High arches, also known as pes cavus, occur when the arch of the foot is raised higher than normal, creating an exaggerated curve from the heel to the toes. Having high arches places uneven pressure on the feet, often concentrating weight on the heel and the ball of the foot. People with high arches may experience pain in the arches, toes, or ankles due to the extra strain on the metatarsals and surrounding structures. Shortened foot length, difficulty fitting into shoes, and instability during walking or running are also common problems. The excess pressure can lead to calluses, ankle sprains, hammertoes, or even stress fractures. A podiatrist can evaluate the structure and flexibility of the foot, order imaging if needed, and recommend proper support or surgery in severe cases. If you have arch pain, it is suggested that you make an appointment with a podiatrist for an evaluation and treatment.

If you have any concerns about your feet, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Tophaceous gout is a severe form of arthritis that develops in people with chronic, untreated gout. Growths, known as tophi,  develop when uric acid crystals form masses around affected joints and soft tissues. These growths are often visible under the skin and can cause pain, swelling, and deformity in the feet, particularly around the toes and ankles. Over time, tophi can damage joints, reduce mobility, and even lead to disability. Tophaceous gout is caused by high levels of uric acid in the blood, which forms sharp crystals that trigger inflammation. Risk factors include a family history of gout, excessive alcohol consumption, obesity, and medical conditions like diabetes or high blood pressure. While medications to lower uric acid levels are effective in managing the condition, surgery may be required for large, painful tophi. If you have symptoms of tophaceous gout, it is suggested that you schedule an appointment with a podiatrist for ongoing management and treatment.

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.

Plantar warts are skin growths that appear on the soles of the feet, caused by a virus that enters through small breaks in the skin. They may look like calluses, but often have small black dots and can feel tender, especially when walking. While some plantar warts resolve on their own, others can become painful, spread, or interfere with daily activities. Podiatrists evaluate the size, location, and persistence of the wart before recommending treatment. Options may include topical medications, cryotherapy, or minor procedures to remove the growth. Removal is often considered when the wart causes ongoing pain, multiplies, or does not improve with basic care. Addressing the issue promptly can also help prevent spreading to other areas. If you have a stubborn or painful spot on the bottom of your foot, it is suggested you consult a podiatrist for an accurate evaluation and effective relief tips.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

Wounds on the feet or ankles that heal slowly often result from underlying medical conditions that affect blood flow, nerve function, or immune response. Poor circulation, including peripheral artery disease or venous insufficiency, limits the supply of oxygen and nutrients to foot tissues, making it harder for wounds to close. Diabetes is another leading cause of slow-healing wounds, as prolonged high blood sugar can damage blood vessels and nerves, reducing both pain sensation and healing ability. Mechanical pressure from wearing ill-fitting shoes or prolonged immobility can also lead to sores that are slow to heal. A weakened immune system along with advancing age may further increase the risk. Chronic wounds can become infected and lead to complications, including the possibility of limb loss, if untreated. If you notice a foot or lower leg wound that is not healing properly, it is suggested that you schedule an immediate appointment with a podiatrist for an exam and appropriate treatment plan.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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