Advanced Foot and Ankle Center-McKinney & Prosper, Texas

Doctors Eric Silvers, Robert Hadfield and Dustin Lloyd are proud to announce that their new McKinney and Prosper Locations will open soon.   We will be moving our current Medical Center Drive location to 5531 Virginia Parkway, McKinney Texas in Stonebridge Ranch.

“We are excited to offer both our established patients and new patients to the practice a state of the art facility where exceptional foot and ankle care can be provided,” states Dr. Eric Silvers, Founding partner of Advanced Foot and Ankle Center.

“I understand the difficulty in taking time away from work, school, activities and family to come to the doctor is never convenient.  I’m excited that our new state of the art facility will allow us to provide excellent patient care in a comfortable, efficient way to get you back to doing the things that you love,” states Dr. Dustin Lloyd.

“The new McKinney location will be a state of the art facility, providing the most comprehensive foot and ankle care in north Texas, and offering specialty products not found in other locations.  I am proud to be a part of this chance to serve the community in Collin County and the Metroplex,” states Dr. Robert Hadfield.

The new location will consist of 7000 square feet with 10 treatment rooms, 2 procedure rooms, a casting and a laser therapy room, its own physical therapy department and a retail shoe store.   The shoe store, or THE FOOT STORE, will be located within the practice and offer stylish foot friendly shoes, sandals, boots and various inserts.  In addition, specialty hydrating lotions, anti-fungal nail polish, wound care creams, foot pads, sleeves and many other items and products that will help with foot and ankle health will be available.  The new location will also have its own accounting department and two private consultation rooms.

Located in the heart of McKinney, Texas, the new location will be easily accessible from highway 75, highway 380, Highway 121 and North Dallas Tollway.

Advanced Foot and Ankle Center will also be moving its Prosper Location to 301 N. Preston Road, Suite A, Prosper, Texas 75078.  Our Prosper, Texas location, although a satellite location, will have 4 treatment rooms and 1 procedure room.

Drs. Silvers, Hadfield and Lloyd will rotate through both offices.  We will offer urgent care appointments during normal business hours.  The new locations will be equipped with procedure rooms where ingrown toenails, wart excisions, foreign body removals, biopsies and several other minor surgeries can be performed.

We will move both our current McKinney and Prosper Locations to their respective new locations during the last week of October 2014. Please contact our office at 972-542-2155 for an appointment or any questions about the new locations.

Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome occurs on the inside part of the ankle (the side by the big toe) and is similar to carpal tunnel syndrome in cause and symptoms. The symptoms are most often sharp pain, burning pain, shooting pain and numbness which are worst when standing or walking, but the ankle can also throb when not walking, especially after a lot of activity. The pain can be very severe in some cases, making it very difficult to walk or even put weight on the foot. The pain usually occurs on the inside of the ankle and the pain can shoot down to the toes or up the leg or both.

Just as in carpal tunnel syndrome, tarsal tunnel syndrome is caused by pressure on the nerve due to tightness in the space where the nerve is. There are many other things in this small space and there is a ligament that holds them all in place. In those with tarsal tunnel syndrome, this ligament is often overly tight, causing pressure on the nerve, leading to pain. This tightening of the ligament becomes worse in people with certain foot types, especially those with severely flat feet or very flexible feet. Other causes include varicose veins, enlarged or abnormally shaped muscles or tendons, a fatty growth called a lipoma, an enlargement of the nerve, as a result of ankle trauma (such as a fracture) and swelling due to exercise. There are certain medical conditions that have an increased risk of tarsal tunnel syndrome including Rheumatoid Arthritis, high cholesterol and low thyroid. In about 25% of cases, however, no cause can be identified.

The diagnosis is made with an exam by a foot and ankle specialist and some specialized tests performed by a neurologist. The diagnosis can also be aided by the use of MRI, which can show the varicose veins or other structures that are taking up too much space. The diagnosis can sometimes be difficult because tarsal tunnel syndrome can cause pain in various parts of the foot with an absence of pain in the ankle area.

Once the diagnosis is made there are conservative and surgical options, and treatment is focused on relieving the cause. Orthotics can help a lot with this condition by taking pressure off of the ankle be realigning the joints (especially in those with flat feet) allowing the ligament to be looser and put less pressure on the nerve. Anti inflammatory medications can help tremendously. A steroid injection can be given around the nerve to decrease inflammation (which is the cause of the pain). Various prefabricated and custom braces are also available to help support the ankle and put less pressure on the nerve. In many cases, however, tarsal tunnel syndrome requires surgical correction. If the condition is caused by varicose veins, compression stockings can help quite a bit.

Surgical correction for tarsal tunnel syndrome consists of making an incision on the ankle and releasing the ligament that is putting pressure on the nerve. If there are an abnormal structures that are taking up space, such as varicose veins or abnormally large muscles or tendons, these are also removed during the procedure. Sometimes the nerve is wrapped with a special implant made of collagen, which helps to support the nerve and prevent continued pressure on it once healing occurs. The success rate with surgical correction of tarsal tunnel syndrome is high with approximately 90% of people have improvement or resolution of their pain.

The doctors at Advanced Foot and Ankle Center have specialized training and significant experience in the diagnosis and treatment of tarsal tunnel syndrome. Call for an appointment today.

972-542-2155

Eric Silvers, DPM, FACFAS
Robert Hadfield, DPM, AACFAS
Dustin Lloyd, DPM

Are your smelly feet telling you something?

When you take your shoes off do you notice an unpleasant odor permeating to your nostrils?  Do you find yourself unsure about removing your shoes with your friends because of the smell?  You may be suffering from a condition called Bromhidrosis.

 

It is normal for your feet to sweat.  Your feet can have more than 250,000 sweat glands pumping out a clear odorless fluid consisting of water and salts.  This moist environment, especially in dark shoes, create a breeding ground for bacteria and fungus.  When the sweat and debri begin to be broken down by the bacteria it creates that foul smell making your nose wrinkle when you take off your shoes.

 

There is a solution for your smelly feet!  At Advanced Foot and Ankle Center in McKinney and Prosper Texas we offer a product that helps stop foul foot odor in its tracks.  ON YOUR TOES is a powder that helps stop offensive shoe odor.  It prevents re-infection of bacteria and keeps your shoes and feet smelling fresh for 6 months.
If you are suffering from smelly feet make an appointment today by calling 972-542-2155 with Dr. Silvers, Hadfield or Lloyd to be evaluated and see if ON YOUR TOES is right for you.  We offer morning, lunchtime, and evening appointments with same day appointments available as well.

 

 

The Foot Store’s Latest Addition

Advanced Foot and Ankle is proud to offer The Sandy Blue and Pink Sandal.  This sandal is our most comfortable arch support sandal and is very trendy.  With cushioned uppers and a shock absorbing midsole, this thong construction sandal is a new take on comfort and style!  The sandal features Therafit’s patented Personal Comfort System which allows you to adjust the cushioning in the heel as you wear the sandal throughout the day.  You do this by removing one to three of the comfort adapters in the heal area with an easy twist.  This sandal has been designed for optimal support and cushioning with the goal of providing you with the reliable comfort, protection and relief from arch pain, heel pain, and plantar fasciitis in addition to many other foot problems.

Sandal

“We see many patients that suffer from heel pain but don’t want to wear athletic shoes with Orthotics all the time.  The Sandy Sandal provides these patients an option to wear a sandal without putting added stress on the plantar fascia,” states Dr. Eric Silvers, A board certified foot and ankle surgeon at Advanced Foot and Ankle Center in McKinney and Prosper, Texas.

 

We have these sandals IN STOCK at our McKinney Office and will feature them in THE FOOT STORE at the new location next month in STONEBRIDGE RANCH.  Come on in to try them on.  No appointment is necessary.

 

Our STONEBRIDGE RANCH location will be a State of the Art 7000 square foot center of excellence for foot and ankle care.  We are your Stonebridge Foot and Ankle Specialists!

 

For over 17 years, Advanced Foot and Ankle Center has provided caring, gentle foot and ankle care to patients from all around the State of Texas and Oklahoma.  We have partnered up with local surgery centers to provide AFFORDABLE surgical procedures of the foot and ankle.

 

Dr. Eric Silvers, Dr. Robert Hadfield and Dr. Dustin Lloyd are residency trained foot and ankle specialists providing comprehensive foot and ankle care.  Advanced foot and ankle center provides URGENT CARE (during normal business hours) for foot and ankle issues.  Immediate appointments are often available.

 

Stress Fractures

Stress fractures in the foot are sometimes difficult and commonly misdiagnosed problems.  In some cases the symptoms will persist for a long period of time before the correct diagnosis of a stress fracture is made.  This is the case because unlike stubbing your toe and fracturing the toe, stress fractures occur over time with repetitive stresses placed on the bones in the feet.
Stress fractures are hairline breaks in the bones and can occur in any weight bearing bone in the body.  Athletes and people just beginning or increasing their exercise activity are susceptible to getting stress fractures.  High impact sports and activities are typically the culprit including, running, crossfit, tennis and basketball.
Typically the individual will begin complaining of pain toward the end of activity that will improve with rest.  If the pain is left untreated it will occur even with minimal activities.
Symptoms include:
  • Pain after activities
  • Swelling at the site of the fracture
  • Pain at the site of the fracture
Diagnosis is typically made in the office during the physical exam and with review of x-rays.  At times the stress fracture will not show up on the patients initial x-rays as the fracture can take 10-14 days to become visible on x-ray.  In some cases advanced imaging may be needed to confirm the diagnosis.
Treatment typically consists of decreasing or stopping activity and immobilizing the foot in a special surgical shoe or walking boot.  Once the fracture has healed the need for shoe gear modifications and custom orthotics to prevent recurrence are recommended.  In some sever cases surgery is required to correct the fracture.
Some times stress fractures are unavoidable.  If you begin having foot or ankle pain the first step should be decreasing activity and rest.  If your pain continues it is best to be properly evaluated by one of the physicians at Advanced Foot and Ankle Center.
We offer same day appointments, early morning, lunchtime, and evening.  Call for an appointment to be evaluated today 972-542-2155 or schedule at appointment online.
Eric Silvers, DPM, FACFAS
Robert Hadfield, DPM, AACFAS
Dustin Lloyd, DPM

Toe Walking and Intoeing: the Facts

Toe Walking and Intoeing: the Facts

A very common question is whether kids who walk on their toes or walk intoed will “grow out of it”. In truth it is a much more complex question than yes or no. The answer is: it depends.

Toe Walking
There are different types of toe walking. The most common type is seen in early childhood, when the child first begins to walk up until about age 9 and the cause of this type is unknown (also called idiopathic). There is often tightness in one of the calf muscles. In most cases, this type of toe walking will eventually resolve on its own and resolution can be accelerated by parents encouraging the child to walk on their heels and performing stretching exercises. Sometimes physical therapy can be helpful as well.

The more severe type of toe walking, also known as equinus, involves both calf muscles and can be a difficult problem. It often starts in the first few years of life and can be very severe, in some cases the child is not able to walk with heels on the floor at all. The treatment for this type of toe walking depends on how severe the condition is and proper examination by a doctor is very important.

Intoed (Pigeon Toed) Walking
Pigeon toed or intoed walking is also very common in childhood and like toe walking, there are different types. Intoed walking is common in the early walking cycle of a child due to “internal rotation” of the hips, which naturally resolves as the child grows in most cases. This natural resolution is “growing out of it” and it usually occurs by about age 9-11. Encouraging the child to sit criss cross as opposed to sitting on their feet when on the floor can promote the normal outward rotation of the hips.

There more severe type of intoed walking is something that is not outgrown as the child ages. This type is more complex and occurs in the feet, knees and legs as well as the hips. There are many treatments, including orthotics, braces and in some cases surgery is needed. It is important to be evaluated by a doctor for proper diagnosis and treatment.
The doctors at Advanced Foot and Ankle are specially trained and experienced in all aspects of both of these common conditions and can help with any questions you may have. Call us today for an appointment.

972-542-2155

Eric Silvers, DPM, FACFAS
Robert Hadfield, DPM, AACFAS
Dustin Lloyd, DPM

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McKinney Office
4501 Medical Drive
Suite 300
McKinney, TX 75069

Prosper Office
221 North Preston Road
Suite C
Prosper, TX 75078

(972) 542-2155

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