-20 mmHg graduated compression. DASS socks are the brand I recommend most to patients with swollen feet, poor circulation, and post-surgery recovery. Graduated compression means tightest at the ankle, gradually releasing up the leg — promoting upward venous blood flow.
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When to See a Podiatrist
If foot or ankle pain has been bothering you for more than a few weeks, home care alone may not be enough. Balance Foot & Ankle offers same-week appointments at our Howell and Bloomfield Hills clinics — no referral needed in most cases. Bring your current shoes and a short list of symptoms and we’ll build you a treatment plan in one visit.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
Differential Diagnosis: What Else Could It Be?
Not every case of sesamoiditis is straightforward. In our clinic we routinely rule out three look-alike conditions before confirming the diagnosis. If your symptoms don’t match the classic presentation, one of these may explain the pain — which is why physical exam matters more than self-diagnosis.
| Condition | How It Differs |
|---|---|
| Sesamoid stress fracture | Acute or gradually worsening sharp pain, tender directly over one sesamoid, positive findings on MRI. |
| Hallux rigidus | Stiff, painful big toe joint with limited dorsiflexion — pain is AT the joint, not UNDER the ball. |
| Turf toe (plantar plate injury) | Acute hyperextension mechanism, diffuse swelling of the 1st MTP, positive 1st MTP drawer test. |
Red Flags — When to See a Podiatrist Now
Seek same-day evaluation at Balance Foot & Ankle if you notice any of the following:
- Sudden sharp onset (possible fracture)
- Bruising or swelling under the big toe
- Pain at rest or at night
- Inability to push off during gait
Call (810) 206-1402 or request an appointment. Our Howell and Bloomfield Hills offices reserve same-day slots for urgent foot and ankle issues.
In Our Clinic: What We See
Clinical perspective from Dr. Tom Biernacki, DPM — Balance Foot & Ankle, Howell & Bloomfield Hills, MI:
In our Balance Foot & Ankle clinic, sesamoiditis patients are usually dancers, runners, or women who have spent significant time in heels. They describe pain directly UNDER the big toe joint — not at the joint (that’s hallux rigidus) — which worsens with push-off. On exam we palpate each sesamoid separately (tibial and fibular) and assess for sensitivity. We always get X-rays to look for sesamoid fracture or bipartite sesamoid (a normal variant). Treatment uses a dancer’s pad to offload the sesamoid, stiff-soled footwear to reduce push-off stress, and activity modification.
Watch: Dr. Tom explains
Podiatrist-recommended products
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Dancer’s pad style placement proximal to the sesamoids is the gold standard offloading technique.
View on Amazon →Rigid arch support reduces push-off pressure on the sesamoid bones during walking.
View on Amazon →Targeted cold therapy over sesamoids controls inflammation during flares.
View on Amazon →Topical menthol-arnica preferred over long-term NSAIDs for this 3-6 month healing process.
View on Amazon →Related resources
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☎ (810) 206-1402Book Online →Pros & Cons of Conservative Care for foot care
Advantages
- ✓ Conservative care first
- ✓ Same-week appointments
- ✓ Multiple insurance accepted
Considerations
- ✗ Self-treatment can mask issues
- ✗ See a podiatrist if pain >2 weeks
Dr. Tom’s Recommended Products for foot care
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
Footnanny Heel Cream Dr. Tom’s Pick
Best for: Daily moisturizer for cracked heels
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Same-day appointments in Howell + Bloomfield Hills. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
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About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Hills, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
Dr. Hoy’s Complete Pain Relief Line — Dr. Tom’s Picks (2026)
Dr. Hoy’s Natural Pain Relief is Dr. Tom Biernacki, DPM’s #1 prescription topical pain relief for plantar fasciitis, Achilles tendonitis, foot pain, knee pain, and back pain. Cleaner formula than Voltaren or Biofreeze — safe for diabetics + daily long-term use without 30-day limits. Below is the complete Dr. Hoy’s product line, organized by use case.
Dr. Hoy’s Natural Pain Relief Gel (4oz Tube)Dr. Tom’s #1 Brand
The flagship Dr. Hoy’s — menthol-based natural pain relief gel. The bottle Dr. Tom hands every plantar fasciitis patient on visit one. Cleaner formula than Voltaren or Biofreeze.
- Menthol-based natural formula
- No greasy residue
- Safe for diabetics
- Fast cooling relief 5-10 min
- Daily long-term use safe
- Pricier than Biofreeze
- Strong menthol scent at first
Dr. Hoy’s Natural Pain Relief Gel (8oz Pump Bottle)Dr. Tom’s #1 Brand
8oz pump bottle — same formula as the 4oz tube but 2x the value. Best for athletes, families, or chronic pain patients who use it daily.
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- 2x value of 4oz
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- Larger size
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Dr. Hoy’s Arnica Boost Pain ReliefDr. Tom’s #1 Brand
Dr. Hoy’s + arnica boost — for bruising, swelling, post-injury inflammation. Adds arnica’s anti-inflammatory power to the standard menthol formula.
- Added arnica for bruising
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Dr. Hoy’s Natural Pain Relief Roll-OnDr. Tom’s #1 Brand
Same Dr. Hoy’s formula in a roll-on stick — no greasy hands, no mess, perfect for gym bags and travel. TSA-friendly.
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Dr. Hoy’s Pain Relief Gel — 3-Pack BundleDr. Tom’s #1 Brand
3-pack of Dr. Hoy’s 4oz tubes — best per-tube price for chronic pain patients, families, or anyone who uses it daily.
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Top 10 Premade Orthotics — Dr. Tom’s Picks (2026)
Dr. Tom Biernacki, DPM has tested 60+ over-the-counter orthotic insoles in his Michigan podiatry practice over the past 15 years. Below are the top 10 he prescribes most often — ranked by clinical results, build quality, and patient feedback. PowerStep + CURREX brands are Dr. Tom’s #1 prescription brands — built by podiatrists, with biomechanical features (lateral wedge, deep heel cradle, dual-density EVA) that 90% of OTC insoles lack.
Dr. Tom Biernacki, DPM is a board-certified podiatrist + Amazon Associate. Picks shown are products he prescribes to patients at Balance Foot & Ankle Specialists. We earn a commission on qualifying purchases at no extra cost to you. All products independently tested + reviewed. Last verified: April 28, 2026.
PowerStep Pinnacle MaxxDr. Tom’s #1 Brand
The most prescribed OTC orthotic in podiatry. Lateral wedge corrects overpronation that causes 90% of plantar fasciitis. Deep heel cradle stabilizes the ankle.
- Lateral wedge corrects pronation
- Deep heel cradle
- Dual-density EVA
- Trim-to-fit
- Used by 10,000+ podiatrists
- Trim required
- 5-7 day break-in
PowerStep Original Full LengthDr. Tom’s #1 Brand
The original PowerStep — flexible semi-rigid arch with deep heel cradle. The right choice for neutral feet that need everyday support without the lateral wedge.
- Flexible semi-rigid arch
- Deep heel cradle
- Fits dress shoes
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- APMA-accepted
- Less aggressive than Pinnacle
- No lateral wedge for overpronation
PowerStep Pulse MaxxDr. Tom’s #1 Brand
Built for runners + athletes who need maximum support during high-impact activity. Engineered for forefoot strike + lateral motion.
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- Best for athletes only
CURREX RunProDr. Tom’s #1 Brand
German-engineered insole with 3 arch heights (Low, Med, High) for custom fit. Carbon-reinforced heel + dynamic forefoot.
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- 7-10 day break-in
CURREX EdgeProDr. Tom’s #1 Brand
For hikers, skiers, and high-impact athletes — reinforced shank prevents foot fatigue on steep descents + uneven terrain.
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CURREX SupportSTPDr. Tom’s #1 Brand
For nurses, retail, and standing professions — the most supportive CURREX with deep heel cup + maximum medial support.
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Superfeet Green
Firm, structured arch support — the right choice ONLY for high-arched (cavus) feet. Wrong choice for flat feet.
- Strong structured arch
- Deep heel cup
- Long-lasting (5+ years)
- Firm — not for flat feet
- No lateral wedge
Vionic OrthoHeel Active Insole
APMA-accepted, podiatrist-designed casual insole. Best for adding mild arch support to dress shoes + walking shoes.
- APMA-accepted
- Slim profile
- Antimicrobial top
- Less support than PowerStep
- No lateral wedge
Sof Sole Athlete
Budget athletic insole with neutral arch + gel forefoot. Decent value if you need a quick replacement.
- Affordable
- Gel forefoot
- Antimicrobial
- Wears out in 6 months
- No structured arch
Spenco Polysorb Total Support
Mid-range insole with 5-zone polysorb cushioning. Decent support for standing professions.
- 5-zone cushioning
- Trim-to-fit
- Mid-price point
- Less stable than PowerStep
- No lateral wedge
Dr. Tom’s Top 3 — The Premium Foot Pain Stack (2026)
If you only buy three things for foot pain, get these. PowerStep + CURREX orthotics correct the underlying foot mechanics, and Dr. Hoy’s pain gel delivers fast topical relief. This is the exact stack Dr. Tom Biernacki, DPM gives his Michigan podiatry patients on visit one — over 10,000 patients have used this exact combination.
Dr. Tom Biernacki, DPM is a board-certified podiatrist + Amazon Associate. Picks shown are products he prescribes to patients at Balance Foot & Ankle Specialists. We earn a commission on qualifying purchases at no extra cost to you. All products independently tested + reviewed for 30+ days minimum. Last verified: April 28, 2026.
PowerStep Pinnacle MaxxDr. Tom’s #1 Brand
Dr. Tom’s most-prescribed OTC orthotic. Lateral wedge corrects overpronation that causes 90% of foot pain. Deep heel cradle stabilizes the ankle. Built by podiatrists, used by patients worldwide.
- Lateral wedge corrects pronation
- Deep heel cradle stabilizes ankle
- Dual-density EVA — comfort + support
- Trim-to-fit any shoe
- Used by 10,000+ podiatrists
- Trim-to-size required
- 5-7 day break-in for some
CURREX RunProDr. Tom’s #1 Brand
3 arch heights for custom fit (Low/Med/High). Carbon-reinforced heel + dynamic forefoot — the closest OTC orthotic to a $500 custom orthotic. Engineered in Germany.
- 3 arch heights for custom fit
- Carbon-reinforced heel cup
- Dynamic forefoot zone
- Premium German engineering
- Sport-specific support
- Pricier than PowerStep
- 7-10 day break-in
Dr. Hoy’s Natural Pain Relief GelDr. Tom’s #1 Brand
Menthol-based natural pain relief — Dr. Tom’s #1 brand for fast relief without greasy residue. Safe for diabetics + daily use. Cleaner formula than Voltaren or Biofreeze.
- Menthol-based natural formula
- No greasy residue
- Safe for diabetics
- Fast cooling relief — 5-10 minutes
- Cleaner ingredient list than Biofreeze
- Pricier than Biofreeze
- Strong menthol scent at first
In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your sesamoiditis, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.
Same-day appointments available. (810) 206-1402
Frequently Asked Questions
When should I see a doctor?
See a podiatrist if pain persists past 2 weeks, prevents normal activity, or is accompanied by red-flag symptoms (warmth, swelling, numbness, inability to bear weight).
Can I treat this at home?
Mild cases respond to RICE protocol (rest, ice, compression, elevation), supportive shoes, and OTC anti-inflammatories. Persistent symptoms need professional evaluation.
How long does it take to heal?
Most soft tissue injuries resolve in 2-6 weeks with appropriate care. Bone injuries take 6-12 weeks. Chronic conditions need longer-term management.
What is Sesamoiditis?
Sesamoiditis is a common foot/ankle condition that affects mobility and quality of life. Understanding the underlying cause is the first step in successful treatment. Our podiatrists at Balance Foot & Ankle perform a hands-on biomechanical exam, review your activity history, and use diagnostic imaging when appropriate to identify the root cause—not just treat the symptom. Many patients have been told to “rest and ice” without a deeper diagnostic workup; our approach is different.
Symptoms and warning signs
Common signs of sesamoiditis include pain that worsens with activity, morning stiffness, swelling, tenderness when palpated, and difficulty bearing weight. If you experience sudden severe pain, inability to walk, visible deformity, numbness or color change, contact our office the same day or visit urgent care—these can signal a more serious injury such as a fracture, tendon rupture, or vascular compromise. Diabetics with any foot wound should seek same-day care.
Conservative treatment options
Most cases of sesamoiditis respond to non-surgical care: structured rest, supportive footwear changes, custom orthotics, targeted stretching and strengthening protocols, anti-inflammatory medications when medically appropriate, and in-office procedures such as ultrasound-guided injections. We also offer advanced therapies including MLS laser therapy, EPAT/shockwave, regenerative injections, and image-guided procedures. Treatment is sequenced from least invasive to most invasive, and we explain the rationale at every step.
When is surgery considered?
Surgery is reserved for cases that fail 3-6 months of well-structured conservative care, when there is structural pathology (severe deformity, complete tear, advanced arthritis), or when imaging shows damage that will not heal without intervention. Our surgeons have performed 3,000+ foot and ankle procedures and prioritize minimally-invasive techniques whenever appropriate. We discuss recovery timelines, return-to-activity milestones, and realistic outcome expectations before any procedure is scheduled.
Recovery timeline and prevention
Recovery from sesamoiditis varies based on severity and chosen treatment path. Conservative cases often improve within 4-8 weeks with consistent adherence to the protocol. Post-procedural recovery may range from a few days (in-office procedures) to several months (reconstructive surgery). Long-term prevention involves footwear assessment, activity modification, structured strengthening, and regular check-ins with your podiatrist if you have a history of recurrence. We provide written home-exercise plans and digital follow-up support.
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Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.