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 ankle pain. Show all posts
Showing posts with label ankle pain. Show all posts
Tuesday, February 15, 2011
Wednesday, June 10, 2009
Prosper Podiatrist to Expand Office Hours
Dr. Eric M. Silvers and Dr. Kory D. Williams of Advanced Foot and Ankle will be expanding their office hours in Prosper, Texas. Both foot and ankle specialists see patients in their McKinney, Texas and Prosper, Texas locations. As surgically trained foot and ankle specialists, Dr. Silvers and Dr. Williams consider their skilled approach to foot and ankle conditions as inclusive, gentle and skilled.
Dr. Silvers and Dr. Williams will soon be offering Tuesday Morning and Wednesday morning appointments in their Prosper, Texas Location.
To schedule an appointment, call 972-542-2155 or visit out website at www.advancedfoottexas.com .
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 will soon be offering Tuesday Morning and Wednesday morning appointments in their Prosper, Texas Location.
To schedule an appointment, call 972-542-2155 or visit out website at www.advancedfoottexas.com .
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
Tuesday, March 24, 2009
McKinney Texas Foot Doctor Discussed Orthotics
Advanced Foot and Ankle Center
Eric M. Silvers, DPM, PA
4501 Medical Center Drive, Suite 300
McKinney, Texas 75069
170 N. Preston Road, Suite 30
Prosper, Texas 75078
972-542-2155
www.advancedfoottexas.com
About Custom Orthotics
What is a custom orthotic?
A custom molded foot orthotic is a custom-made three-dimensional foot brace that is inserted in your shoe to help the pain and discomfort caused by the weakness and instability and/or deformity of your foot.
Orthotics work by decreasing high-pressure areas, stabilizing foot alignment and/or cushioning the foot. They also help to stabilize your foot during the walking cycle. Orthotics will not permanently change your anatomy and will function only when you are standing or walking on them.
Orthotics commonly used to relieve symptoms of common injuries, such as plantar fasciitis, metatarsalgia, neuromas, and various foot and ankle tendon injuries, as well as helping individuals with diabetes or arthritis. Orthotics complement other treatments such as physiotherapy, stretching, icing, and massage and at time foot and ankle surgery
.
How will the orthotics feel at first?
When you first wear your orthotics, it is normal for the orthotics to feel strange; however, properly fitting orthotics should not cause any new pain, blistering or redness. If this does occur, remove the orthotics and make an appointment with your Dr. Silvers or Dr. Williams for an adjustment.
Although symptomatic relief will not occur over night, consistently wearing your orthotics for a period of time will realign your foot and allow healing to occur.
How do I take care of my orthotics?
To clean your orthotics, wash with warm water and mild soap and air dry. Do not expose them to high heat.
Are Orthotics Adjustable?
Yes, depending on the adjustment needed, it can be performed either in the office or by sending the orthotic back to the lab that fabricated the device.
Are Custom Orthotics Covered By Insurance?
Orthotic coverage does vary from insurance plan to insurance plan. Our staff will do our best to find out if orthotics are covered under your plan. Please be aware that we can only forward the coverage information to you that the insurance company gives to us. This is not a guarantee of coverage since the insurance company cannot guarantee benefits until the claim is processed. If you are concerned if your insurance company covers custom molded foot orthotics, we urge you to call your insurance company to confirm coverage or non coverage. The billing code for custom molded foot orthotics is L3000. Please feel free to always ask our staff if you have any questions or concerns. We are here to help you and our primary concern is your complete satisfaction.
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
Eric M. Silvers, DPM, PA
4501 Medical Center Drive, Suite 300
McKinney, Texas 75069
170 N. Preston Road, Suite 30
Prosper, Texas 75078
972-542-2155
www.advancedfoottexas.com
About Custom Orthotics
What is a custom orthotic?
A custom molded foot orthotic is a custom-made three-dimensional foot brace that is inserted in your shoe to help the pain and discomfort caused by the weakness and instability and/or deformity of your foot.
Orthotics work by decreasing high-pressure areas, stabilizing foot alignment and/or cushioning the foot. They also help to stabilize your foot during the walking cycle. Orthotics will not permanently change your anatomy and will function only when you are standing or walking on them.
Orthotics commonly used to relieve symptoms of common injuries, such as plantar fasciitis, metatarsalgia, neuromas, and various foot and ankle tendon injuries, as well as helping individuals with diabetes or arthritis. Orthotics complement other treatments such as physiotherapy, stretching, icing, and massage and at time foot and ankle surgery
.
How will the orthotics feel at first?
When you first wear your orthotics, it is normal for the orthotics to feel strange; however, properly fitting orthotics should not cause any new pain, blistering or redness. If this does occur, remove the orthotics and make an appointment with your Dr. Silvers or Dr. Williams for an adjustment.
Although symptomatic relief will not occur over night, consistently wearing your orthotics for a period of time will realign your foot and allow healing to occur.
How do I take care of my orthotics?
To clean your orthotics, wash with warm water and mild soap and air dry. Do not expose them to high heat.
Are Orthotics Adjustable?
Yes, depending on the adjustment needed, it can be performed either in the office or by sending the orthotic back to the lab that fabricated the device.
Are Custom Orthotics Covered By Insurance?
Orthotic coverage does vary from insurance plan to insurance plan. Our staff will do our best to find out if orthotics are covered under your plan. Please be aware that we can only forward the coverage information to you that the insurance company gives to us. This is not a guarantee of coverage since the insurance company cannot guarantee benefits until the claim is processed. If you are concerned if your insurance company covers custom molded foot orthotics, we urge you to call your insurance company to confirm coverage or non coverage. The billing code for custom molded foot orthotics is L3000. Please feel free to always ask our staff if you have any questions or concerns. We are here to help you and our primary concern is your complete satisfaction.
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
Tuesday, March 17, 2009
Achilles Tendon Pain?
Thanks for visiting our blog on this week's topic...."Achilles Tendon Problems." We hope you find it informative.
Achilles Tendon Injuries & Problems
Problems that affect the Achilles tendon include tendonitis, tendinopathy, retrocalcaneal bursitis, and tendonosis. Each of these conditions will be described and explained. These problems affect athletes most often, especially runners, basketball players, and anyone engaged in jumping sports. They are also common among both active and sedentary (inactive) middle-aged adults. These problems cause pain at the back of the calf. Severe cases may result in a rupture of the Achilles tendon.
Anatomy of the Achilles Tendon
The Achilles tendon is a strong, fibrous band that connects the calf muscle to the heel. The calf is actually formed by two muscles, the underlying soleus and the thick outer gastrocnemius. Together, they form the gastroc-soleal muscle group. When they contract, they pull on the Achilles tendon, causing your foot to point down and helping you rise on your toes. This powerful muscle group helps when you sprint, jump, or climb. Several different problems can occur that affect the Achilles tendon, some rather minor and some quite severe.
Retrocalcaneal Bursitis
A bursa is a fluid-filled sac designed to limit friction between rubbing parts. It acts like a pillow between the heel bone or calcaneus and the achilles tendon. These sacs are found in many places in the body. When a bursa becomes inflamed, the condition is called bursitis. Retrocalcaneal bursitis is an inflammation in the bursa behind the heel bone. This bursa normally limits friction where the thick fibrous Achilles tendon that runs down the back of the calf glides up and down behind the heel.
Achilles Tendinitis
A violent strain can cause trauma to the calf muscles or the Achilles tendon. Sometimes this is referred to as tendonitis. This injury can happen during a strong contraction of the muscle, as when running or sprinting. Landing on the ground after a jump can force the foot upward, also causing injury. The strain can affect different portions of the muscles or tendon. For instance, the strain may occur in the center of the muscle. Or it may happen where the muscles join the Achilles tendon.
Achilles Tendinopathy/Tendinosis
Chronic overuse may contribute to changes in the Achilles tendon as well, leading to degeneration and thickening of the tendon. Studies show there is no sign of inflammation with overuse injuries of tendons. Most experts now refer to this condition as tendinopathy or tendonosis instead of tendonitis.
Achilles Tendon Rupture
In severe cases, the force of a violent strain may even rupture the tendon. The classic example is a middle-aged weekend warrior who places too much stress on the tendon and experiences a tearing or pop of the tendon. In some instances, the rupture may be preceded by a period of tendonitis, which renders the tendon weaker than normal.
Problems with the Achilles tendon seem to occur in different ways. Initially, irritation of the outer covering of the tendon, called the paratenon, causes paratendonitis. Paratendonitis is simply inflammation around the tendon. Inflammation of the retrocalcaneal bursa may also be present with paratendonitis. Either of these conditions may be due to repeated overuse or ill-fitting shoes that rub on the tendon or bursa.
As we age, our tendons can degenerate. Degeneration means that wear and tear occurs in the tendon over time and leads to a situation where the tendon is weaker than normal. Degeneration in a tendon usually shows up as a loss of the normal arrangement of the fibers of the tendon. Tendons are made up of strands of a material called collagen. (Think of a tendon as similar to a nylon rope and the strands of collagen as the nylon strands.) Some of the individual strands of the tendon become jumbled due to the degeneration, other fibers break, and the tendon loses strength.
The healing process in the tendon causes the tendon to become thickened as scar tissue tries to repair the tendon. This process can continue to the extent that a nodule forms within the tendon. This degenerative condition without inflammation is called tendonosis. The area of tendonosis in the tendon is weaker than normal tendon. Tiny tears in the tissue around the tendon occur with overuse. The weakened, degenerative tendon sets the stage for the possibility of actual rupture of the Achilles tendon.
Retrocalcaneal bursitis usually begins with pain and irritation at the back of the heel. There may be visible redness and swelling in the area. The back of the shoe may further irritate the condition, making it difficult to tolerate shoe wear.
Achilles tendonitis usually occurs further up the leg, just above the heel bone itself. The Achilles tendon in this area may be noticeably thickened and tender to the touch. Pain is present with walking, especially when pushing off on the toes.
An Achilles tendon rupture is usually an unmistakable event. Some bystanders may report actually hearing the snap, and the victim of a rupture usually describes a sensation similar to being violently kicked in the calf. Following rupture the calf may swell, and the injured person usually can't rise on his toes.
Diagnosis
Diagnosis is almost always by clinical history and physical examination. The physical examination is used to determine where your leg hurts. We will probably move your ankle in different positions and ask you to hold your foot against the our hand pressure. By stretching the calf muscles and feeling where these muscles attach on the Achilles tendon, we can begin to locate the problem area.
We may run some simple tests if a rupture is suspected. One test involves simply feeling for a gap in the tendon where the rupture has occurred. However, swelling in the area can make it hard to feel a gap.
Another test is done with your leg positioned off the edge of the treatment table. We will squeeze your calf muscle to see if your foot bends downward. If your foot doesn't bend downward, it's highly likely that you have a ruptured Achilles tendon.
When we are unsure whether the Achilles tendon has been ruptured, an MRI scan may be necessary to confirm the diagnosis. This is seldom the case. The MRI creates images that look like slices and shows the tendons and ligaments very clearly. This test does not require any needles or special dye and is painless.
We may order an ultrasound test. An ultrasound uses high-frequency sound waves to create an image of the body's organs and structures. The image can show if an Achilles tendon has partially or completely torn. This test can also be repeated over time to see if a tear has gotten worse.
By using the MRI and ultrasound tests, we can determine if surgery is needed. For example, a small tear may mean that a patient might only need physical therapy and not surgery.
Treatment
Nonsurgical Treatment
Tendonitis/Tendinopathy
In the past, nonsurgical treatment for retrocalcaneal bursitis and Achilles tendonitis started with a combination of rest, ice, and anti-inflammatory medications such as aspirin or ibuprofen.
If there is an inflammatory process, then the condition should respond fairly quickly to drug and antiinflammatory interventions. Limiting, but not eliminating, inflammation is the new goal.
Physical therapy may be recommended for any of these tendon problems. Treatment will depend on what type of problem (tendonitis or tendinopathy/tendonosis) is present.
Your therapist will know when and how to apply cold modalities to reduce swelling and pain but still allow the healing inflammatory process. Physical therapy for chronic tendon problems may also include a special program of stretching and eccentric strengthening exercises. Your therapist will instruct you in a home care program.
Low-energy shock wave therapy has been used successfully for chronic tendinopathy. The procedure does not require anesthesia but it may take several treatment sessions. The vibration produced by the energy waves is applied to areas of tenderness while the affected foot and ankle are gently moved in all directions. Shock wave therapy works by turning off nerves responsible for pain without affecting motor function. It also stimulates soft-tissue healing by increasing blood supply to the area treated.
Tendinosis
If the problem is one of tendon tissue degeneration, healing and recovery may take longer. The injury will not respond to treatment designed to reduce inflammation. Correct treatment of tendinosis involves allowing new tendon tissue growth and improving the strength of the tendon. Rehabilitation following rupture of the tendon is quite different and is described later.
An acute injury needs rest. This can be done by limiting activities like walking on the sore leg. A small ¼ or ½ inch heel lift placed in your shoe can minimize stress by putting slack in the calf muscle and Achilles tendon. Be sure to place a similar sized lift in the other shoe to keep everything aligned. A cortisone injection is not advised for this condition, due to the increased risk of rupture of the tendon following injection.
Tendon Rupture
Nonsurgical treatment for an Achilles tendon rupture is somewhat controversial. It is clear that treatment with a cast will allow the vast majority of tendon ruptures to heal, but the incidence of rerupture is increased in those patients treated with casting for eight weeks when compared with those undergoing surgery. In addition, the strength of the healed tendon is significantly less in patients who choose cast treatment. For these reasons, we feel that Achilles tendon ruptures in nearly all patients should be surgically repaired.
Surgery
Surgical treatment for Achilles tendonitis is not usually necessary for most patients. Surgery options range from a release of the tendon to a more involved, open approach of repair.
In some cases of persistent tendonitis and tendinosis a procedure called debridement of the Achilles tendon may be suggested to help treat the problem.
This procedure is usually done through an incision on the back of the ankle near the Achilles tendon. The tendon is identified, and any inflamed tissue is removed. The tendon is then split, and the degenerative portion of the tendon is removed. The split tendon is then repaired and allowed to heal. It is unclear why, but removing the degenerative portion of the tendon seems to stimulate repair of the tendon to a more normal state.
Surgery may also be suggested if you have a ruptured Achilles tendon. Reattaching the two ends of the tendon repairs the torn Achilles tendon. This procedure is usually done through an incision on the back of the ankle near the Achilles tendon. Numerous procedures have been developed to repair the tendon, but most involve sewing the two ends of the tendon together in some fashion.
After Surgery
Traditionally, patients would be placed in a cast or brace for six to eight weeks after surgery to protect the repair and the skin incision. Crutches would be needed at first to keep from putting weight onto the foot. Complications can occur such as delayed healing, infection, and scarring. More serious problems such as tendon rupture and nerve damage can also occur.
Passive range of motion exercises during this period help patients maintain good general muscle strength and aerobic fitness. Upon removing the cast, a shoe with a fairly high heel is recommended for up to eight more weeks, at which time physical therapy begins.
Immobilizing the leg in a cast can cause joint stiffness, muscle wasting, and blood clots. To avoid these problems, surgeons may have their patients start doing motion exercises very soon after surgery. Patients wear a splint that can easily be removed to do the exercises throughout the day. A crutch or cane may be used at first to help you avoid limping.
Dr. Silvers and Dr. Williams of Advanced Foot and Ankle Center in McKinney and Prosper, Texas have 5 years combined postgraduate training in foot and ankle conditions including managing achilles tendon problems. They also have over 12 years combined private practice experience in treating all conditions of the foot and ankle.The physicians at Advanced Foot and Ankle Center in McKinney and Prosper, Texas are the providers to seek out for treatment not only for achilles tendon problems, but for all of your foot and ankle needs.Advanced Foot and Ankle Services the residents of McKinney, Allen, Plano, Frisco, Prosper, Pilot Point, Little Elm, Melissa, Anna, Celina and surrounding communities. We strive for compassionate and uncompromised foot and ankle care. Our doctors and staff will treat you like family and we respect your busy schedule. Your foot and ankle care is our top priority and we strive to deliver excellent care for all of your podiatric needs. To schedule an appointment to see Dr. Eric Silvers or Dr. Kory Williams of Advanced Foot and Ankle Center , please call us at 972-542-2155 or visit our website at http://www.advancedfoottexas.com/ . We often have same day appointments along with lunchtime, evening and early morning hours.Eric M. Silvers, DPM , PABoard Certified Foot and Ankle SpecialistAdvanced Foot and Ankle CenterMcKinney , TexasProsper, Texashttp://www.advancedfoottexas.com
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
Achilles Tendon Injuries & Problems
Problems that affect the Achilles tendon include tendonitis, tendinopathy, retrocalcaneal bursitis, and tendonosis. Each of these conditions will be described and explained. These problems affect athletes most often, especially runners, basketball players, and anyone engaged in jumping sports. They are also common among both active and sedentary (inactive) middle-aged adults. These problems cause pain at the back of the calf. Severe cases may result in a rupture of the Achilles tendon.
Anatomy of the Achilles Tendon
The Achilles tendon is a strong, fibrous band that connects the calf muscle to the heel. The calf is actually formed by two muscles, the underlying soleus and the thick outer gastrocnemius. Together, they form the gastroc-soleal muscle group. When they contract, they pull on the Achilles tendon, causing your foot to point down and helping you rise on your toes. This powerful muscle group helps when you sprint, jump, or climb. Several different problems can occur that affect the Achilles tendon, some rather minor and some quite severe.
Retrocalcaneal Bursitis
A bursa is a fluid-filled sac designed to limit friction between rubbing parts. It acts like a pillow between the heel bone or calcaneus and the achilles tendon. These sacs are found in many places in the body. When a bursa becomes inflamed, the condition is called bursitis. Retrocalcaneal bursitis is an inflammation in the bursa behind the heel bone. This bursa normally limits friction where the thick fibrous Achilles tendon that runs down the back of the calf glides up and down behind the heel.
Achilles Tendinitis
A violent strain can cause trauma to the calf muscles or the Achilles tendon. Sometimes this is referred to as tendonitis. This injury can happen during a strong contraction of the muscle, as when running or sprinting. Landing on the ground after a jump can force the foot upward, also causing injury. The strain can affect different portions of the muscles or tendon. For instance, the strain may occur in the center of the muscle. Or it may happen where the muscles join the Achilles tendon.
Achilles Tendinopathy/Tendinosis
Chronic overuse may contribute to changes in the Achilles tendon as well, leading to degeneration and thickening of the tendon. Studies show there is no sign of inflammation with overuse injuries of tendons. Most experts now refer to this condition as tendinopathy or tendonosis instead of tendonitis.
Achilles Tendon Rupture
In severe cases, the force of a violent strain may even rupture the tendon. The classic example is a middle-aged weekend warrior who places too much stress on the tendon and experiences a tearing or pop of the tendon. In some instances, the rupture may be preceded by a period of tendonitis, which renders the tendon weaker than normal.
Problems with the Achilles tendon seem to occur in different ways. Initially, irritation of the outer covering of the tendon, called the paratenon, causes paratendonitis. Paratendonitis is simply inflammation around the tendon. Inflammation of the retrocalcaneal bursa may also be present with paratendonitis. Either of these conditions may be due to repeated overuse or ill-fitting shoes that rub on the tendon or bursa.
As we age, our tendons can degenerate. Degeneration means that wear and tear occurs in the tendon over time and leads to a situation where the tendon is weaker than normal. Degeneration in a tendon usually shows up as a loss of the normal arrangement of the fibers of the tendon. Tendons are made up of strands of a material called collagen. (Think of a tendon as similar to a nylon rope and the strands of collagen as the nylon strands.) Some of the individual strands of the tendon become jumbled due to the degeneration, other fibers break, and the tendon loses strength.
The healing process in the tendon causes the tendon to become thickened as scar tissue tries to repair the tendon. This process can continue to the extent that a nodule forms within the tendon. This degenerative condition without inflammation is called tendonosis. The area of tendonosis in the tendon is weaker than normal tendon. Tiny tears in the tissue around the tendon occur with overuse. The weakened, degenerative tendon sets the stage for the possibility of actual rupture of the Achilles tendon.
Retrocalcaneal bursitis usually begins with pain and irritation at the back of the heel. There may be visible redness and swelling in the area. The back of the shoe may further irritate the condition, making it difficult to tolerate shoe wear.
Achilles tendonitis usually occurs further up the leg, just above the heel bone itself. The Achilles tendon in this area may be noticeably thickened and tender to the touch. Pain is present with walking, especially when pushing off on the toes.
An Achilles tendon rupture is usually an unmistakable event. Some bystanders may report actually hearing the snap, and the victim of a rupture usually describes a sensation similar to being violently kicked in the calf. Following rupture the calf may swell, and the injured person usually can't rise on his toes.
Diagnosis
Diagnosis is almost always by clinical history and physical examination. The physical examination is used to determine where your leg hurts. We will probably move your ankle in different positions and ask you to hold your foot against the our hand pressure. By stretching the calf muscles and feeling where these muscles attach on the Achilles tendon, we can begin to locate the problem area.
We may run some simple tests if a rupture is suspected. One test involves simply feeling for a gap in the tendon where the rupture has occurred. However, swelling in the area can make it hard to feel a gap.
Another test is done with your leg positioned off the edge of the treatment table. We will squeeze your calf muscle to see if your foot bends downward. If your foot doesn't bend downward, it's highly likely that you have a ruptured Achilles tendon.
When we are unsure whether the Achilles tendon has been ruptured, an MRI scan may be necessary to confirm the diagnosis. This is seldom the case. The MRI creates images that look like slices and shows the tendons and ligaments very clearly. This test does not require any needles or special dye and is painless.
We may order an ultrasound test. An ultrasound uses high-frequency sound waves to create an image of the body's organs and structures. The image can show if an Achilles tendon has partially or completely torn. This test can also be repeated over time to see if a tear has gotten worse.
By using the MRI and ultrasound tests, we can determine if surgery is needed. For example, a small tear may mean that a patient might only need physical therapy and not surgery.
Treatment
Nonsurgical Treatment
Tendonitis/Tendinopathy
In the past, nonsurgical treatment for retrocalcaneal bursitis and Achilles tendonitis started with a combination of rest, ice, and anti-inflammatory medications such as aspirin or ibuprofen.
If there is an inflammatory process, then the condition should respond fairly quickly to drug and antiinflammatory interventions. Limiting, but not eliminating, inflammation is the new goal.
Physical therapy may be recommended for any of these tendon problems. Treatment will depend on what type of problem (tendonitis or tendinopathy/tendonosis) is present.
Your therapist will know when and how to apply cold modalities to reduce swelling and pain but still allow the healing inflammatory process. Physical therapy for chronic tendon problems may also include a special program of stretching and eccentric strengthening exercises. Your therapist will instruct you in a home care program.
Low-energy shock wave therapy has been used successfully for chronic tendinopathy. The procedure does not require anesthesia but it may take several treatment sessions. The vibration produced by the energy waves is applied to areas of tenderness while the affected foot and ankle are gently moved in all directions. Shock wave therapy works by turning off nerves responsible for pain without affecting motor function. It also stimulates soft-tissue healing by increasing blood supply to the area treated.
Tendinosis
If the problem is one of tendon tissue degeneration, healing and recovery may take longer. The injury will not respond to treatment designed to reduce inflammation. Correct treatment of tendinosis involves allowing new tendon tissue growth and improving the strength of the tendon. Rehabilitation following rupture of the tendon is quite different and is described later.
An acute injury needs rest. This can be done by limiting activities like walking on the sore leg. A small ¼ or ½ inch heel lift placed in your shoe can minimize stress by putting slack in the calf muscle and Achilles tendon. Be sure to place a similar sized lift in the other shoe to keep everything aligned. A cortisone injection is not advised for this condition, due to the increased risk of rupture of the tendon following injection.
Tendon Rupture
Nonsurgical treatment for an Achilles tendon rupture is somewhat controversial. It is clear that treatment with a cast will allow the vast majority of tendon ruptures to heal, but the incidence of rerupture is increased in those patients treated with casting for eight weeks when compared with those undergoing surgery. In addition, the strength of the healed tendon is significantly less in patients who choose cast treatment. For these reasons, we feel that Achilles tendon ruptures in nearly all patients should be surgically repaired.
Surgery
Surgical treatment for Achilles tendonitis is not usually necessary for most patients. Surgery options range from a release of the tendon to a more involved, open approach of repair.
In some cases of persistent tendonitis and tendinosis a procedure called debridement of the Achilles tendon may be suggested to help treat the problem.
This procedure is usually done through an incision on the back of the ankle near the Achilles tendon. The tendon is identified, and any inflamed tissue is removed. The tendon is then split, and the degenerative portion of the tendon is removed. The split tendon is then repaired and allowed to heal. It is unclear why, but removing the degenerative portion of the tendon seems to stimulate repair of the tendon to a more normal state.
Surgery may also be suggested if you have a ruptured Achilles tendon. Reattaching the two ends of the tendon repairs the torn Achilles tendon. This procedure is usually done through an incision on the back of the ankle near the Achilles tendon. Numerous procedures have been developed to repair the tendon, but most involve sewing the two ends of the tendon together in some fashion.
After Surgery
Traditionally, patients would be placed in a cast or brace for six to eight weeks after surgery to protect the repair and the skin incision. Crutches would be needed at first to keep from putting weight onto the foot. Complications can occur such as delayed healing, infection, and scarring. More serious problems such as tendon rupture and nerve damage can also occur.
Passive range of motion exercises during this period help patients maintain good general muscle strength and aerobic fitness. Upon removing the cast, a shoe with a fairly high heel is recommended for up to eight more weeks, at which time physical therapy begins.
Immobilizing the leg in a cast can cause joint stiffness, muscle wasting, and blood clots. To avoid these problems, surgeons may have their patients start doing motion exercises very soon after surgery. Patients wear a splint that can easily be removed to do the exercises throughout the day. A crutch or cane may be used at first to help you avoid limping.
Dr. Silvers and Dr. Williams of Advanced Foot and Ankle Center in McKinney and Prosper, Texas have 5 years combined postgraduate training in foot and ankle conditions including managing achilles tendon problems. They also have over 12 years combined private practice experience in treating all conditions of the foot and ankle.The physicians at Advanced Foot and Ankle Center in McKinney and Prosper, Texas are the providers to seek out for treatment not only for achilles tendon problems, but for all of your foot and ankle needs.Advanced Foot and Ankle Services the residents of McKinney, Allen, Plano, Frisco, Prosper, Pilot Point, Little Elm, Melissa, Anna, Celina and surrounding communities. We strive for compassionate and uncompromised foot and ankle care. Our doctors and staff will treat you like family and we respect your busy schedule. Your foot and ankle care is our top priority and we strive to deliver excellent care for all of your podiatric needs. To schedule an appointment to see Dr. Eric Silvers or Dr. Kory Williams of Advanced Foot and Ankle Center , please call us at 972-542-2155 or visit our website at http://www.advancedfoottexas.com/ . We often have same day appointments along with lunchtime, evening and early morning hours.Eric M. Silvers, DPM , PABoard Certified Foot and Ankle SpecialistAdvanced Foot and Ankle CenterMcKinney , TexasProsper, Texashttp://www.advancedfoottexas.com
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 4, 2009
McKinney Foot Doctor Discusses Bunions
Bunion Deformities
Bunions are caused by your big toe joints becoming incorrectly aligned. This causes the first joint on your big toe to slant outward and the second joint then angles toward your other toes. Your joints then begin to swell. It causes a bump of bone on the foot that can become very painful if left untreated. Bunions are hereditary in nature and often grow in size as years pass. Treatment options vary from padding and changing shoe wear to surgical procedures to straighten the toe and eliminate the bump. Most surgical procedures are performed on an outpatient basis at a surgery center or a hospital. Recovery from the surgical bunionectomy depends on the age of the patient and the type of procedure performed. Most patients are back into closed toed shoegear in 6 weeks. Dr. Eric Silvers practices at McKinney Foot and Ankle Center in McKinney, Texas and Advanced Foot and Ankle Center in Prosper, Texas. Visit our website at www.advancedfoottexas.com. Our office phone number is 972-542-2155. Same day appointments are available.
TAILOR'S BUNIONS
If you have a painful bump on the outside of your foot close to your 5th toe, you may have what we call a Tailor's bunion. It is very similar to regular bunion by your great toe joint but on the opposite side of the foot. It can become very painful with shoegear and pressure on the bone from other factors. If you have a tailor's bunion and it continues to worsen, you may develop a callus or even an ulcer at the site that eventually may become infected requiring more serious treatment. Tailor's bunions can be treated very easily by using accommodative padding techniques, orthoses, and even surgical treatment. Surgical treatment would involve removing the painful bony bump or performing a bone cut to shift the bone inward and thus decreasing the prominence of the bone. It can be performed on an outpatient basis. If you have this deformity and it is painful, please come see us.Dr. Kory Williams with Advanced Foot and Ankle is a surgically trained foot and ankle specialist. He practices with Dr. Eric Silvers and have locations in McKinney and Prosper, Texas. They can be reached at 972-542-2155 or by visiting thier website at http://www.advancedfoottexas.com/
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
Bunions are caused by your big toe joints becoming incorrectly aligned. This causes the first joint on your big toe to slant outward and the second joint then angles toward your other toes. Your joints then begin to swell. It causes a bump of bone on the foot that can become very painful if left untreated. Bunions are hereditary in nature and often grow in size as years pass. Treatment options vary from padding and changing shoe wear to surgical procedures to straighten the toe and eliminate the bump. Most surgical procedures are performed on an outpatient basis at a surgery center or a hospital. Recovery from the surgical bunionectomy depends on the age of the patient and the type of procedure performed. Most patients are back into closed toed shoegear in 6 weeks. Dr. Eric Silvers practices at McKinney Foot and Ankle Center in McKinney, Texas and Advanced Foot and Ankle Center in Prosper, Texas. Visit our website at www.advancedfoottexas.com. Our office phone number is 972-542-2155. Same day appointments are available.
TAILOR'S BUNIONS
If you have a painful bump on the outside of your foot close to your 5th toe, you may have what we call a Tailor's bunion. It is very similar to regular bunion by your great toe joint but on the opposite side of the foot. It can become very painful with shoegear and pressure on the bone from other factors. If you have a tailor's bunion and it continues to worsen, you may develop a callus or even an ulcer at the site that eventually may become infected requiring more serious treatment. Tailor's bunions can be treated very easily by using accommodative padding techniques, orthoses, and even surgical treatment. Surgical treatment would involve removing the painful bony bump or performing a bone cut to shift the bone inward and thus decreasing the prominence of the bone. It can be performed on an outpatient basis. If you have this deformity and it is painful, please come see us.Dr. Kory Williams with Advanced Foot and Ankle is a surgically trained foot and ankle specialist. He practices with Dr. Eric Silvers and have locations in McKinney and Prosper, Texas. They can be reached at 972-542-2155 or by visiting thier website at http://www.advancedfoottexas.com/
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
Tuesday, February 3, 2009
McKinney Foot Doctor Discussed Foot Stress Fractures
Fractures of the foot can be quite common, but also quite serious. There are 28 bones in each foot and considering that our feet area used day in and day out to transport us, they do get a beating. Trauma such at a fall, twist or car accident can result in an occult fracture to the foot or the ankle. These types of fractures are easily diagnosed with x-rays and can be seen immediately after the injury. Treatment for occult fractures is with rest, ice, immobilization, casting, splinting, walking boots, or in some cases with surgery. The severity of the fracture and the health of the patient will dictate the treatment.Stress fractures are not as easy to diagnose and can be a frustrating foot and/or ankle problem to treat for both the physician and the patient. There are several causes of stress fractures. The most common cause is overuse of the foot. A stress fracture can be caused by a strenuous walk, jog, run or activity. Often the onset is gradual as are the physical finding of pain, swelling, redness, fever to the foot and sometimes bruising. Other causes of stress fractures can be systemic. Recurrent stress fractures of the foot, often involving the metatarsals (the long bones of the foot), can be a result of a systemic problem. Osteoporosis, softening of the bones, can lead to stress fractures of the foot or the ankle. Hyperparathyroidism (over activity of the parathyroid gland), tumors of the parathyroid gland, elevated homocysteine levels, Osteitis deformans or Pagets Disease (which is consistent with elevated alkaline phosphatase) all have been associated with recurrent foot stress fractures. Stress fractures can take 2-6 weeks before that are readily visible on x-rays. Sometimes MRI's are helpful in diagnosing stress fractures that are not seen initially on plain film x-rays. Treatment for stress fractures consists of casting, walking boots, rest, ice, elevation, compression, immobilization and sometimes surgery. If you feel that you may have a stress fracture in your foot, please call McKinney Foot and Ankle Center and we will be happy to treat you.Dr. Eric Silvers is a board certified foot and ankle specialist who practices in McKinney and Prosper, Texas. Dr. Kory Williams is a foot and ankle specialist who practices with Dr. Silvers at McKinney Foot and Ankle Center in McKinney, Texas and at Advanced Foot and Ankle Center in Prosper, Texas. Both offices serve the communities of Prosper, McKinney, Frisco, Anna, Allen, Plano, Little Elm, Melissa, Celina and Gunter, Texas.Dr. Silvers and Dr. Williams can be contact at 972-542-2155. Our office website is www.advancedfoottexas.com.
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
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
Discolored Foot Spots
Discolored Area On Foot
The foot and ankle is a very complex part of the body and mckinney and prosper podiatrists are trained to treat all problems that arise with the foot and ankle. Discolored flat or raised areas on the skin should not be overlooks. While skin cancer on the foot is rare, it is still seen in our practice. If you have noted a discolored area that you just noticed or one that has been present for a while and simply look odd, you should have it looked at by a foot and ankle specialist. Dr. Eric Silvers and Dr. Kory Williams of Advanced Foot and Ankle Center in McKinney and Prosper, Texas are trained to treat all foot and ankle problems. We often perform skin biopsy for lesions on the foot and ankle and use labs with board certified dermatopathlogists. Your biopsy will only be reviewed by a dermatopathology lab. Advanced Foot and Ankle has offices in both McKinney and Prosper, Texas and serves McKinney, Allen, Anna, Mellissa, Prosper, Celina, Anna, Frisco and North Dallas areas. Please visit our website at www.advancedfoottexas.com or call us at 972-542-2155.
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
The foot and ankle is a very complex part of the body and mckinney and prosper podiatrists are trained to treat all problems that arise with the foot and ankle. Discolored flat or raised areas on the skin should not be overlooks. While skin cancer on the foot is rare, it is still seen in our practice. If you have noted a discolored area that you just noticed or one that has been present for a while and simply look odd, you should have it looked at by a foot and ankle specialist. Dr. Eric Silvers and Dr. Kory Williams of Advanced Foot and Ankle Center in McKinney and Prosper, Texas are trained to treat all foot and ankle problems. We often perform skin biopsy for lesions on the foot and ankle and use labs with board certified dermatopathlogists. Your biopsy will only be reviewed by a dermatopathology lab. Advanced Foot and Ankle has offices in both McKinney and Prosper, Texas and serves McKinney, Allen, Anna, Mellissa, Prosper, Celina, Anna, Frisco and North Dallas areas. Please visit our website at www.advancedfoottexas.com or call us at 972-542-2155.
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, January 28, 2009
McKinney Foot Specialist Discusses Gout in the Foot
Painful Gout Attack in the Foot and Ankle
Gout is a disorder that results from the build-up of uric acid in the tissues or a joint, most often the joint of the big toe. An attack of gout can be miserable, marked by the following symptoms:1. Intense pain that comes on suddenly2. redness, swelling, and warmth over the jointGout attacks are caused by deposits of crystallized uric acid in the joint. Uric acid is present in the blood and eliminated in the urine. In people who have gout, the uric acid accumulates and crystallizes in the joint. Uric acid is the result of the breakdown of purines, chemicals that are found naturally in our bodies and in food. Some people develop gout because their kidneys have difficulty eliminating normal amounts of uric acid, while other develop too much uric acid.Gout attacks the big toe joint because uric acid accumulates in area of low temperature and since the big toe joint is farthest from the heart, it is the most likely target for gout.Consuming foods and beverages high in purines can trigger a gout attack. You may reduce the chance of getting a gout attack if you avoid or limit the comsumption of shellfish, liver, red wine, beer and red meat.Some people are predisposed to having gout, especially those with high blood pressure, diabetes, obesity and stress. Some medications can increase gout attacks like diuretics or "water pills" as well as niacin or vitamin B3.In diagnosing gout at McKinney Foot & Ankle, either myself, Dr. Williams, or my partner, Dr. Silvers will take a detailed history and perform x-rays and lab tests.Treatment of gout includes prescription medications or injections to treat the pain, swelling and inflammation. Dietary restrictions of the above mentioned foods is suggested. Patients are advised to also drink plenty of fluids, while avoiding alcoholic beverages. Also, by avoiding walking, elevating and icing the foot will aid in the reduction of symptoms.Symptoms of gout usually resolve in 3-10 days with treatment. If gout symptoms continue despite initial treatment, or if repeated attacks occur, daily medication may be required for an extended period of time.Surgery is sometimes required to remove the uric acid crystals and repair the joint. At McKinney Foot & Ankle, the surgeons, Dr. Williams or Dr. Silvers, will determine the procedure that would be most beneficial in your case. We have extensive experience in surgically treating gout in the foot and ankle.
Once you have started treatment and diet changes, it is important to know that the treatment and dietary changes are ongoing. Stopping the medication and returning to the pre-gout diet is simply inviting another flareup. Recurrent gouty arthritic flares can cause damage to the joint(s) affected. The Foot and Ankle Specialists at Advanced Foot and Ankle in McKinney and Prosper, Texas treat many Texas with gout.
Dr. Kory Williams or Dr. Eric Silvers can be reached at 972-542-2155 or you may visit our website at http://www.advancedfoottexas.com/.We have office locations in both McKinney and Proper, Texas
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
Gout is a disorder that results from the build-up of uric acid in the tissues or a joint, most often the joint of the big toe. An attack of gout can be miserable, marked by the following symptoms:1. Intense pain that comes on suddenly2. redness, swelling, and warmth over the jointGout attacks are caused by deposits of crystallized uric acid in the joint. Uric acid is present in the blood and eliminated in the urine. In people who have gout, the uric acid accumulates and crystallizes in the joint. Uric acid is the result of the breakdown of purines, chemicals that are found naturally in our bodies and in food. Some people develop gout because their kidneys have difficulty eliminating normal amounts of uric acid, while other develop too much uric acid.Gout attacks the big toe joint because uric acid accumulates in area of low temperature and since the big toe joint is farthest from the heart, it is the most likely target for gout.Consuming foods and beverages high in purines can trigger a gout attack. You may reduce the chance of getting a gout attack if you avoid or limit the comsumption of shellfish, liver, red wine, beer and red meat.Some people are predisposed to having gout, especially those with high blood pressure, diabetes, obesity and stress. Some medications can increase gout attacks like diuretics or "water pills" as well as niacin or vitamin B3.In diagnosing gout at McKinney Foot & Ankle, either myself, Dr. Williams, or my partner, Dr. Silvers will take a detailed history and perform x-rays and lab tests.Treatment of gout includes prescription medications or injections to treat the pain, swelling and inflammation. Dietary restrictions of the above mentioned foods is suggested. Patients are advised to also drink plenty of fluids, while avoiding alcoholic beverages. Also, by avoiding walking, elevating and icing the foot will aid in the reduction of symptoms.Symptoms of gout usually resolve in 3-10 days with treatment. If gout symptoms continue despite initial treatment, or if repeated attacks occur, daily medication may be required for an extended period of time.Surgery is sometimes required to remove the uric acid crystals and repair the joint. At McKinney Foot & Ankle, the surgeons, Dr. Williams or Dr. Silvers, will determine the procedure that would be most beneficial in your case. We have extensive experience in surgically treating gout in the foot and ankle.
Once you have started treatment and diet changes, it is important to know that the treatment and dietary changes are ongoing. Stopping the medication and returning to the pre-gout diet is simply inviting another flareup. Recurrent gouty arthritic flares can cause damage to the joint(s) affected. The Foot and Ankle Specialists at Advanced Foot and Ankle in McKinney and Prosper, Texas treat many Texas with gout.
Dr. Kory Williams or Dr. Eric Silvers can be reached at 972-542-2155 or you may visit our website at http://www.advancedfoottexas.com/.We have office locations in both McKinney and Proper, Texas
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
Ingrown Toenail Surgery
McKinney Foot and Ankle Specialist Discussed Ingrown Toenail Surgery
Surgery to treat ingrown toenails is typically done in the office. Dr. Eric Silvers and Dr. Kory Williams of Advanced Foot and Ankle in McKinney and Prosper, Texas have extensive training and experience in treating ingrown toenails. If the toe is infected, then the nail plate border must be removed in order for the infection to resolve. The procedure involves putting the toe to sleep at the base of the toe away from the ingrown portion of the nail. Dr. Williams and Dr. Silvers will spray a medication that will numb the skin prior to injecting the medication that numbs the toe for the procedure. If the toe is not infected, then our doctors will give you the option of permanently correcting the nail so that you will not suffer from ingrown toenails again. This process can be achieved by applying a chemical to the nail border or by surgically removing a portion of the nail root. 99% of the time these procedures are done in the office, but they can also be performed in the surgery center. At Advanced Foot and Ankle, we strive to offer skilled, gentle foot and ankle care. We see many patients of all ages who suffer from ingrown toenails. Our procedure room is equipped with both a television and also music that is play overhead. For more information on ingrown toenails please read the following posts or visit our website at
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
Surgery to treat ingrown toenails is typically done in the office. Dr. Eric Silvers and Dr. Kory Williams of Advanced Foot and Ankle in McKinney and Prosper, Texas have extensive training and experience in treating ingrown toenails. If the toe is infected, then the nail plate border must be removed in order for the infection to resolve. The procedure involves putting the toe to sleep at the base of the toe away from the ingrown portion of the nail. Dr. Williams and Dr. Silvers will spray a medication that will numb the skin prior to injecting the medication that numbs the toe for the procedure. If the toe is not infected, then our doctors will give you the option of permanently correcting the nail so that you will not suffer from ingrown toenails again. This process can be achieved by applying a chemical to the nail border or by surgically removing a portion of the nail root. 99% of the time these procedures are done in the office, but they can also be performed in the surgery center. At Advanced Foot and Ankle, we strive to offer skilled, gentle foot and ankle care. We see many patients of all ages who suffer from ingrown toenails. Our procedure room is equipped with both a television and also music that is play overhead. For more information on ingrown toenails please read the following posts or visit our website at
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
Friday, November 28, 2008
McKinney Foot and Ankle Center ads New Podiatrist
Dr. Eric Silvers and the staff of McKinney Foot and Ankle Center in McKinney, Texas and Advanced Foot and Ankle in Prosper Texas are proud to introduce Dr. Kory Williams. Dr. Williams will be joining McKinney Foot and Ankle Center and Advanced Foot and Ankle in July of 2009. Dr. Williams has advanced training in foot and ankle surgery. He along with Dr. Silvers have extensive training in foot and ankle care including sharp stabbing heel pain often referred to as planter fasciitis or heel spurs, bunion deformities, repair of failed bunion surgery, hammer toe corrections, treatment of toe and foot injuries and foot lumps and tumors (tumours, tumers), ankle surgery including ankle stabilization surgery, repair of tendon ruptures or tears including Achilles Tendon tears and injuries. Both Dr. Silvers and Dr. Williams also offer conservative treatment of many foot and ankle conditions including plantar (planter warts) toenail fungus, athletes foot, toe and foot sores, gangrene to the toe or the foot, vascular problems, diabetic neuropathy. Both office offer radiofrequency treatment of foot and ankle conditions including heel spurs and plantar fasciitis that causes sharp shooting pain to the foot or the heel.
McKinney Foot and Ankle and Advanced Foot and Ankle in Prosper, Texas offer convenient office hours including daytime, same day, early morning, evening and lunchtime appointments. Please call 972-542-2155 to schedule an appointment or visit out website at www.mckinneyfootcenter.com to make a online appointment request. We look forward to seeing you.
McKinney Foot and Ankle and Advanced Foot and Ankle in Prosper, Texas offer convenient office hours including daytime, same day, early morning, evening and lunchtime appointments. Please call 972-542-2155 to schedule an appointment or visit out website at www.mckinneyfootcenter.com to make a online appointment request. We look forward to seeing you.
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