Yao Ming Retires due to foot injuries
Tots in Heels
See Dr. Silver’s TV interview Channel 33 News in Dallas concerning the problems of high heels in children and adults – from October 2010.
Infracalcaneal Exostosis
An infracalcaneal exostosis is a term that describes a large bony prominence or spur on the bottom of the heel bone or calcaneus. In some patients, this bone spur can actually be large enough to be felt on the bottom of the heel.
The bone spur is caused by traction or pulling on the heel bone or calcaneus by tiny muscles on the bottom of the foot. Many people correlate “heel spurs” with plantar fasciitis. This is a false statement. The plantar fascia in actuality, inserts just lateral to the plantar heel spur.
Most patients have 1 – 1.5 inches of fat pad on the bottom of the heel that aids in cushioning and shock absorption for the calcaneus. In older patients who have experienced atrophy or thinning of the fat pad, the bone spur can be prominent and very painful.
Treatment includes cushioning of the infracalcaneal exostosis, wearing appropriate shoe gear to soften the impact of the heel with walking or running.
For those patient who cannot find relief cushioning, padding or shoe therapy, surgery is a viable option. Surgery involves removing the plantar heel spur or infracalcaneal exostosis and making the bottom surface of the heel bone flat and smooth. A extended period of non-weightbearing is suggested due to possible risk of stress fracture with early weight bearing following the surgery.
If you have a prominent heel spur on the bottom of the heel, please visit our office for a clinical evaluation. Call 972-542-2155 for an appointment today.
Neurologic Heel Pain
Please click the following link to read about the various causes of heel pain caused by nerve disorders.
Neurologic Heel Pain
Mechanical Heel Pain
Please click the following link to learn about the various types of mechanical heel pain:
Mechanical Heel Pain
Custom Molded Flipflops – FLOPTHOTICS!

Advanced Foot & Ankle Center is now offering custom molded flip flops called Flopthotics. Enjoy the comfort and support of a custom orthotic with style and breatheability of a flipflop.
The casting process involves making a cast of the foot using a foam impression. The foam impression is then sent to Barcelona, Spain to Edser Labs for manufacturing.
Advanced Foot & Ankle Center is now offering a special for a pair of regular custom orthotics that fit into normal shoegear (the cost depends on your insurance benefits) and for additional $200.00, the Flopthotics can be casted for as well. The Flopthotics are not a covered item through insurance. Take advantage of this wonderful deal offered. This deal will last during the summer of 2012. Please mention this post when you call to make an appointment for the Flopthotics.
Enjoy the summer in a pair of custom molded flipflops.
Call 972-542-2155 to schedule an appointment today. Advanced Foot & Ankle Center has two offices located in McKinney, TX and Prosper, TX, the office of Dr. Eric Silver, DPM, PA.




