Advanced Foot and Ankle Center Blog
June 12, 2018
Category: Foot Problems
Tags: heel pain  

What your podiatrists in McKinney and Prosper want you to know about heel painHeel Pain

Do you suffer from stabbing, aching heel pain? Do you have to limit walking and standing because of it? If you answered yes to these questions, you will be happy to know that there is relief from heel pain, thanks to the treatments available from your podiatrist.

In order to find the most effective treatment, you need to know what is causing your heel pain. The podiatrists at Advanced Foot and Ankle Center want to share some common causes and treatments for heel pain. They have two convenient office locations in McKinney and Prosper, TX, to help your feet.

You can have heel pain as a result of medical factors including obesity, flat feet, or diabetes. You can also experience heel pain if you wear poorly-fitting, unsupportive shoes. Running, tennis, or other high-impact sports may also cause heel pain.

Foot injuries are a common cause of heel pain. If you step on a sharp object, you can get a deep bruise your heel. Excess calcium deposits on your heel, commonly known as a heel spur, can also result in heel pain.

For these causes of heel pain, prevention is important. Always wear supportive shoes appropriate for the activity you are doing, and maintain a comfortable weight. Also, monitor the surface you are walking on, and clear your floors of objects that could injure your feet.

Heel pain is also often caused by inflammation of the thick band of tissue running across your heel, known as the plantar fascia. When you suffer from this inflammation, you have plantar fasciitis. It can be caused by walking or standing on hard surfaces for long periods of time, overpronation when you walk, and running, jogging, playing tennis, or other high-impact sports.

If you suffer from plantar fasciitis, it’s best to visit your podiatrist. Common treatments for plantar fasciitis from the podiatrists at Advanced Foot and Ankle Center include:

  • Custom-fit orthotics or padding
  • Walking casts or night splints
  • Physical therapy and stretching
  • Corticosteroid injections
  • Surgical treatment for severe cases

You deserve to enjoy your life without pain. To get relief from your heel pain, call the podiatrists at Advanced Foot and Ankle Center, with offices in McKinney and Prosper, TX. Protect your feet from heel pain by calling today!

June 04, 2018
Category: Foot Care
Tags: Footwear   Foot Care   Child Podiatry  

While it might not be something you think about often (or at all), the health of your child’s feet is important. Your child is growing by leaps and bounds and certain habits and other factors can affect how your child’s feet develop or if they experience injuries or other problems down the road. Unfortunately, a lot of children end up wearing shoes that are far too small for their feet, which can lead to pain, structural imbalances and certain foot deformities.

We know that going shoe shopping is certainly not a walk in the park for most parents; however, it’s an important component to making sure your child maintains healthy feet. There are many things to think about when it comes to picking the right shoes, and your podiatrist can also provide suggestions and tips to make the world of shoe shopping easier for you and your little one.

Some factors that you should consider when shopping for the right shoes include:

  • Your child’s age
  • The shoe’s material
  • Your child’s shoe size
  • The shoe’s structure

A good rule of thumb is to shop for shoes every 2 months when your child is between the ages of 1 and 2 years old. Once they reach three and four, you’ll want to purchase new shoes approximately every four months. At the point that your child is five or six years old, every six months is a good time to swap out old shoes for new ones.

As you might already know, the bones of a baby or infant’s feet are soft and haven’t fully developed. To protect your child’s feet it’s important that they wear socks and soft shoes. Make sure that as your child’s feet grow that the toes have room to wiggle and move around within the shoes. Bunched-up toes are a major no-no!

Since your little one is growing by leaps and bounds it is important that you are constantly checking their shoe size for changes. Remember that feet swell throughout the day, so shoe shopping should be done at the end of the day when feet are at their largest. If you aren’t sure what size shoe your little one wears, you can ask one of the store’s footwear specialists for help.

Of course, you can’t forget the importance of choosing the right socks, as well. Socks can prevent your little one from blisters, calluses and other foot problems. They can also wick away sweat and prevent fungal infections. When it comes to choosing the right socks for your little one consider the type of fabric, your child’s activity level, the size of your child’s feet and sensitivities they might have to certain fabrics.

When in doubt, you should talk to a foot doctor who can provide you with advice, answer any questions you might have about your child’s developing feet and also provide comprehensive care, when needed.

Warmer weather has arrived and as this article was written, thousands of hikers have already hit the trail. Hiking, especially long distance hiking, is a sure way to test your feet and overall foot health. A pain-free foot is key to transporting you from one camp to the next.

Dr. Eric Silvers of Advanced Foot and Ankle Center states “During a long distance hike, it is likely that a foot problem will arise and it is imperative to recognize a foot problem and treat it before it becomes the reason to throw you off the trail.”

Blisters- Caused from friction, moisture, ill fitting shoes and fungus, can lead to pain and infection and an altered gait. “Your skin is the largest organ in your body,” states Dr. Eric Silvers . “Its main purpose it so separate the outside from the inside of your body.” When compromised, infection, pain and even death can be the end result if an aggressive bacteria such as MRSA or e coli enters the blister and is not treated. Proper foot care and attention is especially important on multi day hiking trips when medical care is not easily accessible. It is important to tend to blisters immediately. First, clean the blister, release the fluid with a sterile needle or small pocket knife. Covering the blistered area with Mole Skin or Leukotape is effective after applying a very thin coat of triple antibiotic ointment or betadine/provodine ointment. Close monitoring of the skin around the blister is important so that an infection does not develop. If you notice increased pain, redness and drainage, it is best to get off the trail and seek medical attention for possible antibiotics and dressings. It is also best to re assess your shoegear if friction from the shoe is causing the blister.

Foreign bodies can also result when walking barefoot around camp. It is important to always wear some type of shoe when you are up and about. If you notice a foreign body that cannot be removed at camp with tweezers, it is important to seek medical attention before continuing with your hike as the chance of infection is high.

Various forms of tendonitis are common during hiking. The Achilles tendon along the back of the ankle and heel area is prone to becoming inflamed. Causes of Achilles tendonitis are frequent uphill climbs and also shoegear that may rub on the tendon. If you notice, pain and swelling of the Achilles tendon due to activity, it is best to add a heel lift for a few days, take an anti inflammatory medication such as Ibuprofen and take a rest day or two. Do not attempt to push through the pain from Achilles Tendonitis as it will not improve with continued activity. If the problem persists, a walking boot and immobilization will be required. Other forms of tendonitis such as peroneal, posterior tibial and anterior tibial tendonitis are common especially when you are walking through rocky terrain. If you are prone to ankle sprains, it is highly encouraged that you wear an ankle brace during your activities.

Foot stress fractures can develop during a hike. If you have not slowly introduced your body to hiking conditions, you may be prone to stress fractures. Signs and symptoms of metatarsal stress fractures include, swelling, pain and at times redness along the top of the mid arch area. Heel stress fracture symptoms are consistent with progressive heel pain during activity, swelling at times and pain with side to side compression of the heel. If you suspect that you may have a stress fracture, seek medical attention as soon as you can get off trail. Do not risk developing a displaced fracture by fighting through the pain.

Plantar Fasciitis is one of the more common foot problems that can present itself during a long hike. Symptoms are arch and heel pain that is present after rest and after long periods of standing and walking. The plantar fascia can also become strained. A strained plantar fascia will feel like burning and stretching in the area of the foot arch. “It is recommended to be evaluated for custom molded foot orthotics if you have had any issues with arch and/or heel pain”, states Dr. Silvers.

Insect bites to the foot from ants, ticks, spiders and mosquitoes can be avoided with Gaiters. If you do suffer an insect bite, it is important to monitor the bite for any signs of infection.


Advanced Foot and Ankle center is a full service podiatry practice with emphasis on sports medicine.

May 25, 2018
Category: Foot Conditions
Tags: ingrown toenail  

Ingrown ToenailIs your ingrown nail a real nuisance or is it just too painful to handle anymore? Drs. Eric Silvers, Dustin Lloyd and Christopher Witt of Advanced Foot & Ankle Center in McKinney and Prosper, TX, can help you!

Ingrown toenails are when your toenails perforates skin in the corners, or sides of your feet. They may be hard, swollen, and tender in the beginning, eventually causing an infection if not taken care of immediately.

Your toes may also become:

  • Sore
  • Red
  • Infected
  • Skin may start growing over the ingrown toenail

There are several things that may lead to ingrown toenails, such as someone not trimming toenails properly, like too short, especially the big toes, wearing shoes that are too tight or short, resulting in crowded toes, repeated trauma or injury to your feet, or fungus infections. Ingrown nails may be simply heredity, or due to poor foot structure.


Treating ingrown toenails can be a simple fix. Try wearing shoes that give your toes more space to move. Your doctor may prescribe an antibiotic if there is an infection, but soaking the foot in warm and soapy water several times a day and keeping your feet clean may resolve the issue. If your ingrown toenail is causing an acute infection, the surgical removal of part of the ingrown toenail may be needed. The procedure is known as partial nail plate avulsion. Your doctor will inject your toenail with an anesthetic and cut out the ingrown section.

If you are dealing with an ingrown toenail, make sure to contact one of your foot doctors, Drs. Eric Silvers, Dustin Lloyd and Christopher Witt of Advanced Foot & Ankle Center in McKinney and Prosper, TX for help.

Foot and or Ankle pain is very common during and after pregnancy”, says Dr. Witt, a podiatrist in McKinney, TX.  “During pregnancy there are lots of changes happening to accommodate your little one that occur throughout your body”.   Dr. Witt states that the most common complaints he sees during and after pregnancy is swelling in the feet and ankles, arch pain and numbness and tingling to the foot.  “Swelling in the feet and ankles is an almost universal complaint. This occurs because your body is going through so many changes chemically that you begin to retain fluid.  Since your feet are the farthest thing from your heart and they are usually not elevated, they are likely to become swollen”. Dr. Witt adds, “Later in pregnancy, as your uterus becomes larger it can compress the large veins in the pelvis and abdomen, reducing the blood return from your legs back to the heart”.  Another common complaint he sees during and shortly after pregnancy is arch and/or heel pain. Dr. Witt states that this is also related to hormone changes. “There is a specific hormone that is released during pregnancy to relax and allow the ligaments in the pelvis to stretch easier for birth. This same hormone causes other ligaments in your body to loosen, especially in your feet.  When these ligaments stretch, your foot gets longer and puts more tension on the plantar fascia. This will cause heel and arch pain”. Lastly, Dr. Witt also sees a lot of new Moms with tingling, numbness or nerve pain to the feet. “These symptoms can occur due to an epidural or inflammation of a nerve due to structural changes that we spoke about before. Almost all foot and ankle issues that are caused during and after pregnancy can be treated conservatively.  It is important that you see us so that we can get your started on the best treatment plan before things get worse. Being pregnant is hard enough, don’t let your feet add to it”.

If you have any questions about this or any other foot and/or ankle issue, Dr. Witt would be more than happy to evaluate you.  Please call 972-542-2155 for more information.


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