Advanced Foot and Ankle Center Blog

Posts for tag: Flat Feet

November 13, 2018
Category: Foot Conditions
Tags: Flat Feet  

Flat feet can be a painful and serious foot problem. Flat feet is when a person's entire sole touches the floor when standing. This can be problematic for many individuals, which is why your McKinney and Prosper, TX, podiatrists, Dr. Eric Silvers, Dr. Christopher Witt and Dr. Dustin Lloyd are here to help!

Flat FeetFlat Feet Symptoms

Flat feet are usually painful when someone is playing sports or doing any sort of walking activity. According to the American Orthopaedic Foot & Ankle Society, older individuals may develop flat feet with time, especially mild flat feet. However, even mild flat feet are dangerous, as they can collapse into severe flat feet.

Causes and Diagnoses of Flat Feet

Symptoms of flat feet manifest during late childhood. If a toddler or young child experiences foot pain, you may need to visit your McKinney and Prosper podiatrists.

There are several causes for flat feet. They may be congenital or acquired due to tissue breaking down. Tendons, ligaments, and worn out joints may also contribute to the problem, as well as tarsal coalition, which is a separation of the foot bones.

In order to get a proper diagnosis, podiatrists use several tools and tests to assess feet—a physical examination, x-rays, and an MRI examination may be needed.

There are several treatment options, some invasive and others less invasive. Here are a few:

  • In-shoe orthotics
  • Physical therapy
  • Braces, if simple measures fail to provide relief
  • Painful flat feet that don't respond to non-operative measures may require surgery
  • Custom-molded arches in orthotics, usually made to relieve pain and provide support
  • Shoe inserts to walk comfortably


If you have any questions or concerns about flat feet, you should contact your McKinney and Prosper, TX, podiatrists, Dr. Eric Silvers, Dr. Christopher Witt and Dr. Dustin Lloyd at (972) 542-2155. They have the expertise to help figure out and treat your foot issue.

What are Shin Splints?

Shin splints is a phrase used to describe multiple issues causing pain in the front part of the lower leg primarily when exercising.  All the conditions it describes are similar however not identical in treatment.  The conditions can include: stress fracture of the tibia, exercise-induced compartment syndrome, muscle, ligament, or tendon injury and periostitis.  Most commonly this condition is seen in runners.

What are the causes of Shin Splints?

Many times the causes of shin splints can be a biomechanical issue.  This means that the way your body is moving is placing extra stress on the lower leg causing the pain.  Overpronation is one of the most common causes of shin splints.  This is when the foot rolls inward causing the arch to flatten when we are walking or running.  This rolling movement of the foot causes rotation through the shin bone increasing the stresses and tension on the bone and muscles that attach to it.  Tight calf muscles or equinus also may cause these movement patterns creating extra stresses on the shin bone and the muscles that attach to it.  Other biomechanical issues that may cause shin splints include, weak hip muscles.  This is especially seen in female runners.  Stress fractures of the shin bone can occur with repetitive stress on the bone especially if running on hard surfaces such as concrete.  Exercise-induced compartment syndrome occurs when the muscles increase in size during exercise due to the increase in blood flow to them.  Each group of muscles is wrapped in a saran wrap like layer of tissue and if they increase too much in size they can actually cause loss of blood flow to the area causing pain and sometimes numbness.

Do shin splints need to be seen by a doctor?

The shin is very susceptible to injury especially in active individuals.  Shin splints may start out more as a nuisance however, if the cause of your pain is not properly addressed it can become progressive and very painful.  Many times if the biomechanical problems are not addressed the condition will require you to stop participation in your activities in order to improve.

How do you treat shin splints?

Many times shin splint require only conservative treatments.  It is important for a biomechanical exam to be performed by your Podiatrist to evaluate your gait and leg mechanics.  Orthotic therapy, if indicated, allows custom devices to be placed in the shoes to help prevent overpronation and thus prevent the inward rolling of the foot which may be causing the shin splints.  Temporary taping of the foot or ankle in the early stages can improve symptoms.  Icing the area after activity also can improve inflammation.  Prescription anti-inflammatory medications can improve the pain.  Rest and elevation of the leg.  Changing shoe gear to more appropriate shoes for your specific activity and foot type.  Changing activity and cross training can prevent the pounding stresses on the shin.

The doctors at Advanced Foot and Ankle Center are well trained and experienced in treating shin splints and evaluating the possible biomechanical problems that can cause shin splints.  Please call today for an appointment.


Eric M. Silvers, DPM
Dustin M. Lloyd, DPM

Christopher S. WItt, DPM

July 18, 2016
Category: Foot Care
Tags: Flat Feet  

Flat FeetThe arch structure of our feet determines how we walk, which means our arches need to be both sturdy and flexible in order to adjust to different walking surfaces. For most people, their feet have a curve or an arch at the bottom that provides flexibility and shock absorption. But for the five percent of adults in the U.S. with flat feet, also known as fallen arches, the arches of their feet are either partially or completely collapsed.

One common type of flatfoot is adult-acquired flatfoot. It is caused by overstretching the tendon that supports the arch. Flexible flatfoot is also common and occurs when the foot is flat when standing, but returns to a normal arch in non-weight-bearing positions.

Factors that increase your risk of flat feet include:

  • Excess weight
  • Age
  • Injury to your foot or ankle
  • Rheumatoid Arthritis
  • Pregnancy

When to See Your Podiatrist

Most adults with a fallen arch experience little to no pain. For these patients, treatment is rarely necessary. Painful flatfoot, however, may be the sign of a congenital abnormality or an injury to the muscles and tendons of the foot. Pain can be severe, making it difficult to walk, wear shoes and perform simple everyday tasks. More than achy feet, flatfoot can also lead to other, more serious problems and pain for your ankles, knees, back and hips.

Common symptoms associated with flat feet Include:

  • Swelling along the inside of the ankle
  • Feet that tire easily or ache after standing for an extended period of time
  • A lack of mobility in your foot and difficulty standing on your toes
  • Sore, swollen feet; especially in the heel or arch of your foot

Steps Away from Flat Foot Pain Relief

If you are experiencing pain caused by flat feet, visit our practice for an evaluation. We can identify the cause of your pain and recommend the best treatments for your type of arch.

Talk with your podiatrist about the following treatment options:

  • Shoe inserts/ Orthotics
  • Shoe modifications
  • Rest and ice
  • Stretching exercises
  • Non-steroidal anti-inflammatory medications
  • Surgery

Whether you were born with flat feet or you acquired fallen arches over time, if your flat feet are causing you pain or interfering with your day to day activities, visit our practice. We can work with you to determine the best treatment options to eliminate the pain, improve your mobility and get you back to the activities you love.