Advanced Foot and Ankle Center Blog

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



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.

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.

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.

August 16, 2018
Category: Foot Conditions
Tags: Poor Circulation  

Are you experiencing numbness, tingling, or discolorations in your feet?

Even though poor circulation isn’t a condition, if you are experiencing poor circulation in your feet this is often a symptom of a much larger issue. This is why it’s important to understand the warning signs of poor circulation and when to see a podiatrist, as many of these conditions can be serious or cause further complications to your health.

Causes of Poor Circulation

There are many reasons why someone may have poor circulation. The most common conditions include:

1. Peripheral artery disease (PAD)

This causes poor circulation in the legs due to a narrowing in the arteries and blood vessels. Over time this condition can cause damage to nerves or tissue. While this condition can occur in younger people, particularly smokers, it’s more common for people over 50 years old to develop PAD.

2. Blood Clots

A blood clot causes a block or restriction in blood flow and can develop anywhere in the body. The most common places for a blood clot include the arms or the legs, which can lead to symptoms of poor circulation. In some cases, a blood clot can cause serious complications such as a stroke.

3. Diabetes

While this condition does affect blood sugar levels, it is also known to affect circulation within the body. Those with circulation issues may experience cramping in the legs that may get worse when you are active. Those with diabetic neuropathy may experience nerve damage in the legs and feet, as well as numbness or tingling.

4. Raynaud’s Disease

A less common condition, Raynaud’s disease causes chronic cold fingers and feet due to the narrowing of the arteries in the hands and toes. Since these arteries are narrow it’s more difficult for blood to flow to these areas, leading to poor circulation. Of course, you may experience these symptoms in other parts of the body besides your toes or fingers, such as your nose, ears, or lips.

Warning Signs of Poor Circulation

You may be experiencing poor circulation in your feet if you are experiencing these symptoms:

  • Numbness
  • Pain that may radiate into the limbs
  • Tingling (a “pins and needles” sensation)
  • Muscle cramping

If you are experiencing symptoms of poor circulation that don’t go away it’s best to play it safe rather than sorry and turn to a podiatric specialist who can provide a proper diagnosis and determine the best approach for improving circulation. Don’t ignore this issue.

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