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Dallas Metro / North Texas
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March 2023

Tuesday, 28 March 2023 00:00

Flat Feet

Flatfoot is a foot condition in which the arch of the foot has either partially or totally dropped or has never developed. While it is common in babies and small children, it can become a problem for them in adulthood if the arch never forms. For adults, the development of flat feet can be brought upon by injury, as a result of pregnancy due to increased elasticity, or obesity. Those who have health concerns such as rheumatoid arthritis or diabetes may also be at greater risk for developing the condition.

If you suspect that you have flat feet, it is best to consult your podiatrist. Your foot doctor will examine the suspected foot and observe how it looks while you sit and stand. He or she may take an X-ray to determine how serious the condition is. Some common signs of flatfoot include toe drift, in which the toes and front part of the foot point outward, a short Achilles tendon, and a heel that tilts outwardly while the ankle tilts inward.

Once flatfoot has been diagnosed, your podiatrist may suggest one of several treatment options. Flat feet can be rigid, in which the feet appear to have no arch even when the person is not standing; or flexible, in which the person appears to have an arch while not standing, but once standing the arch disappears. Those with flexible flatfoot may be told to reduce any activities that cause pain and to avoid extended periods of walking or standing. Another suggestion may be weight loss, as excessive weight may be placing pressure on the arches

In few cases, if the condition is severe and all other methods have been exhausted surgery may be required. This is normally avoided, however, due to a lengthy recovery time and high cost.

Tuesday, 28 March 2023 00:00

Overpronation From Flat Feet

Overpronation is when the arch of the foot collapses and the foot and ankle roll inward when walking. Medically, this is called pes planus, flexible flatfoot, or more commonly, flat feet. Those who overpronate can be at risk for more injuries than others. Children are born with flat feet, but arches typically develop in the teenage years. Overpronation can occur when the arches are overly flexible, and it can be caused by obesity or pregnancy, inflammation or damage to the tendon, or arthritis in the foot, among other things. Walking or standing can be uncomfortable for those who overpronate. Relief can be found by wearing more supportive shoes, using orthotics, and maintaining a normal body weight. If you have ongoing foot pain, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment plan.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 21 March 2023 00:00

Foot Pain

Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place.  However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.

Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.

Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.

If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.

Metatarsalgia is the medical name for pain that happens to the ball of the foot. It is found under the toes, on the bottom of the foot. The feet bear the weight of the body, and the soles of the feet are often affected. There are 26 bones in each foot, and they are divided into categories. Additionally, the tendons, muscles, and ligaments comprise the arch of the foot, and the nerves control the sensation in the skin. There are several reasons why many people experience metatarsalgia, or foot pain. These can include obesity, wearing shoes that do not fit correctly, or specific medical conditions. Morton’s neuroma can happen from wearing shoes that are too tight, such as high heels. This can cause the toes to squeeze together, affecting the nerve that is located between the third and fourth toes. The pain from this condition is often felt in the ball of the foot. A stress fracture can happen to the metatarsal bones in the foot, and it can be felt in the bottom of the foot. If you have foot pain, it is suggested that you seek the counsel of a podiatrist who can effectively diagnose and treat the condition appropriately. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
Tuesday, 14 March 2023 00:00

How to Treat Heel Spurs

Heel spurs are calcium deposits that cause bone protrusions on the heel bone. Heel spurs are usually associated with plantar fasciitis, which occurs when the plantar fasciitis in the foot becomes inflamed. Typically, heel spurs don’t cause any symptoms. However, they can produce chronic or intermittent heel pain. Those who have had the condition often describe the irritation as a stabbing pain.

There are risk factors that may make you more likely to develop heel spurs. People who have abnormal walking gaits, run and jog on hard surfaces, are obese, or wear poorly fitting shoes are more likely to develop heel spurs.

Fortunately, there are precautions you can take to avoid developing heel spurs. One of the best ways to do this is by wearing well-fitting shoes with shock-absorbent soles. Another preventative technique is to choose running shoes if you plan on running, and walking shoes if you plan on walking. Shoes are made for different activities and it is important to research a shoe before you purchase a pair.

The pain associated with heel spurs often decreases the more you walk. However, a recurrence of pain after an extended period of rest or walking is likely to occur with this condition. Those with severe heel spur pain may opt to go the surgical route for treatment.  However, more than 90% of those with the condition get better without surgical treatment. If you have a heel spur and want to know if surgery is right for you, you should go to your podiatrist and he or she will be able to conduct a pre-surgical test or exam to determine if you are an optimal candidate for surgery.

Tuesday, 14 March 2023 00:00

Why Do I Have A Heel Spur?

Heel spurs can be painful. They are defined as bony growths that develop on the underside of the heel and can measure up to one inch. Heel spurs can be caused by inflammation and tension in the plantar fascia from standing on hard surfaces for most of the day. They may also occur from wearing shoes that have limited cushioning in the heel area, or from a foot injury. Some people have a bone deformity or muscle imbalance, which may also lead to the development of a heel spur. A common symptom that many patients experience is heel pain that is worse in the morning and may slightly subside as the day progresses. Mild relief may be found when supportive shoes are worn. If you have a heel spur, it is strongly suggested that you consult with a podiatrist who can provide you with the best treatment options.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Carrollton, TX . We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about How to Treat Heel Spurs
Wednesday, 08 March 2023 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

Wednesday, 08 March 2023 00:00

Types and Risk Factors of Gout

Gout is an arthritic condition that results from a buildup in the system of uric acid that crystallizes in the joints and causes inflammation. Gout can flare up overnight and last for a week or so before calming down. There are a few stages of gout, including asymptomatic, acute, interval or intercritical, and chronic tophaceous. Pseudogout is often confused with gout because the symptoms are similar even though the causes differ. This type of gout is actually caused by the crystallization of calcium deposits, and the flare-ups are less severe. The main symptom of gout is excruciating pain, commonly in the big toe, redness, swelling, and stiffness. A person can have high uric acid levels without experiencing the symptoms, but this can ultimately cause tissue damage. Acute gout flares up suddenly, and interval gout is the period between flare-ups. These intervals may become shorter, but because uric acid continues to build up, gout may become chronic. This is the most painful form of gout and can develop into kidney disease if not treated. If you believe you have any form of gout, it is suggested that you consult a podiatrist for treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Gout
Tuesday, 07 March 2023 00:00

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