Advanced Foot and Ankle Center Blog

Posts for tag: Foot Doctor

Pediatric Flatfoot

What Is Pediatric Flatfoot?PedFlat03.jpg
Flatfoot is common in both children and adults. When this deformity occurs in children, it is referred to as “pediatric flatfoot.” Although there are various forms of flatfoot, they all share one characteristic – partial or total collapse of the arch.Pediatric flatfoot can be classified as symptomatic or asymptomatic. Symptomatic flatfeet exhibit symptoms such as pain and limitation of activity, while asymptomatic flatfeet show no symptoms. These classifications can assist your foot and ankle surgeon in determining an appropriate treatment plan. Flat feet can affect athletic performance as well. 

Flatfoot can be apparent at birth or it may not show up until years later. Most children with flatfoot have no symptoms, but some have one or more of the following symptoms:

-Pain, tenderness, or cramping in the foot, leg, and knee

-Outward tilting of the heel

-Awkwardness or changes in walking

-Difficulty with shoes

-Reduced energy when participating in physical activities

-Voluntary withdrawal from physical activities

-some parents describe lazy children

-asking to be carried more often


In diagnosing flatfoot, the foot and ankle surgeon examines the foot and observes how it looks when the child stands and sits. The surgeon also observes how the child walks and evaluates the range of motion of the foot. Because flatfoot is sometimes related to problems in the leg, the surgeon may also examine the knee and hip.

X-rays are often taken to determine the severity of the deformity. Sometimes additional imaging and other tests are ordered

  PedFlat01.jpg .PedFlat02.jpg

Non-surgical Treatment
If a child has no symptoms, treatment is often not required. Instead, the condition will be observed and re-evaluated periodically by the foot and ankle surgeon. The Podiatrist may recommend some at home or proffesional physical therapy exercises for prevention foot condtions. 

Custom orthotic devices may be considered for some cases of asymptomatic flatfoot.

When the child has symptoms, treatment is required. The foot and ankle surgeon may select one or more of the following non-surgical approaches:

-Activity modifications. The child needs to temporarily decrease activities that bring pain as well as avoid prolonged walking or standing.

-Orthotic devices. The foot and ankle surgeon can provide custom orthotic devices that fit inside the shoe to support the structure of the foot and improve function.

-Physical therapy. Stretching exercises, supervised by the foot and ankle surgeon or a physical therapist, provide relief in some cases of flatfoot.

-Medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to help reduce pain and inflammation, topical pain relievers may also be recommended. 

-Shoe modifications. The foot and ankle surgeon will advise you on footwear characteristics that are important for the child with flatfoot.

When Is Surgery Needed?
In some cases, surgery is necessary to relieve the symptoms and improve foot function. The surgical procedure or combination of procedures selected for your child will depend on his or her type of flatfoot and degree of deformity.

If you think your child may have flat feet contact our office for a consultation: 972-542-2155


  • Our group has called McKinney, Texas home since 1998 and have treated thousands of patients from all over Texas 
  • Drs. Silvers, Lloyd, Witt and Sgro will treat you like family.  Our providers care about your foot and ankle condition and we assure you that the care that you are provided will be personalized so that we can get you back on your feet as quickly as possible 
  • We listen to you, your foot and ankle complaints, and your expected goals of treatment.  We will tailor a treatment plan that is the best for you, your problem, your lifestyle and your goals. 
  • Trusted, experienced, ethical, skilled Doctors of Podiatric Medicine
  • Residency Trained Foot and Ankle Surgeons
  • Dr. Silvers and Dr. Lloyd are Board Certified by the American Board of Foot and Ankle Surgery
  • Dr. Lloyd and Dr. Witt are Board Certified by the American Board of Podiatric Medicine
  • We  strive to deliver the best foot and ankle care available with a skilled and gentle hand
  • Quality Boots, supports and braces. We only dispense the industry best medical equipment. At AFAC, you will not get a generic equivalent.
  • Seasoned and friendly staff
  • Expert Insurance Claims Specialists
  • On staff at several area Hospitals and Surgery Centers
  • Same Day appointments and Walk-Ins Available
March 27, 2019
Category: Foot Health
Tags: Podiatrist   Foot Doctor  

An ingrown toenail is a common problem involving a toenail growing sideways into the flesh of the toe, It can be very painful, however, there are things that you can do to ease the pain. Led by Dr. Silvers, Dr. Lloyd, and Dr. Witt, Advanced Foot and Ankle Center (offices in Ingrown ToenailProsper, TX, and McKinney, TX) offers a complete range of podiatric services to help your feet feel better. Don't take another painful step—here's how our podiatrists can help you with your ingrown toenails!

1. Antibiotics. In some cases, an ingrown toenail breaks through the skin and allows bacteria to enter the surrounding tissues next to the nail. Your podiatrist may recommend using oral or topical antibiotics in these cases.

2. Lifting the nail. Your podiatrist may lift the corner of the ingrown toenail by placing a cotton wedge, splint, or waxed dental floss under it. This separates the nail from the skin and helps the nail grow above the skin edge. At home, you will need to replace the material every day.

3. Partial nail removal. For a severe ingrown toenail, your podiatrist may trim or remove the ingrown part of the nail. Before the procedure, your doctor will numb your toe by injecting it with local anesthesia. The procedure helps to prevent the ingrown nail from returning.

4. Complete nail removal. If you have chronic pain or the infection returns, your doctor may recommend more surgery. Complete removal of the toenail is a simple procedure, and like partial removal, the toe will be numbed with local anesthesia. Your podiatrist will then use a laser, chemical, or other method to remove the nail.

Live your life without pain! Call Advanced Foot and Ankle Center at (972) 542-2155 today to schedule a consultation in McKinney or Prosper, TX. Our ingrown toenail treatments will eliminate your pain and help you reclaim your active life!