Advanced Foot and Ankle Center Blog

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Today we would like to showcase a product that can be especially useful now that the weather has warmed up and we are getting more active.  This product is called On Your Toes.  This is a bactericidal powder that is applied to your feet and inside your shoes for 3 days.  That’s it.  The powder then stops the embarrassing foot odor for 6 months which is backed by a manufacturer moneyback guarantee.   One container of On Your Toes will treat 6 pairs of shoes or 3 pairs of sneakers.  This product has been in use for over 25 years and our providers have had great results with kids and adults.   This product is available at our McKinney and Prosper office. Please call us at 972-542-2155 if you have questions about this or any other foot/ankle condition. 

Have a great day,

Dr. Witt 

Wounds on the feet and ankles can be disastrous for diabetics.  This is because diabetes can affect your skin, your sensation and your circulation.  When these three components aren’t functioning properly wounds can turn south quickly. 

For example, say that you stepped on a tack while walking barefoot at home.  Most people would immediately know that they just stepped on something sharp.  Some diabetics though have peripheral neuropathy which means they can have numbness in their feet.  These patients wouldn’t know that they stepped on anything.   This patient also has poor circulation so now that little puncture site isn’t going to heal quickly.    This patient goes about their day and week not knowing that any issues are developing because they don’t look at the bottom of their feet.  Eventually, that little hole gets deeper and deeper and infection develops.  The patient now knows something is going wrong because of either a foul odor, they see drainage on their sock, or they feel sick from the infection.  This is usually when they report to their primary care doctor, ER, urgent care or their Podiatrist.  If the infection in the foot is bad enough, it can spread through the blood stream and cause blood infection, organ failure and even death.  Heavy IV antibiotics are administered, and surgery is performed to excise the dead, infected tissue and bone.  This is why it is so important to make sure you are performing your daily foot checks at home, never walking barefoot and keeping tight control of your blood sugars. 

At Advanced Foot and Ankle Center, our providers have seen and treated these types of wounds and it’s our goal is to prevent these from ever occurring. 

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

Thank you and have a wonderful day.

Dr. Witt

At Advanced Foot and Ankle Center, we see all kinds of foot and ankle issues starting from the tips of the toes and going all the way up the leg and everything in between.   One common complaint that we hear is a lump or knot on the bottom of the arch.   Some people have pain and some don't.  Sometimes they grow and others never do.   In almost all cases, this is a plantar fibroma. 

A plantar fibroma is a benign thickening of the plantar fascia.  This is the large ligament that runs from your heel to the ball of the foot and is the main supporter of your arch.  The portion of the ligament can become thickened from trauma or repetitive pressure to the area, but the conclusive cause has not yet been identified. 

Your provider will take a thorough history and examine both your lower extremities before making the diagnosis.  Sometimes x-rays or an MRI is needed to confirm the fibroma.  Treatment for plantar fibromas starts conservatively.  This can begin with topical medications, custom shoe inserts, cortisone injections and physical therapy to try to reduce the size and pain to the area. 

If conservative options fail, the fibroma can be removed surgically in the operating room. 

At Advanced Foot and Ankle Center, our providers have had experience dealing with this issue conservatively and surgically.  If you have questions about this or any other foot and/or ankle issue.  Please call us at 972-542-2155. 

Have a wonderful day,

Dr. Witt

On average, our feet sweat the equivalent of one cup of moisture per day.  Inside warm shoes, this turns into an ideal place for bacteria and fungus to grow. This cycle of growth then leads to waste production of the organisms which cause shoe odor.  Odor is also caused by certain chemicals in your actual sweat such as ammonia and urea.


Clean Sweep works by utilizing a nanosilver formula to kill bacteria and fungus which will neutralize shoe odor and create a shield to keep your shoes microbe/fungus-free.   Clean Sweep with begin to eliminate 99.9% of odor-causing fungi and bacteria on contact. It also neutralizes those odors caused by ammonia and urea.


Clean Sweep is not like other antimicrobial products because it activates by you wearing your shoes.  As your feet begin to sweat the moisture activates the silver in Clean Sweep to kill the odor causing organisms.  Clean Sweep is also non-toxic, non-caustic, non-flammable and odorless. Clean Sweep does not emit chemicals that may be harmful to patients with allergies or other skin sensitivities.  Once your foot odor is gone, Clean Sweep will continue to provide protection against bacteria and fungus until it wears off and you notice foot odor again which is typically 4-6 months.


Clean Sweep is also excellent for patients who are actively treating nail fungus.  The antifungal properties prevent the fungus from reinfecting our nails while wearing shoes that are still harboring the fungus.  


Clean Sweep is available exclusively through a physician's office, made in the USA and offers a 100% unconditional money back guarantee.


You can visit the manufacturer’s website at:


At Advanced Foot and Ankle Center, we are happy to offer this and many other products for your foot and ankle needs.  Please call us at 972-542-2155 if you have any questions.


Have a Wonderful Day, 


Dr. Witt

February 20, 2019
Category: Uncategorized
Tags: Untagged

Nearly every day one of our patients will ask us, “Can you take a look at that nail and see if it’s fungus?”  This is usually asked because the nail is discolored, thickened, cracked or just, “ugly”.  Most of the time we can look at your nails and with good confidence diagnose fungus or not.   Other times, it may not be so straightforward.  The nail could be different in appearance for other reasons like irritation from your shoes, trauma or dermatological disorders such as psoriasis.  You may also have only one nail that is affected and all others are normal in appearance.  Because nobody is 100% right, we have testing available to check for fungus.  It is pain free and only involves us taking a clipping of the nail.  It is then sent to a lab where it is tested for fungal elements.  The results are back within 5 days on most occasions.  Based on those results, we can then tailor a treatment plan for you.   At Advanced Foot and Ankle, we have treated thousands of fungal toenails with a variety of the latest and most advanced therapies.  If you would like to be evaluated for toenail fungus or have any other foot/ankle condition, please call us at 972-542-2155. 

Thank you and have a wonderful day,

Dr. Witt