Advanced Foot and Ankle Center Blog

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April 07, 2021
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Sesamoids are 2 small bones underneith your first metatarasal head. They are shapped like small jelly beans that are flattened on one side. They help the functioning of the flexor tendon and help transmit weight bearing forces to your first metatarsal head. 

If you have pain under neith your 1st metarasl head you could have a sesamoid injury. Sesamoid injuries are often associated with activities requiring increased pressure on the foot, such as tennis, basketball, running, and football. Podiatrists diagnose and treat various foot problems, including sesamoid injuries.

Types of Sesamoid Injuries

Sesamoid injuries can involve the bones, tendons, and surrounding tissue in the joint. Sesamoiditis is an injury involving inflammation of the sesamoid bones and tendons. A sesamoid fracture is an acute or chronic fracture in the sesamoid bone. Turf toe is an injury to the soft tissue surrounding the big toe joint. 

Sesamoid Injury Causes

Sesamoid injuries can be caused by landing too hard on the foot after a fall or jump. Cracks in the sesamoid bones can be caused by wear and tear on the foot over time. People with high arches are at risk for developing sesamoid injuries. Frequently wearing high heels can also be a contributing factor. 

Sesamoid Injury Symptoms

The most common symptom of a sesamoid injury is pain when you move your big toe, stand, run, jump, or walk. With a fracture, the pain will be immediate, whereas with sesamoiditis, pain may develop gradually. A sesamoid injury may be painful for weeks to months. Bruising and swelling may or may not be present.

Sesamoid Injury Diagnosis

If you think you have a sesamoid injury, see a podiatrist for proper diagnosis and treatment. Your podiatrist will ask about your symptoms, activities, and medical history and examine your foot. To diagnose your foot problem, your podiatrist may order X-rays and laboratory tests.

Sesamoid Injury Treatment

Inflammation and pain are treated with oral medications or steroid injections. A pad may be placed in your shoe to cushion the sesamoid area or offload it. Your foot may be placed in a cast and crutches may be used to take pressure off of your foot. The rehabilitation period following immobilization may include physical therapy, such as therapeutic exercises and ultrasound therapy. Your podiatrist may recommend surgery if your symptoms persist after nonsurgical treatment. 

A sesamoid injury can affect your day-to-day activities and make every day activities painful. Get relief today by scheduling an appointment with a podiatrist . Here at Advanced Foot and Ankle a podiatrist can provide all the relief you need, with relatively little expense or hassle.

Thank you


Advanced Foot and Ankle



As parents we worry about everything. Our children’s foot health can occasionally be cause for worry also. A baby’s feet will carry them throughout life, so it’s important to begin good foot care at a young age. Neglecting your child’s foot health invites problems in other parts of the body. Treating a foot condition very early in life is the best way to ensure the feet and legs develop correctly and do not affect athletic performance or cause pain or hip/knee issues later in life. Intoeing, out-toeing, and gait abnormalities can be corrected when they are detected early and can be as simple as massage and stretches, inserts and change of shoe gear. A baby’s feet are formed from soft, pliable cartilage which makes them more susceptible to deformities- but this also makes them more responsive to change.  

For Newborns alternate your baby’s position several times a day. Lying too long in one position may place unnecessary strain or pressure on the feet and legs. Alternating positions helps aid in the development of proprioception (knowing wear your limbs/body parts are in space). You can encourage exercise by allowing babies to lye uncovered so babies can kick and move their feet freely and you can do the bicycle exercise with them. Examine your baby’s feet regularly. If you detect anything unusual, contact your child’s podiatrist right away.

A note on SWADDELING: a snug swaddle can sooth a baby and calm a colicky baby, but the swaddle must be applied correctly. Ensure that the baby’s hips have free range of motion (the legs should be able to bend especially at the hips)

A child's feet grow rapidly during the first year, reaching almost half of their adult foot size. As your baby continues to grow and develop, so will the feet. It may be necessary to change shoe and sock size every few months, as tight-fitting footwear can aggravate pre-existing conditions. After your child takes their first steps, you should also carefully observe walking patterns. We want every step our children make toward adulthood to be pain-free and healthy!

Sometimes children wont just grow out of some of the foot conditions—its best to see a Podiatrist who can make that determination through physical exam and possibly xrays. Whether you have questions about your child’s foot health or suspect a problem with the development of your child’s feet, please contact our office.

Proper care at a young age is essential for healthy development.  Since many adult foot ailments develop in childhood, periodic visits to your child’s podiatrist and basic foot care can help minimize these problems later in life.

March 24, 2021
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What is a Bunion?

A bunion is a protrusion of the bone around the big toe joint. While a bunion may seem like a bump, its actually the enlargement of the joint at the base of the big toe – the metatarsophalangeal (MTP) joint. While bunions are a common foot disorder, it is not something that you should ignore as bunions can cause discomfort and become inflamed if left untreated.

What Causes Bunions?

Bunions can be hereditary and aggravated by the shoes you wear, especially high heels or shoes that don’t have enough room for your toes. Certain factors can also contribute to the development of bunions, such as if you have flat feet or low arches or if your feet pronate (when the ankles roll in towards each other during movement and cause excessive and prolonged pressure on the joints in the feet). If you are dealing with bunions, or think that you are, it’s important to seek help from a qualified podiatrist to get the care you need to relieve your pain and discomfort.

How a Podiatrist Can Help

Your podiatrist may recommend certain conservative at home steps you can take to minimize the discomfort. The first thing they may recommend is that you look at or change the kind of shoes you wear. It’s important to find shoes that are wide enough to accommodate your toes. Shoes such as high heels are likely to make the problem worse. Bunion pads can also help with your discomfort.
Severe bunion pain can restrict your mobility. Untreated bunions can continue to get worse if you don’t do something about them and can lead to other issues such as calluses and corns, or you may experience pain or redness on the site of the bunion, as well as swelling.
Other treatment options include orthotics or a combination of physical therapy and medication to relieve pressure and inflammation of the bunion. In severe cases, surgery may be needed. 

Prevention is Key

We all like to remain active, and oftentimes it is the result of this activity that can make your bunion pain worse. You should visit your podiatrist if you notice any issues so they can be caught and treated as early as possible.
Advanced Foot & Ankle

Now through the end of March 2021, we are offering a special price of $180 for laser treatment of fungal toenails which includes 3 sessions of all 10 nails!

This is $75 off our regular price!

We are also offering any patient who has already had our laser treatment 3 additional touch up sessions for $125.  


Have you noticed you, or a loved one's nails turning different color, becoming brittle, thick or unsightly?  If so than you may be suffering from nail fungus.  

At Advanced Foot and Ankle Center, we have a safe, non-painful, state of the art laser system to help.  This laser system uses specific wavelengths of light to stimulate the body's natural ability to heal by drawing water, oxygen and nutrients to the damaged areas being treated.  This then can allow the nail to grow out healthier and more natural appearing.  Our providers have treated thousands of nails with this system and are excited to provide a discount for you to improve your nails as well.  

You must call before 3/31/21 to receive this special price!

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

February 19, 2021
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Gout is a type of Arthritis that causes pain, swelling and redness in a joint.  It happens when  there is a build up of Uric Acid in the body, it then crystalizes in a joint. The most common joint being your big toe joint. It can come on gradually or all of a sudden.

Diet, Alcohol consumption, certain Medications and Family History can increase your chanced of Developing gout.

There are oral and injectable medications to treat it. There is preventive medication. For people with recurrent or severe cases there is even infusion therapies. 

Here at Advanced Foot and Ankle we see gout attacks frequently and even more frequently with seasonal change. It is best to treat your gout attack right away. 

You can get near instant relief at Advance Foot and Ankle, please call to schedule your same day appointment. 

Advanced Foot and Ankle