Advanced Foot and Ankle Center Blog

The fact is that many foot and ankle issues that manifest in childhood will NOT be "out grown." 

Treating your child's foot condition now is the best way to ensure the best possible outcome and can prevent the need for surgery later on in life. Conditions like Intoeing or Out toeing for example or even Bunions and tight heel cords. 

Simple things like an accurate diagnosis and a few visits to a physical therapist, home exercises, a night brace, a change in shoe choice or even an insert in their shoes can make a big impact now and stop conditions from setting in. 

Any of the following symptoms warrants evaluation:

-child seems "lazy"

-has a bouncy gait,

-tippy toe walks a lot after age 2

-toes are pointing in

-feet are slapping the floor when running

-crouching down excessively when running

-if they seem slower compared to other children their age

-complain of foot/ankle/knee/hip pain

-is asking to be picked up a lot

-if toes seem turned in or out

"Like your mother told you: An ounce of prevention is worth a pound of cure"


Dr. Melissa Sgro

Advanced Foot and Ankle 



September 15, 2020
Category: Foot Issues
Common Foot and Ankle Injuries And How a Podiatrist Can HelpFoot and ankle injuries are fairly common and can happen to anyone, not just athletes. While minor strains and sprains can be nursed back to health by simply resting and icing your injury, it’s important to be able to discern when you need to see a podiatrist for care. Put your feet up and check out these signs that it might be time to schedule a podiatry appointment.

You are dealing with persistent heel pain

Heel pain is a common complaint and most often the result of an overuse injury such as plantar fasciitis or Achilles tendonitis. The good news is that heel pain will usually go away on its own with rest and home care; however, if the heel pain is severe or persists for weeks without getting better than it’s time to see a podiatrist and find out what’s going on.

You’re dealing with a sprained or fractured foot

If you are dealing with a new foot and ankle injury that you’ve never experienced before, then it’s a good idea to see a podiatrist who will be able to examine it to determine the extent and severity of the sprain or break. Since untreated or improperly treated injuries can lead to long-term foot and ankle pain and instability, it’s a good idea to get proper podiatry care when you sustain an injury.

You have been diagnosed with diabetes

People with diabetes know that they are also at an increased risk for other foot-related complications including neuropathy, ulcers, and infections. If you have been diagnosed with diabetes it’s a good idea to have a podiatrist that you can turn to for regular care, especially when problems arise. Even if you aren’t experiencing symptoms, you should still see your podiatrist once a year for a routine checkup.

You’re dealing with regular joint pain and stiffness

While there are many reasons why someone may deal with a bout of joint pain, if this is a persistent problem, you may be dealing with arthritis. Since arthritis is progressive, it’s important to diagnose this problem early when medications and treatments can help to slow the progression of joint damage.

If you are experiencing a foot or ankle injury or experiencing symptoms that have you concerned, it’s best to consult foot care professionals for comprehensive podiatry care.
September 10, 2020
Category: Uncategorized
Tags: Untagged

Since today is the official start of the NFL season, we at Advanced Foot and Ankle Center wanted to talk about some common foot and ankle issues we see with football players. 

Starting with the younger kids between 10-15 we see a lot of heel pain.  This is most likely caused by calcaneal apophysitis which is due to inflammation of the growth plate in the heel.   We usually see these patients early in the season when practices first start. 

Other common injuries we see are injuries to the sesamoids which are two small pea sized bones beneath the big toe joint.  They can get directly injured or stretches too far and develop chip fractures.  This is a form of turf toe.    This is a nagging type of injury that needs to be evaluated.

We also see a lot of nail injuries, especially to the players on the line.  There is a lot going on at the line of scrimmage including stepping on everyone’s toes.   This can cause direct injury to the nail or alteration of the nail growth and can lead to ingrown toenails, nail fungus, etc. 

Unfortunately, we also see a lot of traumatic injuries to the foot and ankle including sprains, fractures, and tendon tears.   These types of injuries need treatment right away whether it be immobilization or need for surgical repair. 

At Advanced Foot and Ankle, we treat all types of issues including sports related problems.  Our physicians have years of experience with this and we can help you or a loved one.   

If you have any questions regarding this or other foot/ankle issues, please call us at 972-542-2155. 

Enjoy the season!

Everyone is at risk of developing an ingrown toenail. For children, if siblings or mom or dad have suffered from ingrowns they are more likely to develop one. As children grow shoes can become tight and cause an ingrown. Hand me down shoes that are worn out or too big- causing the foot to piston forward in the shoe can cause an ingrown.  pointy shoes, narrow shoes and tight cleats are often the culpret. And as anyone who has ever suffered from one can attest, the ingrown toenailpain and discomfort can be excruciating, making it difficult to walk properly and even wear certain types of shoes. In addition to the physical pain, ingrown toenails are also susceptible to infection, especially for patients suffering from diabetes.

Ingrown Toenail Treatment in McKinney and Prosper, TX

Ingrown toenails are one of the most common podiatry problems, and can sometimes be treated at home with over the counter treatments like pain relievers, antiseptic and warm foot baths. But in some cases, they can become infected and require treatment by a podiatrist. People with diabetes are more susceptible to a complication known as diabetic neuropathy, which causes circulatory problems and can lead to tingling, weakness and loss of feeling in the feet, which increases the risk of potentially serious complications from common foot problems like cuts, blisters and ingrown toenails.

The podiatrists at the Advanced Foot & Ankle Center in McKinney and Prosper, TX advise all diabetic patients to schedule regular podiatry appointments for basic foot care and prevention. Non-diabetic patients exhibiting signs of infection or pain in their toes should schedule an appointment for treatment.

Symptoms of an ingrown toenail include:

  • Pain or "digging" into the skin on the border of the toenail
  • Swelling and inflammation
  • Redness
  • Warmth
  • Seeing puss is a sign of infections. 

Find a Podiatrist in McKinney or Prosper, TX

In addition to being painful and uncomfortable, ingrown toenails can pose a risk for infection and health complications for some people. If you are showing signs of an ingrown toe nail contact the Advanced Foot & Ankle Center by calling (972) 542-2155 to schedule an appointment. 


Advanced Foot & Ankle

September 04, 2020
Category: Foot Conditions
Tags: heel pain  

Heel pain can make it difficult to perform daily activities, such as walking or even standing for too long. Heel pain is often due to a condition known as plantar fasciitis. Without treatment, the pain caused by this condition can become progressively worse over time. Several treatment options are available for alleviating pain and discomfort caused by plantar fasciitis. Our experienced team of podiatrists can develop an individualized treatment plan for your heel pain at Advanced Foot and Ankle Center in McKinney and Prosper, TX.

Heel Pain and Plantar Fasciitis

One of the most common causes of heel pain is a foot condition known as plantar fasciitis. There is a band of tissues known as the plantar fascia that runs along the bottom of the foot and connects the heel bone to the toes. Plantar Fasciitis can develop when this band of tissues becomes inflamed.

Individuals who overpronate when stepping is more likely to develop plantar fasciitis. Overpronating happens when the foot rolls inward with each step. This motion causes the arch of the foot to flatten, which lengthens the band of plantar fascia tissues. As the tissues become overstretched, they can become inflamed. Pain can then develop in the heels and arches of the feet. Without treatment, heel pain caused by plantar fasciitis can worsen over time.

Treatments Options

Several options are available for treating heel pain caused by plantar fasciitis. Some things you can do for minor heel pain include resting the foot, and limiting physical activity until the pain subsides. Anti-inflammatory medications can also be helpful. Reducing inflammation can often lessen or eliminate associated pain. Wearing shoes with plenty of cushioning and support is also beneficial.

In cases of chronic or severe heel pain, medical treatment is best. The skilled podiatrists at our offices in Prosper and McKinney can help your heel pain by developing a treatment plan tailored to your specific needs. Some options for treating heel pain include:

  • Custom Orthotics
  • Physical Therapy
  • Padding and Strapping
  • Corticosteroids
  • Walking Cast
  • Night Splint

When other options have not completely resolved the problem, surgery is sometimes needed. Surgery can be beneficial when a faulty foot structure is contributing to ongoing heel pain. Surgery is also performed to remove painful heel spurs, which are calcium deposits that can develop on the bottom of the heel.

There are many things you can do to alleviate your heel pain. Schedule an appointment with one of our podiatrists to discuss treatment options for your heel pain by calling Advanced Foot and Ankle Center in McKinney, TX at (972) 542-2155. Our office in Prosper, TX can also be reached by calling the same number.

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