Advanced Foot and Ankle Center Blog

Soccer is one of the most strenuous sports that can be played.  It is also the most popular sport in the world.  It is becoming more and more popular in the United States, especially in the youth.  The game can consist of both contact and non-contact injuries.     According to Dr. Christopher Witt, podiatrist and foot and ankle sports medicine specialist at Advanced Foot and Ankle Center in McKinney and Prosper, “The most common types of injuries include sprains, stress fractures and tendinitis”.  Dr. Witt adds that,  “an especially common foot issue in children is calcaneal apophysitis, also known as Sever’s disease.  This condition isn’t actually a disease but inflammation of the growth plate in the heel bone.  Treatment is simple and required to improve their symptoms but kids still avoid the doctor”.   Shoes also have an important role in the sport, “too small and you can have issues with bunions, neuromas, hammer toes and calluses.  Too Big and you can have problems with your feet sliding and jamming into the shoe which can cause turf toe, injuries to the nail and other issues”, Dr. Witt states.   


Because soccer involves so much running, small injuries can linger and become a chronic, season ending issue.  “An athlete can run over 5 miles per game and if there foot is not functioning appropriately and not balanced anatomically, major pathology can develop in the feet and ankles”, Dr. Witt states,  “If you are experiencing any pain during or after a game, it is important to stop playing and be evaluated to determine your injury and your best treatment course”.  At Advanced Foot and Ankle, Dr. Witt has experience with these issues and is wanting to help you get back on the field as quick as possible and prevent issues in the future.  If you have any questions about this or any other foot or ankle issue, you can contact Dr. Witt at 972-542-2155.

February 20, 2018
Category: Foot Care

Chronic ankle instability is a condition characterized by a recurring "giving way" of the outer side of the ankle. It most often develops following an ankle sprain. When the stretched or torn ligaments do not heal properly or completely, ankle instability is often the result.

If you have chronic ankle instability, you may find it difficult to walk on uneven surfaces. Other symptoms include a repeated turning of the ankle during physical activity, tenderness and persistent discomfort and swelling.

How Can I Treat My Ankle Instability?

Treatment for an unstable ankle will depend on the degree of instability. Bracing, medication and physical therapy are all conservative treatment options that may help strengthen your weakened ankle. Often patients with ankle instability can be treated without surgery by strengthening the muscles that control the ankle joint, avoiding or limiting high impact activities and using a supportive brace to decrease the risk of recurrent ankle sprains.

In severe cases, or when conservative treatments aren’t successful, your podiatrist may recommend surgery, which involves repair or reconstruction of the damaged ligaments.

If your ankle feels unstable or if you have had recurring ankle sprains, visit your podiatrist for an evaluation. Left untreated, chronic ankle instability leads to activity restrictions, tendon complications, arthritis and continued instability. Your podiatrist can provide a recommended treatment plan based on the severity of your instability, so that you can get back to the activities you enjoy!

February 20, 2018
Category: Uncategorized
Tags: Untagged

Foot and ankle injuries are very common while playing basketball.  If you watch basketball then you have probably already seen an injury first hand.  The amount of strain and stress that is placed on your feet and ankles is extremely high with all the cutting, twisting, jumping and running throughout the game.   According to Dr. Christopher Witt, a foot and ankle sports medicine specialist at Advanced Foot and Ankle Center in McKinney and Prosper, “The most common types of injuries include sprains, fractures, ligament/tendon tears as well as achilles tendon ruptures.  Achilles ruptures are especially common in the weekend warriors who think they can still dunk and get up and down the court like they did 10 years ago”.  Dr. Witt adds, “these types of injuries almost always need surgery to repair so don’t wait around for treatment if you think you have injured the back of your ankle/leg.”  Another common basketball injury that Dr. Witt sees are fifth metatarsal fractures.  “This type of fracture occurs most commonly when you land awkwardly and twist the foot inward.  Again, this injury may need to be repaired surgically so it is imperative that you see us to ensure that your not making things worse by not having appropriate, timely treatment”.   Other common injuries that Dr. Witt treats are stress fractures, plantar fasciitis (heel pain) and subungual hematomas (bruising and blood under the toenails).  


The best ways to avoid injuries while playing basketball is proper warm up routines, taping and bracing the foot and ankle.  Dr. Witt says, “No matter how well you try to prevent an injury from occurring there is always a chance of a freak accident like landing on another players foot, diving for a loose ball or slipping on a wet spot on the court.  At Advanced Foot and Ankle, we have experience dealing with these injuries and can help you get back on the court and back in the game”.   


If you have any questions about this or any other foot or ankle issues, you can contact Dr. Witt at 972-542-2155.

February 13, 2018
Category: Foot Care
Tags: Proper Footwear  

Athletic Shoes

No matter what sport you play, the type of shoe you wear while playing your favorite game is one of your most important pieces of equipment. Choosing the most appropriate, supportive athletic shoes for your specific sport and foot structure can make a huge difference in keeping your feet healthy and comfortable while improving your performance. Serious back, knee, hip and heel pain, Achilles tendonitis, fractures and painful blisters are some of the common conditions faced by athletes wearing the wrong footwear.  

From soccer and tennis to golf and basketball, the structure of your foot and any abnormalities should be considered when selecting a proper shoe for your activity. Look for a shoe that combines flexibility, support and cushioning to absorb impact and lessen shock on the feet. Before selecting an athletic shoe, it is always recommended to consult your podiatrist for a professional evaluation of your foot type, any underlying deformities and helpful shoe buying tips.

Types of Shoes

There are unique variations in the way different athletic shoes support your feet. This means that it’s not good to play football in the same shoes you use for jogging. Your feet require different support for different activities, and not all shoes are equal to every task.

A good sports shoe should be fitted to support the foot in the position that is most natural to the movement required. For instance, a running shoe is designed to accommodate high-impact activity, while a shoe built for tennis or basketball should provide a combination of flexibility and sideways support.

Out with the Old

Like most pieces of equipment you use on the field, your athletic shoes will wear out after a period of time, and an old, worn out shoe is a common cause of sport-related injuries. If you run, track your mileage to determine when your shoes have endured too much activity. When you notice obvious wearing of the soles or you sense a lack of cushioning from the shoes, it may be time to buy a new pair.

Remember, the best pair of athletic footwear doesn’t have to be expensive to support the needs of your feet and body during a workout. There are numerous shoes available that will fit both your needs and your budget. When your feet are protected by the right footwear, you can reduce your likelihood of injury. Visit our office for an evaluation and shoe recommendations.

January 31, 2018
Category: Uncategorized
Tags: Untagged

What is Turf Toe?

Turf Toe is a common sprain type injury of the great toe joint. The injury occurs either from a sudden jamming or repetitive upward bending of the great toe joint. Turf Toe injuries have historically been linked to sports activities on artificial turf, but it can occur with a wide range of sports or other activities.

The great toe joint is where the first metatarsal (long bone behind the toes) meets the first toe bone. The joint is surrounded by a number of strong ligaments and tendons. There are also 2 small sesamoid bones at the bottom of the joint which act similar to the knee cap. The sesamoid bones act to disperse weight bearing pressure evenly across the joint as well as give the joint more stability during motion.

Severity of Turf Toe injuries can range from a stretch of the ligaments causing pin point pain to a tear of the ligaments causing severe pain and instability with motion. Initial treatment is RICE therapy (Rest, Ice, Compression, Elevation). Over the counter pain medication such as tylenol, ibuprofen, or aleve can provide pain relief.

At your visit, your foot and ankle specialist will perform a thorough history and physical exam. The range of motion and stability of the great toe joint may be tested to ascertain the severity of the injury. Xrays may be obtained to determine any other injuries such as a fracture that may be present. Depending on the severity of the injury, an MRI may be ordered to evaluate for a tear or rupture of the ligaments/tendons. Treatment may include a specialized shoe or boot, orthotic inserts, as well as activity modification. Rarely, surgery may be needed depending on the severity and any other injuries present.

If you or a family member suffered from Turf Toe injury, make an appointment with Advanced Foot and Ankle Center in Mckinney and Prosper TX! Our convenient hours and locations allow us to better serve you. Most of the time we are able to accommodate same day appointments!
(972) 542-2155

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