McKinney, TX Podiatrist
Advanced Foot and Ankle Center
5531 Virginia Parkway Suite 100
McKinney, TX 75071
(972) 542-2155
Prosper, TX Podiatrist
Advanced Foot and Ankle Center
301 North Preston Road Suite A
Prosper, TX 75078
(972) 542-2155
Advanced Foot and Ankle Center Blog

There are several possible causes for having calluses, or hard lumps of skin on the bottom of your feet. One cause may be a plantar wart.  This is a virus that lives in your skin and disrupts the superficial tissue layer of the bottom of the foot.  This can be painful and they may devlop dark spots in the callus.  Another cause is a porokeratoma or a clogged sweat gland.  This is similar to an IPK (intractable plantar keratoma) as they both have a small nucleated pit in the callus.  Both of these can also be very painful.  To be sure of the cause of the callus, it needs to be debrided (painlessly trimming the top layers with a scalpel) to reveal the tissue underneath.  Once the cause of the callus is determined, treatment will then begin.  Some people can have calluses at the ball of the foot because they no longer have adequate fat padding to cushion the area. This can be treated with padding and inserts.  Treatment for calluses in diabetics is very important because you may have a wound developing underneath that you cannot see.  If you suffer from calluses or any other foot and/or ankle condition, please call us at 972-542-2155. 

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September 18, 2017
Category: Foot Problems
Tags: Sesamoid Injuries  

Everything You Need to Know About Sesamoid Injuries


Think you have a sesamoid injury? Sesamoids are bones embedded in tendons. Sesamoid injuries are often associated with activities requiring increased pressure on the foot, such as tennis, basketball, running, and football. Podiatrists diagnose and treat various foot problems, including sesamoid injuries. Here's everything you've ever wanted to know about sesamoid injuries.

Types of Sesamoid Injuries

Sesamoid injuries can involve the bones, tendons, and surrounding tissue in the joint. Sesamoiditis is an injury involving inflammation of the sesamoid bones and tendons. A sesamoid fracture is an acute or chronic fracture in the sesamoid bone. Turf toe is an injury to the soft tissue surrounding the big toe joint. 

Sesamoid Injury Causes

Sesamoid injuries can be caused by landing too hard on the foot after a fall or jump. Cracks in the sesamoid bones can be caused by wear and tear on the foot over time. People with high arches are at risk for developing sesamoid injuries. Frequently wearing high heels can also be a contributing factor. 

Sesamoid Injury Symptoms

The most common symptom of a sesamoid injury is pain when you move your big toe, stand, run, jump, or walk. With a fracture, the pain will be immediate, whereas with sesamoiditis, pain may develop gradually. A sesamoid injury may be painful for weeks to months. Bruising and swelling may or may not be present.

Sesamoid Injury Diagnosis

If you think you have a sesamoid injury, see a podiatrist for proper diagnosis and treatment. Your podiatrist will ask about your symptoms, activities, and medical history and examine your foot. To diagnose your foot problem, your podiatrist may order X-rays and laboratory tests.

Sesamoid Injury Treatment

Inflammation and pain are treated with oral medications or steroid injections. A pad may be placed in your shoe to cushion the sesamoid area. Your foot may be placed in a cast and crutches may be used to take pressure off of your foot. The rehabilitation period following immobilization may include physical therapy, such as therapeutic exercises and ultrasound therapy. Your podiatrist may recommend surgery if your symptoms persist after nonsurgical treatment. 

A sesamoid injury can affect your day-to-day activities and make life frustrating and miserable. Life always offers us another chance to get back on track. It's called today. Get relief today by scheduling an appointment with a podiatrist near you. A podiatrist can provide all the relief you need, with relatively little expense or hassle.

Having dry, cracked heels is a very common problem that we see in the office.  Some of the more common causes include walking barefoot, wearing shoes that cause friction to the heels, weight gain, diabetes, thyroid disorders, psoriasis and dry, cool climates.  If the cracks in the heel become deeper, they can develop fissures which can be painful and even develop infections.  At Advanced Foot and Ankle Center, we have experience dealing with these issues.  We can safely remove the dry callused skin as well as advise you on various creams, moisturizers and other products to maintain yourt healthy feet at home.  If you suffer from this issue or have any other questions regarding your feet and/or ankles.  Please call us at 972-542-2155

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Have you noticed your feet getting flatter? Are you having arch pain? If so you might have a condition call Adult Acquired Flatfeet or Posterior Tibial Tendon Dysfunction. The medial arch of your foot acts as a shock absorber, controlling forces throughout your gait. The main tendon that controls the arch is called the posterior tibial tendon. Due to injury or abnormal bone and joint architecture, the tendon may develop tears or even rupture. As the tendon weakens, the arch collapses. Long term collapsed arches leads to wear and tear arthritis to the surrounding joints causing even more pain and a rigid flat foot. Severe cases may cause ankle arthritis.




Common symptoms include pain and swelling along the inside ankle and arch as well as progressive flattening of the feet. You may also have along the outside of the foot near the ankle. Along with flat arches, the foot may splay out. Another sign is uneven shoe wear.




Mild cases will have pain without flattening of the arch. This typically responds well with bracing, rest, and custom molded orthotics. As the condition worsens with flattening of the arch; conservative treatment as with mild cases is first line treatment.


An MRI may be ordered to check the condition of the tendon. If the pain does not respond to conservative treatment or if the MRI shows a tear or rupture of the tendon then surgical treatment with a flatfoot reconstruction is indicated. Severe cases will have chronic pain with flat arches that is rigid. These cases typically have arthritis to multiple joints in the foot. Treatment may include cortisone injections but typically these severe cases require surgery to fuse the damaged joints and relieve pain.


If you have painful flat feet, make an appointment with the Foot and Ankle Specialists at Advanced Foot & Ankle Center. Offices conveniently located in Mckinney and Prosper TX.

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September 08, 2017
Category: Foot Problems
Tags: Claw Toes   Mallet Toes  

Understanding Claw and Mallet Toes


Think you may have mallet or claw toes? Mallet and claw toes form over years and are common in adults. Mallet and claw toes are among the most common toe problems. If you think you have mallet or claw toes, see a podiatrist right away. If you don't treat the problem right away, you are more likely to need surgery. Here's what you need to know about claw and mallet toes.

What Are Mallet and Claw Toes?

Mallet and claw toes are toes that are bent into an abnormal position. They may hurt or look odd, or both. These toe deformities usually occur in the small toes, not the big toes. Claw toe often affects the four small toes at the same time. The toes bend up at the joint where the foot and toes meet. This causes the toes to curl downward. Mallet toes often affect the second toes, but it may occur in the other toes too. Mallet toes bend down at the joint closest to the tip of the toes. 

What Causes These Conditions?

Tight footwear is the most common cause of mallet and claw toes. Wearing tight footwear can cause the muscles of the toes to get out of balance. Less often, these conditions are linked with other conditions, such as rheumatoid arthritis, diabetes, stroke, or an injury to the ankle or foot. Women are affected more often than men because they are more likely to wear narrow shoes or high heels.

How Are They Diagnosed?

Your podiatrist will take a detailed medical history and ask about your daily activities and footwear. A physical examination comes next, in which the level of deformity and scope of pain will be assessed. Diagnosis of these claw and mallet toes is usually obvious from the physical exam. To further evaluate the joints and bones of your feet and confirm a diagnosis, your podiatrist may order x-rays or other imaging tests.

How Are They Treated?

Buying shoes with more room in the toes, filing down calluses and corns, and padding the toes most often relieve the pain. If you have pain, your doctor may put a splint or pad on the toe. A custom orthotic device may be placed in your shoe to help control the muscle/tendon imbalance and alleviate your pain. This keeps the toe from rubbing on the top of the shoe. Corticosteroid injections are sometimes used to ease pain and inflammation. If these steps don’t work, you may need surgery to straighten the toes.

Podiatric medicine a branch of science that is devoted to the study, diagnosis, and treatment of conditions of the ankle, foot, and lower extremity. Podiatrists diagnose and treat various foot problems, including claw and mallet toes. They offer a variety of treatments for claw and mallet toes. If you think you may have claw or mallet toes, a podiatrist in your area can help you achieve real relief.

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