Advanced Foot and Ankle Center Blog

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We know that you have options in Collin County for medical care of the foot and ankle.  If you are already a patient of our practice, we thank you.  If you are looking for medical care we would like to list a few reasons why we believe we are the best:

  • Our group has called McKinney, Texas home since 1998 and have treated thousands of patients from all over Texas. 
  • Drs. Silvers, Lloyd and Witt 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.

For a limited time, we are offering a discount on our hydrating medication, Lantiseptic.  This is a high-lanolin formula skin protectant for preventing and helping a variety of skin conditions.  It can be used to protect the skin as well as hydrate.  We have used lantiseptic with great success treating multiple types of dermatitis, pressure sores and especially dry, cracked heels.  The medication is used daily and forms an excellent barrier to soothe, moisturize and protect reddened or cracked skin. 

Right now, this product is available at either of our office locations for $7

If you have questions about this, or any other foot/ankle condition.  Please call us at 972-542-2155.

Have a Great Day, 

Advanced Foot & Ankle Team

A lot of people come into our office due to a painful condition.  One of the most common causes for pain in the lower extremity is due to inflammation along a major tendon in the lower leg called the Posterior Tibial Tendon.  This tendon courses from just below the knee, down the inside of your leg, behind your ankle and inserts into the inside/bottom of your arch. Its main function is to maintain your arch during gait.  This tendon will most likely be inflamed because of your biomechanics. If you have a flat foot, your arch collapses more than usual which will cause an abnormal strain or pull of the tendon. Eventually, the tendon will become inflamed which causes swelling and pain at the site.   As this tendon becomes weaker, your arch will become flatter which causes more pulling of the tendon. Because of this, the issue usually doesn’t go away on its own.


To diagnose you with this condition, one of our providers will obtain a thorough history and physical.  We will usually obtain X-rays to evaluate your foot structure and sometimes an MRI is needed to assess the integrity of the tendon and check for tears.   This condition usually responds well to conservative treatment options but sometimes the problem is advanced, and the tendon needs surgery to heal. These decisions are based on our exam findings, test outcomes, treatment goals and patient’s activity level.


At Advanced Foot and Ankle Center, our providers treat this condition nearly every day and have the experience needed to get your back on your feet as quick as possible.

If you have questions about this or any other foot/ankle condition, please call us at 972-542-2155.


Have a great day,

Dr. Witt


At Advanced Foot and Ankle Center, we see patients everyday that are suffering from pain due to inflammation.  Most of our patients are treated with an anti-inflammatory medication either in oral form or by injection with steroid and many people get great results with these types of treatments.  However, there are many patients that we see who cannot take oral anti-inflammatories because they have stomach issues, are taking blood thinners, have kidney or cardiac issues or other various reasons.  Another group of patients cannot receive a steroid injection due to the location of the pain because it could damage nearby anatomy or they have diabetes and it could fluctuate their blood sugars.


Because of this, we are happy to announce a new treatment available for inflammation and pain called Traumeel.  Traumeel is imported from Germany where it has been used by doctors there for years. It is a combination of 12 plant medicines and two mineral extracts.  All 14 of these medicines are micro-dosed and are intended to stimulate your body to resolve its own pain. It works by inhibiting specific chemical messengers which cause swelling, pain and inflammation.  Traumeel can be used as either a topical cream or it can be injected at the site of pain either in a joint or along a tendon. Traumeel can be used without any drug-to-drug interaction with your current medications.  


This is a great option for patients who are unable to take NSAIDs like Ibuprofen and Aleve or for patients who cannot have a steroid injection due to diabetes or location of the injection.   Traumeel’s efficacy and safety has been established in multiple clinical trials that include studies under real-life conditions and published case reports. The medication is not a narcotic and it is not addictive.  It is an excellent treatment option for patients who would like a more natural therapy as well.


If you would like to begin this treatment or have any other foot/ankle questions, please call us at 972-542-2155.  


Have a wonderful day

April 30, 2019
Category: Uncategorized
Tags: Untagged

We get a lot of patients everyday who are experiencing foot pain for one reason or another.   Some of these patients will have no injury that they can recall. It just came on without any reason or cause that they can remember.   When this happens patients will sometimes ask if they have gout. These patients usually have had a relative or friend who had a gout attack in the past which caused the unexplained pain.  Gout is a type of arthritis that develops due to a high amount of uric acid in your body. You can have a value from either your body overproducing or underexcreting the uric acid. Either way, the high uric acid content develops crystals. These crystals are very painful because they cause a lot of inflammation which results in heat, swelling and redness. The joint is so painful that even the weight of the sheets on the area can be unbearable.   


The diagnosis of gout is usually made clinically after one of our providers performs a history and physical examination.  We will usually obtain X-rays to see if there have been any bony changes to the joint from the crystals and order a blood test to check your uric acid levels. There are multiple treatment options for gout including cortisone injections into the affected joint and a variety of oral medication.  The best treatment option will be presented to you based on your medical history, current medications, allergies, etc.


At Advanced Foot and Ankle Center, our providers are also some of the only physicians in the DFW area who prescribe IV medication that removes gout crystals from your body. If you have questions about this or any other foot/ankle issue, please call us at 972-542-2155 for more information.  


Have a Wonderful Day,

Dr. Witt