Advanced Foot and Ankle Center Blog

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Foot care is something that is important to your overall well-being and is something that is often overlooked. There are some basic guidelines you can follow in order to keep your feet healthy and feeling good.

1. Don’t ignore unusual pain. If you are feeling a  pain in your foot, it’s important you investigate it. See your podiatrist. They can help identify the source and develop a treatment plan to make sure that your feet are healthy.

2. Inspect your feet regularly. It’s easy to ignore irregularities around your feet, which is why it’s important to keep an eye on them. It’s important to be sure that there aren’t any drastic changes in color or temperature, and to make sure that your toenails aren’t too thick or discolored and that you dont have a rash.  Also be sure to pay attention to cracks or cuts in the skin, and to make sure that there aren’t any growths on your feet.

3. Keep proper foot hygiene. It’s important to wash your feet regularly, even between the toes, The soap does not just get down there on its own! Make sure that your feet totally dry before putting on socks and shoes, especially between your toes. It’s also important to regularly trim toenails. Be careful to only trim nails straight across and not into the sides or corners to avoid ingrown toenails. If you are a person with diabetes, poor circulation, or heart problems, be sure to go to your podiatrist when trimming toenails in order to avoid infection.

4. Get proper fitting shoes. When purchasing shoes, try to go later in the day when your feet are at their largest and make sure to replace worn out shoes. Make sure that the shoes you pick are the correct shoe for whatever activities you are engaging in. Also, it’s important to not wear the same pair of shoes or socks multiple days in a row.

5. Avoid walking barefoot. When walking around barefoot, your feet are more prone to injury.

6. Don’t forget your feet! When wearing sandals, it’s very important to apply sunscreen to your feet as well as the rest of your body!

Following these guidelines will help keep your feet happy and healthy, and in turn help your overall well-being!


Advanced Foot & Ankle


Spring Has Sprung!


To Celebrate Spring, we are going to raffle a FREE iRobot Smart Vacuum Cleaner!


The iRobot Roomba i3 is a smart vacuum that will help with your busy life and make spring cleaning easier than ever! Just by using your phone or even your voice, the Roomba will do all the dirty work for you! It will even find it's way back to the base to recharge when needed.




This vacuum retails for $400 but we will be giving it away with a FREE raffle! 

To enter in the FREE raffle, simply leave a review for us on the following sites: Google, Facebook or Healthgrades.

To make it even easier for you to enter, the links are available below!


Once you have left a review, your name will then go into our raffle!

The drawing will be on June 25th, 2021 so be sure to get your review in before then.


If you have any questions about this giveaway or any other foot or ankle issues, please call us at 972-542-2155!



Leave a Review HERE on Google


Leave a Review HERE on Facebook


Leave a Review HERE on Healthgrades for Dr. Silvers


Leave a Review HERE on Healthgrades for Dr. Lloyd


Leave a Review HERE on Healthgrades for Dr. Witt


Leave a Review HERE on Healthgrades for Dr. Sgro

April 07, 2021
Category: Uncategorized
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Sesamoids are 2 small bones underneith your first metatarasal head. They are shapped like small jelly beans that are flattened on one side. They help the functioning of the flexor tendon and help transmit weight bearing forces to your first metatarsal head. 

If you have pain under neith your 1st metarasl head you could have a sesamoid injury. 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.

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 or offload it. 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 every day activities painful. Get relief today by scheduling an appointment with a podiatrist . Here at Advanced Foot and Ankle a podiatrist can provide all the relief you need, with relatively little expense or hassle.

Thank you


Advanced Foot and Ankle



As parents we worry about everything. Our children’s foot health can occasionally be cause for worry also. A baby’s feet will carry them throughout life, so it’s important to begin good foot care at a young age. Neglecting your child’s foot health invites problems in other parts of the body. Treating a foot condition very early in life is the best way to ensure the feet and legs develop correctly and do not affect athletic performance or cause pain or hip/knee issues later in life. Intoeing, out-toeing, and gait abnormalities can be corrected when they are detected early and can be as simple as massage and stretches, inserts and change of shoe gear. A baby’s feet are formed from soft, pliable cartilage which makes them more susceptible to deformities- but this also makes them more responsive to change.  

For Newborns alternate your baby’s position several times a day. Lying too long in one position may place unnecessary strain or pressure on the feet and legs. Alternating positions helps aid in the development of proprioception (knowing wear your limbs/body parts are in space). You can encourage exercise by allowing babies to lye uncovered so babies can kick and move their feet freely and you can do the bicycle exercise with them. Examine your baby’s feet regularly. If you detect anything unusual, contact your child’s podiatrist right away.

A note on SWADDELING: a snug swaddle can sooth a baby and calm a colicky baby, but the swaddle must be applied correctly. Ensure that the baby’s hips have free range of motion (the legs should be able to bend especially at the hips)

A child's feet grow rapidly during the first year, reaching almost half of their adult foot size. As your baby continues to grow and develop, so will the feet. It may be necessary to change shoe and sock size every few months, as tight-fitting footwear can aggravate pre-existing conditions. After your child takes their first steps, you should also carefully observe walking patterns. We want every step our children make toward adulthood to be pain-free and healthy!

Sometimes children wont just grow out of some of the foot conditions—its best to see a Podiatrist who can make that determination through physical exam and possibly xrays. Whether you have questions about your child’s foot health or suspect a problem with the development of your child’s feet, please contact our office.

Proper care at a young age is essential for healthy development.  Since many adult foot ailments develop in childhood, periodic visits to your child’s podiatrist and basic foot care can help minimize these problems later in life.

March 24, 2021
Category: Uncategorized
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What is a Bunion?

A bunion is a protrusion of the bone around the big toe joint. While a bunion may seem like a bump, its actually the enlargement of the joint at the base of the big toe – the metatarsophalangeal (MTP) joint. While bunions are a common foot disorder, it is not something that you should ignore as bunions can cause discomfort and become inflamed if left untreated.

What Causes Bunions?

Bunions can be hereditary and aggravated by the shoes you wear, especially high heels or shoes that don’t have enough room for your toes. Certain factors can also contribute to the development of bunions, such as if you have flat feet or low arches or if your feet pronate (when the ankles roll in towards each other during movement and cause excessive and prolonged pressure on the joints in the feet). If you are dealing with bunions, or think that you are, it’s important to seek help from a qualified podiatrist to get the care you need to relieve your pain and discomfort.

How a Podiatrist Can Help

Your podiatrist may recommend certain conservative at home steps you can take to minimize the discomfort. The first thing they may recommend is that you look at or change the kind of shoes you wear. It’s important to find shoes that are wide enough to accommodate your toes. Shoes such as high heels are likely to make the problem worse. Bunion pads can also help with your discomfort.
Severe bunion pain can restrict your mobility. Untreated bunions can continue to get worse if you don’t do something about them and can lead to other issues such as calluses and corns, or you may experience pain or redness on the site of the bunion, as well as swelling.
Other treatment options include orthotics or a combination of physical therapy and medication to relieve pressure and inflammation of the bunion. In severe cases, surgery may be needed. 

Prevention is Key

We all like to remain active, and oftentimes it is the result of this activity that can make your bunion pain worse. You should visit your podiatrist if you notice any issues so they can be caught and treated as early as possible.
Advanced Foot & Ankle