Dirty Dancing and Dancing with the Stars Jennifer Grey suffered from a painful neuroma that ultimately had to be removed.
Neuromas are essentially swollen nerves that are caused by irritation from adjacent bones (metatarsals). In active people, the neuromas can become very painful and can limit activity if not treated.
Treatment options include cortisone and sclerosing alcohol injections, nerve decompression, padding, non steroidal antiinflamatory medications, orthotics and surgery.
Dr. Silvers has been in practice for over 13 years and treats patients with neuromas on a daily basis.
Eric M. Silvers, DPM, PA is a Board Certified Foot and Ankle Specialist with Advanced Foot and Ankle Center in McKinney, Texas and Prosper, Texas
http://www.advancedfoottexas.com
972-542-2155
Showing posts with label Dallas Podiatrist. Show all posts
Showing posts with label Dallas Podiatrist. Show all posts
Tuesday, February 15, 2011
Thursday, October 29, 2009
New Website
Advanced Foot and Ankle Center, the office of Dr. Eric Silvers and Dr. Kory Williams has a new website. www.advancedfoottexas.com
Dr. Silvers and Dr. Williams are foot and ankle specialists trained to treat all foot and ankle conditions. With offices in McKinney and Prosper, Texas, we assure you that we are close by.
We serve McKinney, Propser, Frisco, Allen, Anna, Melissa, Plano, Princeton and surrounding areas.
Please visit our website and call 972-542-2155 to set up an appointment.
Eric M. Silvers, DPM, PA
Board Certified Foot and Ankle Specialist
Advanced Foot and Ankle Center
McKinney, Texas
Prosper, Texas
http://www.advancedfoottexas.com
972-542-2155
Dr. Silvers and Dr. Williams are foot and ankle specialists trained to treat all foot and ankle conditions. With offices in McKinney and Prosper, Texas, we assure you that we are close by.
We serve McKinney, Propser, Frisco, Allen, Anna, Melissa, Plano, Princeton and surrounding areas.
Please visit our website and call 972-542-2155 to set up an appointment.
Eric M. Silvers, DPM, PA
Board Certified Foot and Ankle Specialist
Advanced Foot and Ankle Center
McKinney, Texas
Prosper, Texas
http://www.advancedfoottexas.com
972-542-2155
Wednesday, February 25, 2009
Proper Diabetic Foot Care Should Not Be Overlooked
DIABETIC FOOT CARE
As podiatrists (foot and ankle specialists), Dr. Silvers & Dr. Williams see a large amount of diabetic patients at their McKinney, Texas and Prosper, Texas Office Locations. These patients are usually referred from primary care physicians or endocrinologists, or patients themselves concerned about their foot health come to our clinic. Diabetic patients have to take extra special care of their to prevent ulcerations, infections, and even amputations. Listed below are a few helpful tips for diabetics concerned with how to take proper precautions and protect their feet. Take these steps to help prevent diabetic foot complications:
1. Check your feet everyday! This is an absolute necessity. If you can’t reach your feet, have a friend or family member check your feet. If needed, put a mirror on the floor and put your foot over it to look for cuts, scraps, bruises, openings or areas of irritation. Make sure you check between your toes. Very moist areas, white areas or red areas are bad. Check for foot fungus, patchy, scaly white areas between your toes or on the bottom of the feet. Check for irritated areas with redness or swelling. Check for infection. Redness, pus and drainage are signs of infection. Look for ingrown nails.
2. Check your shoes before you put your feet in them. Small pebbles or rocks can hide in the shoe. Put your hand in first and check it before you place your foot into the shoe. Items that I have found in patient’s shoes include socks, stockings, staples, rocks, legos and even a pencil. The most common response when I pull these items out of their shoe is “How did that get in there?”
3. Don’t walk around barefoot or in sandals. Splinters and needles can be hidden in the carpet and can puncture a foot without sensation. Punctures can go unnoticed. Unprotected feet can be more damaged when bumped or hit against furniture.
4. Watch out for folds in your socks. Believe it or not, small folds in the socks can lead to ulcers and infections. Rough seams in the socks can also cause areas of irritation that may lead to skin breakdown and ulceration. Avoid cotton socks and choose synthetic blends, polypropylene, acrylic, diabetic socks or small fiber wool blends.
5. Dry off your feet after showers and dry between your toes. Increased moisture between your toes can lead to the skin breaking down. This will eventually lead to an ulcer between the toes. Ulcers between the toes are very difficult to cure.
6. Don’t be a victim of fashion. High fashion shoes usually lead to a high number of problems in the feet. Make sure the shoes are wide enough. Don’t buy shoes that are too wide or too long which can cause a lot of slipping. Pick shoes that are soft and flexible and allow for cushioning on the top and sides, but are rigid on the sole. Make sure they don’t fold in half. You may be eligible for your insurance to pay for diabetic extra-depth shoes with custom insoles. These shoes will take the pressure off your feet. Ask your doctor.
7. Check your bath water with your hand before you put your foot in it. The temperature your foot feels is much different from the temperature your hand feels when you have neuropathy. Make sure to check the temperature with your hand. This will be much more accurate than testing the water with your foot.
8. Don’t use a heating pad on your feet. This may cause burns without you realizing it. This has specifically happened to my diabetic grandfather who in result had to receive repeated wound care and eventually a skin graft to bottom of his foot.
9. Do not use medicated corn pads or any medicated pads from the local drug store. These medicated pads are usually not effective and may cause a chemical burn on the surrounding skin. Don’t use any medication on the skin unless you are instructed to do so by your podiatrist.
10. Do not cut your own toenails. If you have loss of sensation or poor blood supply, make sure you have a podiatrist trim your toenails.
11. Do not trim your own calluses or corns. As mentioned above, if you have a loss of sensation or blood supply then have your podiatrist trim your corns or calluses.
12. Lose Weight. Easier said than done, but this is one of the most important steps you can take for your overall diabetes health and foot health. Your feet are not designed to carry that extra 100 pounds, that extra 50 pounds or even that extra 20 pounds. The more pressure on your feet, the more problems you will develop.
13. Exercise. Not only will exercise help you lose weight, contribute to your health, it will also help increase the circulation in your legs and feet.
14. STOP SMOKING! This applies to everyone, but especially to diabetics. Smoking causes the blood vessels to shrink. Smoking contributes to clogging of the arteries. Smoking also makes it more difficult for the nutrients in the blood to get to the areas they are needed. Diabetes + Smoking = Disaster.
15. Visit a podiatrist regularly.
If you have diabetes and are seeking treatment and advice, please come visit Advanced Foot and Ankle. Dr. Silvers is a board certified foot and ankle specialist practicing in McKinney, Texas and Proper, Texas. He sees patients from North Dallas, McKinney, Plano, Allen, Prosper, Frisco, Melissa, Anna and Princeton, Texas. To Schedule an Appointment with Dr. Silvers, please call 972-542-2155 or visit our website at http://www.advancedfoottexas.com
Dr. Kory Williams will be joining McKinney Foot and Ankle and Advanced Foot and Ankle in July of 2009. Both Dr. Silvers and Dr. Williams strive to deliver the utmost quality foot and ankle care with a compassionate bedside manner. Our doctors have 5 years of combined foot and ankle post graduate training and over 11 years of private practice experience. Both Dr. Silvers and Dr. Williams are respected speakers in the field of Podiatric Medicine, Surgery and Practice Management. Dr. Silvers is the Past President of the Dallas County Podiatric Medical Society.
Eric M. Silvers, DPM, PA
Board Certified Foot and Ankle Specialist
Advanced Foot and Ankle Center
McKinney, Texas
Prosper, Texas
http://www.advancedfoottexas.com
972-542-2155
As podiatrists (foot and ankle specialists), Dr. Silvers & Dr. Williams see a large amount of diabetic patients at their McKinney, Texas and Prosper, Texas Office Locations. These patients are usually referred from primary care physicians or endocrinologists, or patients themselves concerned about their foot health come to our clinic. Diabetic patients have to take extra special care of their to prevent ulcerations, infections, and even amputations. Listed below are a few helpful tips for diabetics concerned with how to take proper precautions and protect their feet. Take these steps to help prevent diabetic foot complications:
1. Check your feet everyday! This is an absolute necessity. If you can’t reach your feet, have a friend or family member check your feet. If needed, put a mirror on the floor and put your foot over it to look for cuts, scraps, bruises, openings or areas of irritation. Make sure you check between your toes. Very moist areas, white areas or red areas are bad. Check for foot fungus, patchy, scaly white areas between your toes or on the bottom of the feet. Check for irritated areas with redness or swelling. Check for infection. Redness, pus and drainage are signs of infection. Look for ingrown nails.
2. Check your shoes before you put your feet in them. Small pebbles or rocks can hide in the shoe. Put your hand in first and check it before you place your foot into the shoe. Items that I have found in patient’s shoes include socks, stockings, staples, rocks, legos and even a pencil. The most common response when I pull these items out of their shoe is “How did that get in there?”
3. Don’t walk around barefoot or in sandals. Splinters and needles can be hidden in the carpet and can puncture a foot without sensation. Punctures can go unnoticed. Unprotected feet can be more damaged when bumped or hit against furniture.
4. Watch out for folds in your socks. Believe it or not, small folds in the socks can lead to ulcers and infections. Rough seams in the socks can also cause areas of irritation that may lead to skin breakdown and ulceration. Avoid cotton socks and choose synthetic blends, polypropylene, acrylic, diabetic socks or small fiber wool blends.
5. Dry off your feet after showers and dry between your toes. Increased moisture between your toes can lead to the skin breaking down. This will eventually lead to an ulcer between the toes. Ulcers between the toes are very difficult to cure.
6. Don’t be a victim of fashion. High fashion shoes usually lead to a high number of problems in the feet. Make sure the shoes are wide enough. Don’t buy shoes that are too wide or too long which can cause a lot of slipping. Pick shoes that are soft and flexible and allow for cushioning on the top and sides, but are rigid on the sole. Make sure they don’t fold in half. You may be eligible for your insurance to pay for diabetic extra-depth shoes with custom insoles. These shoes will take the pressure off your feet. Ask your doctor.
7. Check your bath water with your hand before you put your foot in it. The temperature your foot feels is much different from the temperature your hand feels when you have neuropathy. Make sure to check the temperature with your hand. This will be much more accurate than testing the water with your foot.
8. Don’t use a heating pad on your feet. This may cause burns without you realizing it. This has specifically happened to my diabetic grandfather who in result had to receive repeated wound care and eventually a skin graft to bottom of his foot.
9. Do not use medicated corn pads or any medicated pads from the local drug store. These medicated pads are usually not effective and may cause a chemical burn on the surrounding skin. Don’t use any medication on the skin unless you are instructed to do so by your podiatrist.
10. Do not cut your own toenails. If you have loss of sensation or poor blood supply, make sure you have a podiatrist trim your toenails.
11. Do not trim your own calluses or corns. As mentioned above, if you have a loss of sensation or blood supply then have your podiatrist trim your corns or calluses.
12. Lose Weight. Easier said than done, but this is one of the most important steps you can take for your overall diabetes health and foot health. Your feet are not designed to carry that extra 100 pounds, that extra 50 pounds or even that extra 20 pounds. The more pressure on your feet, the more problems you will develop.
13. Exercise. Not only will exercise help you lose weight, contribute to your health, it will also help increase the circulation in your legs and feet.
14. STOP SMOKING! This applies to everyone, but especially to diabetics. Smoking causes the blood vessels to shrink. Smoking contributes to clogging of the arteries. Smoking also makes it more difficult for the nutrients in the blood to get to the areas they are needed. Diabetes + Smoking = Disaster.
15. Visit a podiatrist regularly.
If you have diabetes and are seeking treatment and advice, please come visit Advanced Foot and Ankle. Dr. Silvers is a board certified foot and ankle specialist practicing in McKinney, Texas and Proper, Texas. He sees patients from North Dallas, McKinney, Plano, Allen, Prosper, Frisco, Melissa, Anna and Princeton, Texas. To Schedule an Appointment with Dr. Silvers, please call 972-542-2155 or visit our website at http://www.advancedfoottexas.com
Dr. Kory Williams will be joining McKinney Foot and Ankle and Advanced Foot and Ankle in July of 2009. Both Dr. Silvers and Dr. Williams strive to deliver the utmost quality foot and ankle care with a compassionate bedside manner. Our doctors have 5 years of combined foot and ankle post graduate training and over 11 years of private practice experience. Both Dr. Silvers and Dr. Williams are respected speakers in the field of Podiatric Medicine, Surgery and Practice Management. Dr. Silvers is the Past President of the Dallas County Podiatric Medical Society.
Eric M. Silvers, DPM, PA
Board Certified Foot and Ankle Specialist
Advanced Foot and Ankle Center
McKinney, Texas
Prosper, Texas
http://www.advancedfoottexas.com
972-542-2155
Thursday, January 29, 2009
McKinney Foot and Ankle Doctor Discusses Plantar Warts
Plantar Warts
A plantar wart (verruca plantaris) is a wart caused by the human papilloma virus (HPV). It is a small lesion that appears on the sole of the foot and typically resembles a cauliflower. A plantar wart may have small black specks within it that bleed when the surface is cut or shaved; these are abnormal capillaries or blood vessels feeding the wart. Though the name plantar wart describes specifically HPV infection on the sole of the foot, infection by the virus is possible anywhere on the body and common especially on the palm of the hand, where the appearance of the wart is often exactly as described above for plantar warts. Because of pressure on the sole of the foot, a layer of hard skin forms over the wart. A plantar wart may or may not be painful. It can be spread in showers, around swimming pools, by sharing shoes, etc.Plantar warts, can often be differentiated from corns by close observation of the skin lines. Feet, like hands, are covered in skin lines or "fingerprints". With plantar warts, the skin “fingerprints” go around the lesion. If the lesion is not a plantar wart, the fingerprints continue across the top layer of the skin. Plantar warts tend to be painful on with pressure from either side of the lesion rather than direct pressure. Corns tend to be painful on direct pressure rather than pressure from either side. The difference between plantar warts and warts on other parts of the body is that warts are generally outgrowth lesions, but on the bottom of the foot, they are pushed inward by the pressure of walking. Since the skin on the bottom of the foot tends to be thicker, the treatment of plantar warts is more difficult.When discussing treatments, no treatment in common use is 100% effective. Podiatrists are considered specialists in the treatment of plantar warts. Although immunization is available for the HPV and strains causing cervical cancer, there is currently no vaccination treatment for plantar warts. The treatment of warts by keratolysis involves the peeling away of dead surface skin cells with chemicals like Canthacure (canthiridin, derived from a blistering beetle) or trichloroacetic acid or salicylic acid. Cryosurgery with liquid nitrogen is a common treatment that works by producing a blister under the wart. It is painful but usually nonscarring. Lasers utilized in the operating room are also a great option. Surgical excision of the wart is a last resort option but appears to be the most definitive for recalcitrant lesions. Dr. Williams and Dr. Silvers have extensive training in using these products as well as surgical options concerning warts. Patiently waiting may be appropriate since many warts will eventually resolve due to the patient's own immune system. In many cases, the body will become naturally immune to the wart and the verrucæ will fall off, although it can be months to years before this takes place.Warts may spread, develop into clusters or fuse to become a mosaic wart. Plantar warts can be painful making it difficult to walk and run. Overaggressive treatment may lead to scarring. Others may get infected. If a wart is being treated professionally and does not seem to improve in a reasonable period of time, the growth should be excised and biopsied.Avoid walking barefoot in public areas such as showers and public changing rooms. Change shoes and socks daily. Avoid sharing shoes and socks. Avoid direct contact with warts on other parts of body. Avoid direct contact with warts on other persons.If you have a painful plantar’s wart and are seeking treatment, please come visit Advanced Foot and Ankle. Dr. Silvers is a board certified foot and ankle specialist practicing in McKinney, Texas and Proper, Texas. He sees patients from North Dallas, McKinney, Plano, Allen, Prosper, Frisco, Melissa, Anna and Princeton, Texas. To Schedule an Appointment with Dr. Silvers, please call 972-542-2155 or visit our website at http://www.advancedfoottexas.com Dr. Kory Williams will be joining McKinney Foot and Ankle and Advanced Foot and Ankle in July of 2009. Both Dr. Silvers and Dr. Williams strive to deliver the utmost quality foot and ankle care with a compassionate bedside manner. Our doctors have 5 years of combined foot and ankle post graduate training and over 11 years of private practice experience. Both Dr. Silvers and Dr. Williams are respected speakers in the field of Podiatric Medicine, Surgery and Practice Management. Dr. Silvers is the Past President of the Dallas County Podiatric Medical Society.
Eric M. Silvers, DPM, PA
Board Certified Foot and Ankle Specialist
Advanced Foot and Ankle Center
McKinney, Texas
Prosper, Texas
http://www.advancedfoottexas.com
972-542-2155
A plantar wart (verruca plantaris) is a wart caused by the human papilloma virus (HPV). It is a small lesion that appears on the sole of the foot and typically resembles a cauliflower. A plantar wart may have small black specks within it that bleed when the surface is cut or shaved; these are abnormal capillaries or blood vessels feeding the wart. Though the name plantar wart describes specifically HPV infection on the sole of the foot, infection by the virus is possible anywhere on the body and common especially on the palm of the hand, where the appearance of the wart is often exactly as described above for plantar warts. Because of pressure on the sole of the foot, a layer of hard skin forms over the wart. A plantar wart may or may not be painful. It can be spread in showers, around swimming pools, by sharing shoes, etc.Plantar warts, can often be differentiated from corns by close observation of the skin lines. Feet, like hands, are covered in skin lines or "fingerprints". With plantar warts, the skin “fingerprints” go around the lesion. If the lesion is not a plantar wart, the fingerprints continue across the top layer of the skin. Plantar warts tend to be painful on with pressure from either side of the lesion rather than direct pressure. Corns tend to be painful on direct pressure rather than pressure from either side. The difference between plantar warts and warts on other parts of the body is that warts are generally outgrowth lesions, but on the bottom of the foot, they are pushed inward by the pressure of walking. Since the skin on the bottom of the foot tends to be thicker, the treatment of plantar warts is more difficult.When discussing treatments, no treatment in common use is 100% effective. Podiatrists are considered specialists in the treatment of plantar warts. Although immunization is available for the HPV and strains causing cervical cancer, there is currently no vaccination treatment for plantar warts. The treatment of warts by keratolysis involves the peeling away of dead surface skin cells with chemicals like Canthacure (canthiridin, derived from a blistering beetle) or trichloroacetic acid or salicylic acid. Cryosurgery with liquid nitrogen is a common treatment that works by producing a blister under the wart. It is painful but usually nonscarring. Lasers utilized in the operating room are also a great option. Surgical excision of the wart is a last resort option but appears to be the most definitive for recalcitrant lesions. Dr. Williams and Dr. Silvers have extensive training in using these products as well as surgical options concerning warts. Patiently waiting may be appropriate since many warts will eventually resolve due to the patient's own immune system. In many cases, the body will become naturally immune to the wart and the verrucæ will fall off, although it can be months to years before this takes place.Warts may spread, develop into clusters or fuse to become a mosaic wart. Plantar warts can be painful making it difficult to walk and run. Overaggressive treatment may lead to scarring. Others may get infected. If a wart is being treated professionally and does not seem to improve in a reasonable period of time, the growth should be excised and biopsied.Avoid walking barefoot in public areas such as showers and public changing rooms. Change shoes and socks daily. Avoid sharing shoes and socks. Avoid direct contact with warts on other parts of body. Avoid direct contact with warts on other persons.If you have a painful plantar’s wart and are seeking treatment, please come visit Advanced Foot and Ankle. Dr. Silvers is a board certified foot and ankle specialist practicing in McKinney, Texas and Proper, Texas. He sees patients from North Dallas, McKinney, Plano, Allen, Prosper, Frisco, Melissa, Anna and Princeton, Texas. To Schedule an Appointment with Dr. Silvers, please call 972-542-2155 or visit our website at http://www.advancedfoottexas.com Dr. Kory Williams will be joining McKinney Foot and Ankle and Advanced Foot and Ankle in July of 2009. Both Dr. Silvers and Dr. Williams strive to deliver the utmost quality foot and ankle care with a compassionate bedside manner. Our doctors have 5 years of combined foot and ankle post graduate training and over 11 years of private practice experience. Both Dr. Silvers and Dr. Williams are respected speakers in the field of Podiatric Medicine, Surgery and Practice Management. Dr. Silvers is the Past President of the Dallas County Podiatric Medical Society.
Eric M. Silvers, DPM, PA
Board Certified Foot and Ankle Specialist
Advanced Foot and Ankle Center
McKinney, Texas
Prosper, Texas
http://www.advancedfoottexas.com
972-542-2155
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