Advanced Foot and Ankle Center Blog

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January 18, 2018
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The Achilles tendon is the thick tendon at the back of the leg. It is the thickest tendon in the body and attaches the calf muscles to the calcaneus (heel bone). The achilles tendon’s main function is plantarflexion of the foot at the ankle joint such as with walking, running, and jumping. The three most common painful conditions affecting the achilles tendon are Achilles Tendinitis, Insertional Achilles Tendinitis, and Retrocalcaneal Bursitis/Haglund Deformity.

Achilles Tendinitis

Signs and symptoms of achilles tendinitis are pain, inflammation, and sometimes thickening of the tendon. The pain may be located at 2 different locations; at the insertion where the tendon connects to the heel bone or higher up behind the ankle. Pain is typically aggravated by weight bearing activity, running, jumping, and direct pressure.

Retrocalcaneal bursitis/Haglund’s deformity

Signs and symptoms of bursitis or Haglund’s deformity include pain, inflammation, and a painful bump to the back of the heel where the tendon inserts into the heel bone. Pain is typically aggravated by activity and direct pressure from shoe gear.


Treatment includes NSAIDs for pain and inflammation control, rest, ice, and a heel lift to decrease the stress. If the achilles tendinitis is not at the insertion and higher behind the ankle, studies have shown great results with the Alfredson eccentric exercise protocol. In more severe conditions that are not treatable or do not respond to conservative treatment then an MRI may be ordered to determine if there are any tears present in the tendon. Tears in the tendon or conditions that do not respond to conservative treatment may respond to a new treatment called amniotic injection therapy. Severe conditions may require surgical intervention.

Your foot and ankle specialist at Advanced Foot & Ankle Center in Mckinney and Prosper TX will perform a thorough history and physical exam. They will order any necessary X-rays and/or MRIs. A treatment plan will be outlined to get you back on your feet pain free as quickly as possible.

If you have achilles tendon, ankle, and/or heel pain then call us at (972) 542-2155 to schedule your appointment today!

Jan M. Veloso, DPM
(972) 542-2155

Having a foreign body in the foot is a common problem we see in the office.  Most commonly the issue is a splinter or a piece of glass.  There are many other foreign bodies that we have removed including portions of a nail, metal wiring, sea urchin spine, portion of sea shells, animal hair and dishware as well as insulin needles.  If you think you have a foreign body, avoid “digging” at it at home because you can easily push it in further and make your condition worse.  If the foreign body is deep in your foot, it can wall itself off and form an abscess that can become infected.  When you see us in the clinic for a suspected foreign body, we will perform a thorough lower extremity physical exam.  If the foreign body is superficial, we can remove it in the clinic either with or without local anesthesia.  If there is deep or multiple foreign bodies than you may need to have a procedure at a surgery center under anesthesia to safely remove the pieces.  We will also prescribe appropriate antibiotics if needed and give you bandaging instructions.   If you are experiencing this or any other foot and/or ankle issue, please call us at 972-542-2155 to be evaluated.  We have same day and walk in appointments available.

December 13, 2017
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Have you noticed a bony bump at the outside ball of your foot beneath your 5th toe?  If so, you may have a Tailor’s bunion.  This is a bony abnormality to the 5th metatarsal, the most outer long bone of your foot.  It is similar to a bunion which is on the inside of your foot. The bump can be there for several different reasons.  Usually it is caused by the 5th metatarsal either splaying too far outwart, the neck of the metatarsal bows out or the head of the 5th metatarsal is enlarged.  The bump can also be soft tissue inflammation of the bursa that is between the skin and the 5th metatarsal head.  Symptoms are usually pain, swelling, redness to the bony prominence.  To ensure this is your diagnosis, a thorough history is obtained, a lower extremity exam is performed and you will probably have X Rays obtained  to rule out any other bony pathology.  Treatment begins conservative to try to reduce pressure and pain.  This usually starts with OTC products to try to offload the area and possibly custom orthotics.  If these options fail than surgery can be done to help realign the 5th metatarsal bone and take away the prominence.  If you suffer from this condition or any other foot and/or ankle issues, please call us at 972-542-2155 for an evaluation.

There are a lot of different foot and ankle products available at your pharmacy, sporting goods store and especially the internet.  It is easy to self diagnose yourself and find products online that are “guaranteed” to help your problems.  Sometimes these products can help you but we also get a lot of patients that come in after they have tried multiple products that do not work.  We also see people whose symptoms have gotten worse after trying these items. 

Because of this, it is important to see us if you are experiencing any foot or ankle issue.  Not only will we obtain a thorough history and physical but we can also obtain X-rays in the office to accurately diagnose your pathology.  Once the diagnosis is established, we can help get you on your way to recovery with various treatment options that we have seen work for your specific condition.  You do not have to sift through reviews online hoping to make sure you’re not wasting your time and money on something that may not work.    We offer treatment options and products the office that we have seen work first hand. 

If you are experiencing foot and/or ankle issues, please call us at 972-542-2155.  

Regular foot evaluations are extremely important for diabetics.  This is because prevention is the key to avoiding complications to the feet and ankles that can be caused by diabetes.  Diabetes affects the nerves and the circulation to your feet.  Because of this, it is very important to monitor your feet and ensure that there are now new issues arising.  When you see us for diabetic foot checks there are three main categories that we are evaluating: circulation, sensation and skin problems. The pulses to the feet and the nerves are evaluated and documented in your chart.  Each has their own grading system and this ensures that no changes are occuring between your visits.  We also check and make sure there are no open lesions or prominent areas to the feet that could cause an open sore.  Things like bunions, hammertoes, bone spurs, dry skin, cracked web spaces, blisters, corns and calluses can all lead to ulcers to the feet.  If you have nerve and/or circulation problems because of your diabetes, this could lead to serious issues including infection and possible amputation.  Your physical exam findings will determine your return visit increments.  This also allows you to be established with our practice and same day appointments are available for any new or concerning problems.  Again, prevention is the key.   The Providers at Advanced Foot and Ankle Center all have extensive training related to diabetic issues with the foot and ankle.  Please give us a call at 972-542-2155 for an appointment.