Jennifer Grey's Neuroma

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

Poor Circulation in the Foot and Ankle

How Do I Know If I Have Poor Circulation?
How does a diabetic know if they have poor circulation in their feet?
There is an increased incidence of peripheral arterial disease in diabetics. Peripheral arterial disease (PAD) is narrowing or blockage of arteries that results in poor blood flow to your legs. When you walk or exercise, your leg muscles do not get enough blood and you can get painful cramps. Peripheral arterial disease is also called peripheral vascular disease or simply poor circulation.Just like clogged arteries in the heart, clogged arteries in the legs mean you are at risk for having a heart attack or stroke. Plaque buildup in the legs does not always cause symptoms, so many people can have PAD and not know it. People who do experience symptoms, such as pain or cramping in the legs, often do not report them, believing they are a natural part of aging or due to another cause.
One in every 20 Americans over the age of 50 had PAD and it is estimated that over 8 million are undiagnosed. Early detection of PAD has been shown to save limbs and lives, so if you have any of the risk factors you should undergo PAD screening by your podiatrist yearly or more often if symptoms occur.
The exact cause of plaque buildup in the limbs is unknown in most cases. However, there are some conditions and habits that raise your chance of developing poor circulation.
Your risk increases if you:
1. Are over the age of 50.
2. Smoke or used to smoke. Those who smoke or have a history of smoking have up to four times greater risk of P.A.D.
3. Have diabetes. One in every three people over the age of 50 with diabetes is likely to have PAD.
4. Have high blood pressure. Also called hypertension, high blood pressure raises the risk of developing plaque in the arteries.
5. Have high blood cholesterol. Excess cholesterol and fat in your blood contribute to the formation of plaque in the arteries, reducing or blocking blood flow to your heart, brain, or limbs.
6. Have a personal history of vascular disease, heart attack, or stroke. If you have heart disease, you have a one in three chance of also having PAD.
7. Are African American. African Americans are more than twice as likely to havePAD as their white counterparts.
What are the symptoms of PAD?
Most patients with PAD have little or no symptoms until the disease is advanced; that’s why screening exams are so important. Those who do experience symptoms have reported these typical signs and symptoms:
Claudication: fatigue, heaviness, tiredness, cramping in the leg muscles (buttocks, thigh, or calf) that occurs during activity such as walking or climbing stairs. This pain or discomfort goes away once the activity is stopped and during rest.
Rest Pain: pain in their legs at night that often disturbs their sleep
Wounds or sores that heal very slowly or not at all
Color changes to the skin of their feet and lower legs
Cold, pale feet and legs
Decreased hair and nail growth on their feet
How is PAD Diagnosed?
Your podiatrist will start with checking the pulses in your foot and ankle, examining the skin for changes and wounds that are poorly healing. Often an ABI (ankle-brachial index) is evaluated which compares the blood pressure in your arms to your ankles. A Doppler exam may be ordered. This test uses sound waves to measure the blood flow in the veins and arteries in your arms and legs. If any of these exams are abnormal, your podiatrist may refer you to a vascular surgeon to discuss options for treatment.
How is PAD Treated?
The overall goals for treating PAD are to reduce any symptoms, improve quality of life and mobility, and prevent heart attack, stroke, and amputation. There are three main approaches to treating PAD: making lifestyle changes; taking medication; and in some cases, having a special procedure or surgery. Your physicians will determine the best treatment options for you, based on your medical history and the severity of your condition.
How Can I Prevent PAD If I am Diabetic?
The cornerstone of prevention is lifestyle changes.
Exercise is very important and you should aim for 30-45 minutes of moderate intensity exercise each and every day.
Stop smoking immediately and ask your doctor for help if you find you cannot.
Keep your cholesterol and blood glucose levels down. Aim for a HgA1C of 6!
Keep your blood pressure in the normal range.
Decrease stress.
If you are overweight or obese, aim for a normal weight and again, ask your doctor for help! A diet low in saturated fats, trans fats and cholesterol is also helpful.
More than anything, talk to your doctors about a comprehensive treatment plan for your diabetes that also decreases your PAD risks.
One in every 20 Americans over the age of 50 had PAD and the incidence is higher in diabetics. Most patients have little or no symptoms until it is too late! Early detection of PAD has been shown to save limbs and lives, so if you have any of the risk factors you should undergo PAD screening by your podiatrist yearly or more often if symptoms occur.
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

Foot pain from Gout

Gout used to be known as the disease of kings. Too much red meat and red wine caused the kings of old to suffer from gout. This is actually only one cause of gout, but an important safety tip! Gout is a disorder that results from a build up of uric acid crystals in a joint. This can be your big toe joint, ankle, or knee, most commonly; but can occur in any joint or tissue in the body. (I’ve seen it in an earlobe!) Simply said, gout hurts so bad you don’t even want a sock or sheet on your foot, let alone a shoe!
What causes gout?
Gout is a buildup of uric acid crystals in the joint or tissue. Uric acid is normally found in the blood and eliminated by the kidneys. Gout attacks are caused by either too much uric acid in your blood due to the kidneys having trouble eliminating it or simply you just make too much. Gout attacks the big toe joint most commonly, because uric acid turns to crystals as it cools down, and your big toe joint is the furthest from the heart, so the coolest joint in the body. (I always thought big toes were cool!) Seriously though, many people inherit the tendency to have gout and it is much more common in men than women. Other factors that precipitate gout can be high blood pressure, diabetes, obesity, surgery, chemotherapy, stress and certain medications. Food can cause gout attacks. Uric acid is the result of the breakdown of purines, so food with high levels of purines can cause gout. These included red meat, red wine, beer, shellfish, and organ meat. (I knew there was a reason I never liked liver and onions, it causes gout!).
Please see the following website for advice on which foods to avoid and foods to enjoy:
http://arthritis.about.com/cs/goutdiet/a/goutpurines.htm
The diagnosis of gout requires an extensive physical exam including family history, x-rays and laboratory tests for uric acid levels. It is important to distinguish gout from an infection or other inflammatory joint problem.
Treatment for gout starts with anti-inflammatory medication or injection therapy, padding and shoe gear modification. Dietary restrictions are discussed and often a long-term medication is needed to control the build up of uric acid in the blood. In a large, long-term prospective study of men aged 40 years and older, long-term caffeinated coffee consumption was associated with a lower risk for incident gout, so if you fall in this category, this may help as well. Gout can cause degenerative arthritis, so often orthotics or surgery is needed to treat the arthritic joint.
If you have the symptoms of gout, do not delay. The longer the uric acid is accumulating in your joint, the more destructive the crystals can be. Long-term outcomes hinge on immediate care. Call or contact the office today to schedule an appointment with Dr. Williams or Dr. Silvers today.

Eric M. Silvers, DPM, PA
Kory D. Williams, DPM, PA
Board Certified Foot and Ankle Specialist
Advanced Foot and Ankle Center
McKinney, Texas
Prosper, Texas
http://www.advancedfoottexas.com
972-542-2155

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

Christmas in Iraq 2009

The doctors and staff at Advanced Foot and Ankle Center in McKinney and Prosper, Texas are happy to be the Organizers of Christmas in Iraq 2009. Please visit the blog site at http://christmasiniraq2009.blogspot.com to learn how you can help.


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

New Blog Page for McKinney Podiatrists

Dr. Kory Williams, a foot and ankle surgeon with Advanced Foot and Ankle Center has just created a new Blog for our office. Please visit it at http://advancedfoottexas.blogspot.com/

Dr. Williams joins Dr. Eric Silvers in Practice. Both surgeons serve McKinney, Prosper, Allen, Anna, Frisco, Plano and surrounding communities.

Call our office at 972-542-2155 or visit our website for 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

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

McKinney Foot Doctor Discusses Flat Feet in Children

Pediatric Flatfoot Deformity

A flatfoot deformity is where the arch on the inside border of the foot is flatter than normal. Flatfoot deformities may occur in all age groups, but appear most commonly in children. Some of these children grow up into adults who have feet with normal arches, but many of these individuals have pain related to their flatfoot deformity throughout their lives. It is very important that children with such a deformity be evaluated by Dr. Silvers or Dr. Williams to determine if they need treatment to attempt to prevent future pain or deformity in their feet as an adult.When the young child starts to first walk at about the age of 9-15 months of age, the foot has a "fat" or “chubby” appearance where there is a less bony architecture apparent in the foot. At this point in the development of the foot, it is very difficult to evaluate whether the child will have future problems with a flatfoot deformity. I have seen many parents bringing their young infant into the clinic, stating, "My child has flat feet. What do I need to do?" Ninety-nine percent of the time, I tell them you should do nothing and stop worrying, because flatfootedness in a child this young is normal and will probably grow out of it. At the ages of two and three, the child’s foot starts to show more of its characteristic shape since the foot is less fat and the bones are more prominent. If the child has a flatfoot deformity at the ages of two to three, it is wise to have the foot examined by a foot specialist like Dr. Silvers & Dr. Williams. At this age, the foot is still largely made of cartilage, with less bone than is present in the adult foot. Since cartilage is relatively soft, the abnormal forces caused by a flatfoot deformity may cause permanent structural alterations to the bones and joints of the foot that will persist into adulthood.The flatfoot deformity in children causes a number of changes to the structure of the foot which is easily recognizable by the trained podiatrist. Flatfoot deformity causes the inside arch to be flattened, causes the heel bone to be turned outward, and causes the inside aspect of the foot to appear more bowed outward than normal. Most cases of flatfoot deformity in children are also associated with excessive flexibility in the joints of the foot which is commonly caused by ligamentous laxity.Since the flatfoot deformity causes some instability of the foot during gait, children with flatfoot deformity may have complaints in the foot such as arch, heel or ankle pain which is generally associated with increased standing, walking or running activities. However, since the excessive rolling inward of the arches of the foot also make the leg and knee more turned inwards, children with flatfeet may also complain of pain in the low back, hip, knee, or leg due to the abnormal mechanics of the foot created by the flatfoot deformity.Pediatric flatfoot deformity can be diagnosed at a very early age, but is unlikely to be properly diagnosed unless the doctor is a foot specialist like Dr. Silvers and Dr. Williams and is familiar with the intricacies of the structure and biomechanics of the foot. After speaking with the parent and child, the podiatrist will examine the foot both while the child is not bearing weight but also while the child is standing, walking or running. Often, the family history is also taken since the foot should be examined closely if the child has a close relative who had a painful flatfoot deformity as a child or adult.During the examination of the child, the podiatrist is looking for abnormal structure or function of the foot and lower extremity, which could lead to problems during later childhood or adulthood. X-rays may be taken of the foot if a significant pathology is noted or suspected. The more severe the flatfoot deformity and the more significant the complaints in the foot or lower extremity, then the more likely Dr. Silvers or Dr. Williams will recommend specific treatment for the flatfoot deformity.TreatmentIf the child has a mild flatfoot deformity and no symptoms, then generally no treatment is recommended other than possibly yearly check-ups by Dr. Silvers and Dr. Williams. If, however, the child has a moderate to severe flatfoot deformity and does have significant symptoms in the foot or lower extremity, then treatment is indicated.Treatment generally starts with both supportive shoes, such as high tops, and some form of shoe insert such as arch padding for the milder cases of flatfoot deformity. More significant cases of flatfoot deformity may require more exacting control of the abnormal motion of the foot such as that offered by functional foot orthotics. Orthotics limit the abnormal flat arch shape and rolling in of the heel bone during standing, walking and running activities which helps not only improve the appearance and function of the foot, but also greatly reduces the symptoms in the foot or lower extremities. Calf muscle stretching exercises are also commonly prescribed for children with tight calf muscles since these muscles can worsen the flatfoot deformity with time and make the child’s symptoms worse.If the child has a severe flatfoot deformity and disabling symptoms which does not respond to foot orthotics, shoes and/or stretching, then foot surgery to correct the flatfoot deformity may be indicated. Flatfoot surgery is done only rarely for those children with the most severe deformities. Of course, the benefits of the surgery should be considered along with the risks associated with the surgery and a second surgical opinion is always recommended when considering flatfoot surgery on your child.The extent of flatfoot surgery depends on the severity of the deformity. Flatfoot surgery is usually not indicated until the patient has reached skeletal maturity and the growth plates have "disappeared". Most child patients having flatfoot surgery are of junior high and high school ages. The procedures most commonly performed by Dr. Silvers and Dr. Williams are a subtalar arthroeresis, gastrocnemius recession or tendo achilles lengthening, Evans osteotomy, and Cotton osteotomy. I know these names and procedures mean nothing to the lay person, however, these procedures are included in need of further research on the internet by the patient or the patient's parents. In most cases, only a couple of the above-mentioned procedures are utilized for flatfoot correction. Only in severe flatfoot cases, would all the above surgeries be implemented.

If you feel that your child needs possible surgical intervention, please make an appointment with Dr. Silvers or Dr.Williams for our professional opinion and detailed explanation of the procedures.

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 arthridies of the great toe joint. 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 your child's flatfoot, 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, PA
Board Certified Foot and Ankle Specialist
Advanced Foot and Ankle Center
McKinney, Texas
Prosper, Texas
http://www.advancedfoottexas.com
972-542-2155

Aging Feet

AGING OF THE FEETOver time, normal changes to the feet can occur. The feet are under a tremendous amount of pressure during daily activity. While walking, each step puts two to three times as much force as the person’s body weight.This pressure can alter the structure of the foot as the person ages. Feet can become slightly longer and wider. Some women experience such changes during pregnancy due to the added pressure of pregnancy-related weight gain and also due to their hormones causing increased body flexibility including the foot.There might be a slight flattening of the arch of the foot. This is normal as long as it is neither excessive nor causes pain. The foot and ankle may lose some flexibility with age as does many joints and muscles in the body. The pad of fat at the bottom of the heel may become thinner with age. Though these changes are unlikely to cause serious problems, they may be accompanied with a loss of balance.Any foot changes that cause pain or deformities should be checked by a McKinney, Texas podiatric physician. Thickening of the skin such as corns or bony growths like bunions are not part of normal aging. Changes in the shape or alignment of the toes could be signs of problems with the muscles of the foot. A McKinney, Texas podiatric physician can diagnose the condition and recommend appropriate treatment.Pain is not part of normal foot changes. Pain can indicate a problem with the nerves, such as Morton’s neuromas. It could also be due to fasciitis or other painful foot problems. Discolorations of the feet should not occur. Discoloration could be a sign of a circulation problem.Arthritis is a common problem among older adults. Arthritis can cause problems with the feet. Arthritis in the feet can cause pain, swelling, and stiffness. Though there is no cure for arthritis, medical treatment can limit its damage and debilitating effects. A McKinney, Texas Foot and Ankle Specialist should be consulted for any foot problems that are not part of normal aging.Dr. Kory Williams is a foot and ankle specialist trained to treat all foot and ankle problems including thoses associated with aging. He practices with Dr. Eric Silvers in both McKinney, Texas and Prosper, Texas. You may contact our office at 972-542-2155. Advanced Foot and Ankle Center in Prosper, Texas and McKinney Foot and Ankle Center in McKinney, Texas offer comprehensive treatment for all foot and ankle problems. You may visit our website at www.advancedfoottexas.com for more information about our practice.

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

Proper Shoe Fitting, Discussed by McKinney Foot and Ankle Doctor

Mckinney Podiatrist Discusses Proper Shoe Fitting

Most people would be surprised that a majority of foot problems are caused from poor shoe fitting. People choose shoes for many different reasons including comfortability, style and functionality. Just because a shoe appears to look comfortable and is expensive is not the criteria to use when purchasing shoes. Shoes must fit properly, be made of sturdy materials, and have a solid construction. Due to the variability of people’s foot structure, a shoe may comfortable to one person and very uncomfortable to the next person.Shoes are designed to protect the feet during mobility and support. Unfortunately, improper shoe fit can limit joint movement, constrict circulation, decrease sensation and alter the way you walk. Poor shoe fit can also inhibit the proper functioning of custom-made foot orthotics. If improper shoe gear is worn for a long term, the muscles, joints, and connective tissues in the feet begin changing shape, adapt to the shoe and cause many foot disorders.Feet have been measured for years by a metal instrument called a Brannock Device. You have probably seen a Brannock Device in nearly every shoe store you have entered. The Brannock Device is used to measure 3 basic dimensions of the foot.A. Heel to the ball of the footB. Heel to the tip of the toesC. WidthEach measurement is used in combination to custom fit the shoe. The most important measurement is the heel to the ball of the foot, because this measurement will closely resemble how the shoe is designed to function. The shoe is designed bend at the ball of the foot, and if the shoe bends in the arch or doesn’t bend at all, this must be taken in consideration. The heel to the ball measurement defines the position of the arch and if this measurement is incorrect, the shoe and the foot will never function in harmony. Instead, they will fight each other with each and every step.When measuring the heel to toe length, allow a minimum of a 3/8 to ½ inch distance from the tip of the big toe to the front of the shoe. If the toes touch the end of the shoes, this can cause trauma to the toenails and possibly cause hammertoes and can lead to ingrown toenails. The heel should fit comfortably in the shoe with a minimum amount of slipping. In other words, the shoe should not ride up and down on the back of the heel as you walk. The heel of the shoe helps control rearfoot motion. A straight, solid heel in the shoe is very important especially in those who are flatfooted or pronate.When measuring the width of the foot, you must allow enough room in the shoe to accommodate the foot structure. If the foot is rubbing on the sides of the shoe, blisters, calluses and other problems can occur. If a patient has bunions or tailor’s bunions, this deformity can become increasingly painful with a smaller width shoe. Make sure the ball of the foot fits comfortably in the widest part of the shoe. Don’t buy shoes too tight and expect them to stretch to fit.Take in consideration the height of the toebox in the shoe. Sometimes the tops of toes can rub on the inside of the shoes. In some people, especially those with hammertoes, this can become a problem. Allow enough room in the shoe so the toes do not rub.A slight heel is important, however avoid high heeled shoes whenever possible. High heeled shoes allow for the forefoot or the “ball of the foot” to bear the entire body weight. This can cause intense forefoot pain and ultimately cause severe deformities of the foot.All foot measurements must be taken weightbearing or standing. Since the foot lengthens and widens under physiologic loading, a false measurement may be taken if the foot is measured while sitting. Most people have one foot that is larger than the other. Fit the shoe to accommodate your larger foot. Don’t select shoes solely based on the size indicated on the tag inside the shoe. Select the shoe according to how it fits your foot or shaped like your foot. The “last” of the shoe is the so-called footprint of the shoe. The last can be straight or slightly curved inward. Everyday dress shoes are normally built on a straight last, while athletic shoes are built with a slight inward curve of the forefoot. Straight last shoes are recommended for patients using orthotics in their shoes.Shoe material is also a consideration when purchasing the proper shoe. Durability, flexibility and breathability of the material has to be accounted for in the upper material of the shoe. If the material is too soft and flexible, you may not get the support and durability you are looking for. On the other hand, if the materials are too stiff and don’t “give”, they can be very uncomfortable and cause pressure. If you have feet with significant arthritic changes, it is very important to choose shoegear that will “mold” to the foot in order to take pressures off the deformity.People who have feet that sweat a lot need to find materials that breathe in an effort to get air to the feet during the day. Some shoes are designed to absorb sweat from the foot, but many do not. Naturally for those people whose feet perspire a lot, you should allow your shoes to thoroughly dry out before wearing them again. Do not store the shoes in dark closet immediately after using them. Instead, store the shoes near an open window or on the front porch to fully dry out.The sole of the shoe is a major consideration. Many people complain that the sole of the shoe is too stiff or too flexible. It is important to find a shoe with a happy medium. If you had to choose between a very flexible sole or a stiff sole, I would personally lean towards a stiff soled shoe. Shoes with excessive bend can cause a variety of foot problems. Also, try to find a shoe that will accommodate your arch height. Most people bear weight on the heel and the ball of the foot. When barefoot, the arch is usually not supported unless you have a very flat arch. Therefore, try to find a shoe that accommodates the arch height to distribute the pressure across the entire surface of the foot. Be careful though, because too much arch in the shoe will cause the patient to bear weight primarily on the arch region of the foot and can cause severe pain.If you stand on hard surfaces such as concrete or tile, a shoe with proper cushioning is necessary. Also if you participate in athletic activities, finding a shoe with good shock absorbing qualities is important. If hard soled shoes are worn in these situations, pressure calluses can develop on the bottom of the feet. Also, choose shoes that have a sole that will not slip. Soles should provide solid footing and not be slippery.Buy shoes in the afternoon or towards the end of the day. At the end of the day, the feet have expanded and swollen through activity and will be its largest size. The Brannock Device does not measure the “volume” of the shoe.Also, don’t forget to bring socks or panty hose to the store when getting fit for shoes. Many stores have socks to wear, but be prepared by bringing your own in case the store does not have them for you.It is important to realize when your foot deformity cannot be accommodated by shoes bought from a shoe store. Those patients with chronic non-healing ulcerations or severe arthritic deformities and malformations need extra protection and shoes that are custom-molded to accommodate deformities and offload pressure areas. Dr. Silvers and Dr. Williams have extensive professional experience providing custom-molded shoes. Casts of your feet are taken in the office, sent to a specialized shoe-making company in which a shoe is fabricated to you own personal specifications. If you are diabetic or have one of the previously mentioned foot deformities, you should come see Dr. Williams or Dr. Silvers to determine if custom-molded shoes are needed for you. Our office also offers extra depth diabetic shoegear and we have shoe samples in the office that you can see. If you need to have your feet properly measured and need a recommendation on proper shoe fitting, please come visit Dr. Kory Williams and Dr. Eric Silvers of McKinney Foot and Ankle Center in McKinney , Texas or our Prosper, Texas Office, Advanced Foot and Ankle Center. Our doctors have extensive training and experience in providing proper shoe fitting and offering shoe buying recommendations. We strive for complete patient satisfaction and see patients from McKinney , Frisco, Allen, Anna, Prosper, Celina, Plano , Sherman , Denison , Durant , Oklahoma and surrounding communities. 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.mckinneyfootcenter.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

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

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

Black Toenails

Discolored, black, toenails are often the result of trauma or an injury to the toenail plate. Dropping a book, object, cell phone, etc on a toe can cause a black toenail. The black color is from blood accumulation or a blood clot under the toenail. Pain can range from mild to severe in more advanced situations. Severe pain can be from a fracture or a cut in the skin under the toenail (nail bed). If this occurs, it is important that the fracture is treated and that the nail bed is repaired. Less often, a black line in the toenail can be a malignant melanoma. Melanoma's can be treated well if caught early. Thus it is important to seek a board certified foot and ankle specialist for treatment. Other causes of discolored toenails are poor nutrition, nail fungus, and recurrence ingrown toenails. Dr. Eric Silvers and Dr. Kory Williams of Advanced Foot and Ankle in McKinney and Prosper, Texas are trained to treat toenail conditions as well as other foot and ankle disorders. Their office website is www.mckinneyfootcenter.com and their office # is 972-542-2155.

McKinney Foot Specialist Discusses Ingrown Toenails

NAIL DISORDERS
Many nail problems are caused by improper trimming, acute injuries or blunt trauma over an extended period. Some nail disorders are also congenital.Painful ingrown toenails my be congenital, caused by an over-curvature of the nail, or an imbalance between the width of the nail plate and the nail bed. However, most ingrown nails are caused by cutting the nail too deeply into the tissue adjacent to the nail plate. Toe injuries that change the nails contour also can lead to an ingrown toenail. Toe deformities (such as a bunion that forces the great toe to lean into the second toe), narrow or high heeled shoes can put pressure between the nail and the soft tissues, which may eventually cause the nail to grow into the skin.Toe injuries that change the nails contour also can lead to an ingrown toenail. Toe deformities (such as a bunion that forces the great toe to lean into the second toe), narrow or high heeled shoes can put pressure between the nail and the soft tissues, which may eventually cause the nail to grow into the skin.People who have ingrown toenails commonly complain of swelling, redness, occasional drainage and or odor that make the toe very painful.Ingrown nails can be accompanied by other toe disorders, such as excess surrounding tissue or an outgrowth of bone beneath the nail.Treatment for ingrown toenails usually involves a minor surgical procedure necessary to ease the pain and remove the offending nail border(s). Only a portion of the nail may need to be removed. Dr. Eric Silvers and Dr. Kory Williams of McKinney Foot and Ankle Center in McKinney, Texas and Advanced Foot and Ankle have extensive training and experience in treating ingrown toenails. The process involved with treating ingrown toenails is typically an in office procedure. Our doctors will carefully put the toe asleep with the combination of a freezing spay and an injection. Once the toe is put to sleep, you will not feel the rest of the procedure. Utilizing special instrumentation, our doctors will carefully removed the problematic toenail border or the entire toenail if needed. Our doctors may recommend as part of the procedure, placement of a chemical to prevent the side of ingrown toenail, or at times, the entire toenail from growing back. McKinney Foot and Ankle Center and Advanced Foot and Ankle Center have over a 98% success rate in eliminating recurrent ingrown toenails. Our offices are considered the destination for treatment for your ingrown toenails. Our doctors will treat you and your family with compassion and will explain your condition to you and the procedure prior to it being perforated. We strive for complete patient satisfaction and see patients from McKinney, Frisco, Allen, Anna, Prosper, Celina, Plano, Sherman, Denison, Durant, Oklahoma and surrounding communities. It is very important not to ignore infected ingrown toenails since a skin infection from an ingrown toenail can spread to bone. Diabetic are especially prone to this complication.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.

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 Texas Foot and Ankle Specialist

What Can a Podiatrist Do About Foot Pain?
Let’s start at the beginning and answer the question, “What is a Podiatrist?”
A podiatrist is a specialist who focuses on your feet and ankles. We are quite simply “The Experts” on your feet and ankles and should be the very first doctor you call when you experience pain or other problems with them. I’ve listed many of the foot problems podiatrists treat in this book.
The DPM after our name stands for Doctor of Podiatric Medicine. Most people know that podiatrists deal with foot and ankle problems and work with seniors, or diabetics, or people with poor circulation; but what most people don’t know is that podiatrists treat patients of all ages. A podiatrist is also well-qualified to help children and young adults with the problems that they can experience with their feet and ankles.
Podiatrists are required, just like any other doctor, to be licensed by the state in which they practice. When medically necessary, podiatrists can perform surgery to correct or remedy problems. Before we recommend surgery, we will explore the many conservative therapies and remedies that are available for our patients and then recommend the very best course of treatment. As medical science advances and new therapies become available to the public, podiatrists are increasingly able to offer their patients some of the most state-of-the-art care available. I’m constantly amazed at the new therapies I can offer my patients and will discuss several of them now.
Conservative Foot Care
Also known as non-surgical treatment, conservative foot care is being used to treat many foot problems with dramatic results. Any initial visit to a podiatrist’s office will start with a patient history and physical examination. Diagnostic x-rays and laboratory tests can also be used to help determine the best course of treatment.
Non-surgical treatments may be called for in many cases including medical conditions which preclude the option of elective surgery, time commitment constraints, and elderly patients with many medical conditions. Patients with arthritis, diabetes, and circulatory foot problems may all be helped by non-surgical treatments. In spite of not being able to opt for foot surgery many patients find great relief from pain and discomfort through the use of conservative foot care treatments.
There are a wide variety of non-surgical treatments being used by podiatrists today. Injections, oral and topical medications, and foot, ankle, or toe strappings are all examples of conservative foot care. Other options are exercise, custom-made walking shoes, and orthotics. Additional treatments prescribed by podiatrists include physical therapy, foot massage, trimming of corns and calluses, and proper nail trimming and foot care. Visit our website at http://www.mckinneyfootcenter.com/.
Dr. Silvers is a board certified foot and ankle physician practicing in McKinney, Texas.