Advanced Foot and Ankle Center Blog
By ADVANCED FOOT AND ANKLE CENTER
October 05, 2018
Category: Foot Care
Tags: heel pain   Heel Spurs  

Have you been experiencing any heel pain or bothersome tenderness without any obvious cause? Although heel spurs themselves sometimes do not cause acute discomfort, they are frequently associated with the painful inflammation known as plantar fasciitis, a condition commonly described as feeling like a knife is wrenching through your foot. Read below for more information on the typical causes, symptoms, and treatments of heel spurs.

What is a Heel Spur?

A heel spur is often the result of overstraining foot muscles and ligaments, overstretching the plantar fascia (the thick band of tissue that connects the heel bone to the toes), and repeatedly tearing the heel bone membrane. From these actions arises a calcium deposit on the underside of the heel bone. Risk factor for developing the condition include:

  • Possessing any walking gait abnormalities

  • Regularly running or jogging on hard surfaces

  • Wearing poorly fitted or overly worn shoes

  • Wearing shoes that lack arch support

  • Being excessively overweight or obese

What are The Symptoms?

Heel spurs do not carry many symptoms by themselves. However, they are often related to other afflictions, most typically plantar fasciitis. The most common sign of this combo of conditions is a feeling of chronic pain along the bottom or back of the heel, especially during periods of walking, running, or jogging. If you are experiencing this recurring inflammation, it is a good idea to visit your local podiatrist's office and inquire about undergoing an x-ray or ultrasound examination of the foot.

What are the Treatment Options?

The solutions to heel spurs are generally centered around decreasing inflammation and avoiding re-injury. They include:

  • Applying ice on the inflammation

  • Performing stretch exercises

  • Wearing orthotic devices or shoe inserts to relieve pressure off of the spur

  • Taking anti-inflammatory medications such as ibuprofen to relieve pain

  • In extreme cases, surgery can be performed on chronically inflamed spurs

If you are dealing with symptoms of heel spurs or pain in your feet, turn to a podiatrist so that we can get you back on your feet. Don't ignore your pain.

It’s that time of year again, kids are putting down the fortnite and getting back on the field and in gym class.  We see a lot of kids and teens during this time with new onset of heel pain. It can be one or both of the heels that are involved.  The patient will usually say that the pain is worse while playing sports or during gym class. Daily activity isn’t so bad but it can hurt if they go on extended walks like at the mall.  There is usually no injury that they can remember. In almost all cases, this is called Sever’s disease or Calcaneal Apophysitis. Most do not call it Sever’s anymore because it is not a true disease.  It is an inflammation of the growth plate in the heel bone due to an imbalance of the muscles and ligaments in the leg and foot. This is a very common problem that we see and treatment is usually very simple but it must be addressed.  Do not wait and, “see if it gets better”, because it will usually not and it will linger. This is especially troublesome for athletes because it can persist all season long and severely limit their potential on the field or court. At Advanced Foot and Ankle we have experience treating this and many other foot/ankle condition.  Please call us at 972-542-2155 to be evaluated so you child can take a step in the right direction.

Have a Wonderful Day,

Dr. Witt

 

 

By ADVANCED FOOT AND ANKLE CENTER
September 21, 2018
Category: Foot Care
Tags: Bunions   Bunion Treatment  

There are many ways in which our podiatric team can help you alleviate your bunion pain.

Are you suddenly noticing some pain and discomfort around the base of your big toe, particularly when walking around or standing in place for long periods of time? Is there a hard bump jutting out near your big toe? If so, you could be dealing with a bunion, a very common footBunion Treatments deformity. Do you have a bunion? Our McKinney and Prosper, TX, podiatrists Dr. Eric Silvers, Dr. Christopher Witt and Dr. Dustin Lloyd are here to give you the answers you need and many ways to treat your symptoms.

While the bad news is that a bunion won’t go away unless you have surgery to correct it, the good news is that you can prevent symptoms from rearing their ugly head by putting some foot-friendly measures in place. The sooner you get a diagnosis from our McKinney and Prosper, TX foot doctor the sooner you can start to provide your feet with the care they need to prevent the deformity from progressing.

Tip #1: Wear the Appropriate Footwear

This is by far the most important tip you can follow if you want to give your feet the care they deserve. Shoes that are too tight, scrunch up your toes or have a heel over 2 inches will put too much pressure on the bunion and make it worse. It’s important that when you find shoes that you look for these main things:

  • Great arch support
  • Ample room in the toe box (toes should be able to wiggle and move)
  • A slight heel (again, nothing at or over 2 inches)

Tip #2: Consider Putting Orthotics in Your Shoes

So the over-the-counter shoe inserts that you can find at your local drugstore probably won’t provide you with much help for your specific condition; however, our foot doctors can create custom-made shoe inserts that are perfectly crafted to your specific foot structure to provide them with the support they need while also redistributing the weight evenly so excessive pressure isn’t put on the bunion when you walk or stand.

Tip #3: Don’t Forget to Work Out Those Feet

While we don’t mean that you should be lacing up those sneakers and taking to the running trails, we do mean that you should be performing certain therapeutic foot exercises each and every day to stretch and improve flexibility within the affected toe while also strengthening the muscles in your feet to improve the alignment. Here are some exercises you can perform at home to help ease pain and discomfort associated with your bunion.

Don’t let your bunion dictate your daily routine. Take charge and jump back into the action when you turn to our foot care specialists in McKinney and Prosper, TX. Call Advanced Foot and Ankle Center today to find the best approach for managing your bunion symptoms.

By ADVANCED FOOT AND ANKLE CENTER
September 14, 2018
Category: Foot Care
Tags: Foot Pain   Custom Orthotics  

Custom orthotics are removable shoe inserts that provide greater arch support and stability to the feet and ankles. There are different types of orthotics available depending on the issue and level of support that is needed. Basic orthotics are sold over the counter, but a custom pair designed specifically for your foot will provide optimal support and comfort.

When are Custom Orthotics Necessary?

Podiatrists typically recommend custom orthotics for people with flat feet, or very high arches. One of the most common signs that you may benefit from a pair of orthotics is heel pain (although you may also experience pain and swelling in other parts of the foot). You may also experience pain and swelling after normal and relatively low impact activities like standing or walking.

A good way to figure out if you are having pronation issues is to examine the soles of your shoes and sneakers. If the soles and insoles tend to become visibly more worn on one side, it may be a sign that your alignment is off and you are over or under pronating. A podiatrist may ask you to walk in your bare feet to observe your stride and gait (known as a gait analysis). If you experience persistent pain, swelling, or stiffness, especially after exercise or after long periods of rest, schedule an appointment with a podiatrist.

Types of Custom Orthotics

There are a few different types of custom orthotics designs available depending on your needs.

Functional (also known as rigid) orthotics are made of harder materials and are usually prescribed for pronation problems or joint issues like arthritis.

Accommodative orthotics are designed to provide more cushioning and support and are typically prescribed for problems like plantar fasciitis and bunions.

In addition to improving your gait and foot and ankle alignment, custom orthotics can help to prevent related strains and injuries and relieve back, joint, and knee pain if it is caused by issues with your arches and pronation.

By ADVANCED FOOT AND ANKLE CENTER
September 04, 2018
Category: Foot Care
Tags: Arthritis  

Arthritis is a joint condition that affects roughly 54 million American adults according to the Arthritis Foundation. It can show up in joints all around the body, including the feet and toes. When the joints of the feet are affected by inflammation, it affects a patient’s ability to move their toes, bend their feet up or down, and turn on a dime when participating in athletic activities. Learn the steps that you can take to care for arthritic feet and improve your overall foot health.

Arthritis in the Feet
Arthritic joint pain, which is usually caused by an inflammatory reaction, is most commonly felt in the big toe, ankle, and the middle part of the foot. There are many different types of arthritis conditions that could affect the feet, including psoriatic, reactive, and rheumatoid arthritis. Osteoarthritis is the most common form—it is caused by the bones rubbing together, making the joints feel stiff and painful. Patients who are overweight are more likely to struggle with arthritic feet, as are seniors. Some people have had arthritis since childhood (juvenile arthritis or JA), making them more likely to develop foot deformities like bunions and struggle with swollen joints.

Arthritis Treatments
Though arthritis isn’t a curable condition, the symptoms can be eased with treatment so that you can continue to walk, jog, exercise, and work without debilitating pain. These are some of the ways your podiatrist may treat arthritis in the feet:

  • An X-ray or other imaging test to examine the condition of the joints.
  • Physical therapy exercises to make the joints more flexible.
  • Orthotic device or shoe for better foot support.
  • Joint injections (corticosteroids).
  • NSAID drugs (anti-inflammatories).
  • Surgery to remove inflamed tissue around the joints (Arthroscopic debridement) or fuse the bones (arthrodesis).

Caring for Your Feet
Seeing a foot doctor is an important part of caring for arthritic feet. But there are also some actions you can take at home to keep your feet and joints in good condition:

  • Get rid of shoes that put too much pressure on your joints, like high heels or sneakers that don’t support the ankles.
  • Soak your feet in warm water with Epsom salt and massage your feet when relaxing.
  • Commit to doing the toe and foot exercises suggested by your podiatrist.

Treating Arthritic Feet
Arthritic feet shouldn't prevent you from carrying on with normal life and physical activities. Get help from a podiatrist as soon as you start to experience symptoms and take extra steps to care for your feet.





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