Advanced Foot and Ankle Center Blog

There are many things that can cause pain the the ball - or Fore foot. Metatarsalgia denotes a common foot condition characterized by pain and inflammation of the joints and bones of the ball of the foot - the area just before the toes. 

Symptoms of metatarsalgia can develop suddenly, especially after an increase in exercise or high-impact activities, but normally the problems develop over time. Common symptoms of metatarsalgia include:

  • Sharp, aching or burning pain in the ball of your foot - the part of the sole just behind the toes
  • Pain that intensifies when you stand, walk or run
  • Pain that radiates from the balls of the feet into the toes
  • Numbness or tingling in the toes
  • A feeling in your feet as if you are walking with a pebble in your shoe or if your sock is balled up
  • Pain that increases when walking barefoot

Sometimes a single factor can trigger metatarsalgia. More often, multiple factors contribute to the pain, including:

  • Over-training or Over-activity. Extensive training and high-impact sports, especially running, places an abnormal amount of stress on the balls of the feet, causing irritation, inflammation and pain.
  • Other foot disorders. High arches, hammertoes, bunions, stress fractures and Morton's neuroma can all trigger metatarsalgia symptoms.
  • Poor-fitting footwear. High heels, narrow-toed shoes and shoes without adequate padding can all contribute to metatarsal problems.
  • Excess weight. Extra weight places excess pressure on your metatarsals.
  • Aging. The fat pads on the metatarsals thin out as a person ages, diminishing the ability of the metatarsal bones to protect themselves.

Although generally not serious, metatarsalgia can disrupt your day to day activities, and when left untreated can lead to additional pain in your unaffected foot, back or hips. Treatment to eliminate metatarsalgia symptoms can be as simple as resting, icing the affected area and wearing proper-fitting shoes to significantly reduce swelling and ease pain. IF these treatments aren't effective and pain persists, visit our practice for a full exam and a proper diagnosis. There can be other diagnoses that cause pain in the ball of foot. In most cases, they can be treated non-surgically.

Thank you,

Advanced Foot and Ankle


July 22, 2020
Category: Uncategorized
Tags: Untagged

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 carry out every day activities. It can also cause you to compensate elseware and end up with knee, hip or back pain. Learn the steps that you can take to care for arthritic feet and improve your overall 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 worn out 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 fee

July 14, 2020
Category: Foot Care
Tags: Bunions  
BunionsIf you’re dealing with a bunion then you know that this pain is no joke. If you’re dealing with a throbbing, aching pain at the base of your big toe then you could very well be dealing with a bunion. This problem, a common complaint among women, usually develops gradually over many years so many people don’t even realize that they have a bunion until symptoms start to appear. While a bunion will not go away without surgery, the good news is that a podiatrist is usually all you need to manage your symptoms without resorting to surgery. Here are some ways to effectively manage your bunions:
  • Take non-steroidal anti-inflammatory medication to help with pain and swelling
  • Ice the bunion for 15-20 minutes at a time, several times a day to also alleviate pain and swelling (conversely, you may choose to soak your bunion in warm water to ease symptoms)
  • Consider getting prescription orthotics (shoe inserts) to place within your shoes to take the pressure off the deformed joint and to reduce pain with walking or standing
  • Wear a night splint, which will straighten out the big toe while you sleep to reduce morning pain and stiffness
  • Only wear shoes that have a wide toe box that doesn’t put pressure on the bunion. Avoid high heels and shoes with pointed toes.
  • Perform stretching exercises every day to alleviate stiffness and to improve mobility and range of motion within the feet
  • Apply a non-medicated pad over the bunion before putting on shoes to prevent friction and the formation of a callus
Conservative treatment is typically the first course of action when treating a bunion. A patient will go through this home care plan to see if it alleviates their symptoms; however, if symptoms persist or get worse then it’s time to see your podiatrist. Your podiatrist will be able to examine the bunion to determine the severity and to create a treatment plan that will help you manage your pain.

Should I consider bunion surgery?
Most patients won’t require bunion surgery to manage their symptoms; however, if your bunion pain is severe, the deformity is large, or if conservative and nonsurgical care isn’t helping you manage your symptoms then it may be time to talk with your podiatrist about whether or not you should get bunion surgery.

Worried that you might be dealing with a bunion? Experiencing regular bunion pain? If so, a foot and ankle professional can assess the problem and provide you with a customized treatment plan to help you get your bunion pain under control.
July 06, 2020
Category: Uncategorized
Tags: injury   white   spot   toe   nail   fungus   trauma  

White toenails describes the condition of having white spots on the toenail or the entire toenail turning white. This condition has multiple causes including injury, infection, allergies and diet.

An example of an injury resulting in white toenail would be an object dropped on the toenail that causes trauma to the nail but does not cause broken blood vessels. Instead the injury produces a white spot underneath the nail. Some times it can be caused from the trauma of over-manicuring. However, the more common cause for white toe nail is a fungal infection in the outermost layer of the nail that results in a discoloration. The earlier we treat it, the more likley we will be able to rid your toe nails of it quickly. Please us call for a consultation.

Advanced Foot and Ankle


Coming soon.

Dr. Sgro is currently seeing patient in both Prosper and McKinney Locations


Dr. Sgro takes satisfaction in seeing her patients get better and stay better. Her treatment approach is centered on preventive and regenerative podiatric medicine. Dr. Sgro states, “It is with great pride and pleasure that I join Advanced foot and Ankle Center. You shouldn’t have to just live with a painful condition-there is always something that can be done to help.” Dr. Sgro also prides herself on her gentle approach with children. Dr. Sgro has been practicing in the north east for 7 years. 

Dr. Sgro completed her undergraduate studies from the State University of New York at Oneonta with a Bachelor of Science; Majoring in Biology and Minoring in Chemistry. She went on to receive her Podiatric Medical degree from Barry University School of Podiatric Medicine in Miami Shores Florida where she served as President of her class. During her podiatric education, she was awarded excellence in Orthopedics and Biomechanics.
She then completed residency at Long Island Jewish Medical Center in Long Island New York, a level I trauma center, where she served as Chief Resident. During her residency training Dr. Sgro treated a wide array of conditions including Division I athletic injuries, pediatric illnesses, traumatic injuries and chronic conditions. Dr. Sgro is extensively trained in all aspects of foot surgery, including Arthroscopic procedures, and reconstructive foot surgery. Dr. Sgro has participated in the Yucatan crippled children's project, which has been enabling children to walk for over 30 years.
After residency Dr. Sgro began practicing podiatric medicine and surgery for ProHealth Care Associates in New York City and Long Island treating both children and adults. In addition, Dr Sgro also has been working in the Northwell Comprehensive Wound Care Center treating and preventing Diabetic Ulcers. Through a clinic in Nassau University Medical Center she has been treating the underserved over the last 5 years.
Dr. Sgro is the first female podiatrist to obtain privileges in New York-Presbyterian /Weil Cornell Medical center where she worked for PALP -the Program for Advanced Limb Preservation. At this stage of her career Dr. Sgro is excited to have realized her dream moved to the great state of Texas! 
In her free time Dr. Sgro enjoys cooking, scifi movies, and spending time with her husband Ron, two young sons Bo and Samson and their dog Daisy.
We are now accepting appointments for patients that would like to see
´╗┐Dr. Melissa
Please join us in giving Dr. Sgro a warm Texas Welcome.

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