Advanced Foot and Ankle Center Blog

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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.


Although not as common as upper extremity injuries, lower extremity injuries do occur quite often in baseball.  According to Dr. Witt, Podiatrist and foot and ankle sports medicine specialist at McKinney and Prosper, TX, “Injuries usually occur during base running, sliding and fielding balls”. Dr. Witt adds,” Most often in baseball, an injury will start small and gradually get worse because the player never takes time off to rest and the schedule is so grueling.  The most important aspect of treating these injuries is to stop playing through the pain. Small ligament and tendon strains can turn into complete tears if you don't seek treatment”, he adds, “You can turn a small problem into a season ending issue without proper medical care”. Another common complaint that Dr. Witt sees in the office is heel pain in kids between the age of 7-14.  “This pain is usually due to irritation and inflammation of the growth plate in the heel. This is a very treatable issue that usually does not require any medication but it will not get better without treatment”. Other common baseball injuries that Dr. Witt treats are ankle sprains, turf toe and midfoot sprains. “These injuries can hurt just as bad as fractures. It is important to get in to see us so that we can take an xray in the office and find out exactly what is going on.  Once we determine the issue, we’ll work together as a team to figure out the best way to get you back on the field and better than ever!” If you have any questions regarding this or any other foot or ankle issue, you can contact Dr. Witt at 972-542-2155.


Soccer is one of the most strenuous sports that can be played.  It is also the most popular sport in the world.  It is becoming more and more popular in the United States, especially in the youth.  The game can consist of both contact and non-contact injuries.     According to Dr. Christopher Witt, podiatrist and foot and ankle sports medicine specialist at Advanced Foot and Ankle Center in McKinney and Prosper, “The most common types of injuries include sprains, stress fractures and tendinitis”.  Dr. Witt adds that,  “an especially common foot issue in children is calcaneal apophysitis, also known as Sever’s disease.  This condition isn’t actually a disease but inflammation of the growth plate in the heel bone.  Treatment is simple and required to improve their symptoms but kids still avoid the doctor”.   Shoes also have an important role in the sport, “too small and you can have issues with bunions, neuromas, hammer toes and calluses.  Too Big and you can have problems with your feet sliding and jamming into the shoe which can cause turf toe, injuries to the nail and other issues”, Dr. Witt states.   


Because soccer involves so much running, small injuries can linger and become a chronic, season ending issue.  “An athlete can run over 5 miles per game and if there foot is not functioning appropriately and not balanced anatomically, major pathology can develop in the feet and ankles”, Dr. Witt states,  “If you are experiencing any pain during or after a game, it is important to stop playing and be evaluated to determine your injury and your best treatment course”.  At Advanced Foot and Ankle, Dr. Witt has experience with these issues and is wanting to help you get back on the field as quick as possible and prevent issues in the future.  If you have any questions about this or any other foot or ankle issue, you can contact Dr. Witt at 972-542-2155.

February 20, 2018
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Foot and ankle injuries are very common while playing basketball.  If you watch basketball then you have probably already seen an injury first hand.  The amount of strain and stress that is placed on your feet and ankles is extremely high with all the cutting, twisting, jumping and running throughout the game.   According to Dr. Christopher Witt, a foot and ankle sports medicine specialist at Advanced Foot and Ankle Center in McKinney and Prosper, “The most common types of injuries include sprains, fractures, ligament/tendon tears as well as achilles tendon ruptures.  Achilles ruptures are especially common in the weekend warriors who think they can still dunk and get up and down the court like they did 10 years ago”.  Dr. Witt adds, “these types of injuries almost always need surgery to repair so don’t wait around for treatment if you think you have injured the back of your ankle/leg.”  Another common basketball injury that Dr. Witt sees are fifth metatarsal fractures.  “This type of fracture occurs most commonly when you land awkwardly and twist the foot inward.  Again, this injury may need to be repaired surgically so it is imperative that you see us to ensure that your not making things worse by not having appropriate, timely treatment”.   Other common injuries that Dr. Witt treats are stress fractures, plantar fasciitis (heel pain) and subungual hematomas (bruising and blood under the toenails).  


The best ways to avoid injuries while playing basketball is proper warm up routines, taping and bracing the foot and ankle.  Dr. Witt says, “No matter how well you try to prevent an injury from occurring there is always a chance of a freak accident like landing on another players foot, diving for a loose ball or slipping on a wet spot on the court.  At Advanced Foot and Ankle, we have experience dealing with these injuries and can help you get back on the court and back in the game”.   


If you have any questions about this or any other foot or ankle issues, you can contact Dr. Witt at 972-542-2155.

January 31, 2018
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What is Turf Toe?

Turf Toe is a common sprain type injury of the great toe joint. The injury occurs either from a sudden jamming or repetitive upward bending of the great toe joint. Turf Toe injuries have historically been linked to sports activities on artificial turf, but it can occur with a wide range of sports or other activities.

The great toe joint is where the first metatarsal (long bone behind the toes) meets the first toe bone. The joint is surrounded by a number of strong ligaments and tendons. There are also 2 small sesamoid bones at the bottom of the joint which act similar to the knee cap. The sesamoid bones act to disperse weight bearing pressure evenly across the joint as well as give the joint more stability during motion.

Severity of Turf Toe injuries can range from a stretch of the ligaments causing pin point pain to a tear of the ligaments causing severe pain and instability with motion. Initial treatment is RICE therapy (Rest, Ice, Compression, Elevation). Over the counter pain medication such as tylenol, ibuprofen, or aleve can provide pain relief.

At your visit, your foot and ankle specialist will perform a thorough history and physical exam. The range of motion and stability of the great toe joint may be tested to ascertain the severity of the injury. Xrays may be obtained to determine any other injuries such as a fracture that may be present. Depending on the severity of the injury, an MRI may be ordered to evaluate for a tear or rupture of the ligaments/tendons. Treatment may include a specialized shoe or boot, orthotic inserts, as well as activity modification. Rarely, surgery may be needed depending on the severity and any other injuries present.

If you or a family member suffered from Turf Toe injury, make an appointment with Advanced Foot and Ankle Center in Mckinney and Prosper TX! Our convenient hours and locations allow us to better serve you. Most of the time we are able to accommodate same day appointments!
(972) 542-2155