Advanced Foot and Ankle Center Blog

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For the month of January and February, we are offering a special price of $150 for laser treatment of fungal toenails which includes 3 sessions for all 10 nails!  This is $75 off our regular price.   We are also offering any patient who has already had our laser treatment 3 additional touch up sessions for $100.  

Have your noticed you, or a loved onces nails turning different color, becoming brittle, thick or unsightly?  If so, than you may be suffering from nail fungus.  At Advanced Foot and Ankle Center, we have a safe, non-painful, state of the art laser systym to help.  This laser system used specific wavelengths of light to stimulate the body's natural ability to heal by drawing water, oxygen and nutrients to the damaged area being treated.  This then allows the nail to grow out healthier and more natural appearing.  Our providers have treated thousands of nails with the system and are excited to provide a discount for you to improve your nails as well.  

If you have questions about this offer, or any other foot/ankle condition, please call our office at 972-542-2155


Many people come in the office experiencing pain along the outside of the foot and ankle.  This pain that patients describe could have started after an injury or it could be chronic and slowly getting worse.  Many times, this pain is due to inflammation from tendons on the outside of your leg called the peroneal tendons.

The anatomy of the tendons are important to understand why you could be experiencing  your symptoms.  The peroneal tendons start on the outside of the leg, just below the knee.  They course together down the leg, behind the back of the ankle bone and along the outside of the foot.  One of the tendons, called the peroneus brevis then attaches to the base of the 5th metatarsal (that bump you can see on the outside middle portion of your foot) and the other courses along the bottom of your foot in the deep arch and attaches to the bottom inside of your foot.  These tendons work together with every step to help your foot evert, or turn the foot out during gait. 

If you sprain your ankle or foot, the majority of the time the ankle and foot turn inside relative to the body.  When this happens, these tendons are forcibly stretched and can form small tears within the tendon.  These tears may not heal correctly so they fill in with scar tissue and become chronically painful.   For people who have pain but have not had an injury, it is usually do to the biomechanics of your feet.  Your foot may naturally be slightly inverted or turned to the inside and so this puts a gentle strain on these tendons.  Now imagine those tendons getting over stretched with every step, thousands and thousands of steps every day.  This then accumulates and causes pathology in the tendon.

Treatment begins with a thorough history and physical exam by one of the podiatrist at Advanced Foot and Ankle.  We will usually take X-rays to ensure that there is no bony problem as well.   After you have been diagnosed with peroneal pathology, there are many ways to improve your pain and symptoms beginning conservatively.  Some people will still have pain after conservative options and may need to have the tendon repaired surgically. 

At Advanced Foot and Ankle our providers have experience dealing with these issues and are here to help you.  If you have questions about this or any other foot/ankle issue, please call us at 972-542-2155 to be evaluated. 

Have a Wonderful Day,


Dr. Witt

Rheumatoid arthritis (RA) is an autoimmune disorder which means your body is attacking itself.  More than 90% of patients with RA will develop some type of symptom from the disease in the joints of the foot and ankle.  This occurs because the cartilage and the soft tissue lining surrounding the joints becomes thickened and inflamed.   After time, this can then alter the joint and cause the bones to be deformed around the joint.   In the foot this can manifest itself by causing a deformity such as hammertoes, bunions, overlapping toes, bone spurs, calluses, collapsing of your arch and of course pain.  You can also begin to develop soft tissue masses called rheumatoid nodules.  These are hard, rubbery lumps that usually develop near a pressure point. 

There is no cure for RA but with the right team approach, the disease is manageable.  This includes help from your primary care physician, your rheumatologist and of course your podiatrist.    Treatment of foot and ankle complications from RA usually begins conservative with anti-inflammatory medications, shoe gear changes, custom orthotics, custom braces, physical therapy and cortisone injections.  In the later stage of the disease, these options are not always appropriate and surgery may be needed to help reduce a deformity that RA has caused.

At Advanced Foot & Ankle Center, our providers have experience with both conservative and surgical treatment of RA in the foot and ankle.  If you have a question about this or any other foot/ankle disorder, please call us at 972-542-2155 to be evaluated. 

Have a wonderful day,

Dr. Witt

  1. Check your feet every day.  If you cannot see the bottoms of your feet, use a mirror or have someone else check your feet.
  2. Do not walk barefoot or only in socks.  There are all kinds of things on your floors and carpet that may have fallen that you could step on and cut yourself with.  This is especially important for diabetics with nerve damage (neuropathy) and may not feel the pain from the object.
  3. Keep good control of your blood sugars.  This will help prevent or slow the progression of your neuropathy and help you heal faster if you do have a wound. 
  4. Be sure to trim your toenails straight across and leave them just a little longer.  This will usually prevent ingrown toenails. 
  5. Wear supportive shoes that aren’t worn out.
  6. If you notice any changes to your skin, including a sore, increased redness, swelling, pain, warmth or other worsening conditions, it is important to see your podiatrist or seek medical attention to be evaluated. 
  7. See your podiatrist regularly for check ups to prevent foot issues. 

It’s that time of year again, kids are putting down the fortnite and getting back on the field and in gym class.  We see a lot of kids and teens during this time with new onset of heel pain. It can be one or both of the heels that are involved.  The patient will usually say that the pain is worse while playing sports or during gym class. Daily activity isn’t so bad but it can hurt if they go on extended walks like at the mall.  There is usually no injury that they can remember. In almost all cases, this is called Sever’s disease or Calcaneal Apophysitis. Most do not call it Sever’s anymore because it is not a true disease.  It is an inflammation of the growth plate in the heel bone due to an imbalance of the muscles and ligaments in the leg and foot. This is a very common problem that we see and treatment is usually very simple but it must be addressed.  Do not wait and, “see if it gets better”, because it will usually not and it will linger. This is especially troublesome for athletes because it can persist all season long and severely limit their potential on the field or court. At Advanced Foot and Ankle we have experience treating this and many other foot/ankle condition.  Please call us at 972-542-2155 to be evaluated so you child can take a step in the right direction.

Have a Wonderful Day,

Dr. Witt