Plantar warts are small growths that develop on the bottom of the feet, often on the heels or toes, where pressure and friction occur. They are caused by the human papillomavirus, which enters the skin through tiny cuts or breaks. These warts may appear as rough, grainy bumps with black pinpoints and can cause pain or discomfort when walking or standing. Because they can spread or become persistent, professional care is important. A podiatrist can accurately diagnose plantar warts, remove them safely, and provide treatment to prevent recurrence. If you have pain or notice unusual spots on your heels or toes, it is suggested that you consult a podiatrist for an expert evaluation and appropriate treatment solutions. 

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.

Morton’s neuroma is a painful condition affecting the ball of the foot. It occurs when the tissue surrounding a nerve, often between the third and fourth toes, becomes thickened, causing pain, burning, or a sensation of something being wedged in the shoe. The pain can worsen when walking, standing, or wearing tight shoes. The primary cause of Morton’s neuroma is excessive pressure or irritation on the nerve, often from wearing high heels, tight shoes, or engaging in repetitive activities, like running. Foot deformities, such as bunions or hammertoes, can also increase the risk. A podiatrist can help diagnose Morton’s neuroma through a physical exam and imaging tests. Treatments include wearing custom orthotics, padding, or shoe modifications to reduce pressure on the affected area. In more severe cases, corticosteroid injections or even surgery may be recommended. If you have pain in this part of your foot , it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Kellvan Cheng, DPM of Elite Foot & Ankle. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different 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.

Foot stress fractures are small cracks in the bones of the foot caused by repeated pressure or overuse. Unlike acute fractures, they develop gradually and often begin with mild discomfort that worsens over time. Symptoms include localized pain, swelling, and tenderness that increase with activity. These fractures are common in repetitive running activity, and are often called march fractures because they frequently occur among newly recruited soldiers during intense training. A podiatrist can diagnose stress fractures through an examination and imaging tests, provide proper rest and support, and recommend footwear or custom orthotics to reduce pressure on the foot. If you have persistent foot pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat what the problem. 

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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.

The Winograd Procedure is a common surgical treatment for chronic or recurring ingrown toenails that do not respond to conservative care. During this procedure, the podiatrist removes a small portion of the affected nail and surrounding tissue to prevent the nail from growing into the skin again. The goal is to eliminate pain, infection, and inflammation while preserving the natural shape of the toe. Most patients experience quick relief and can return to normal activities within a short time. However, as with any surgery, there are potential risks. These may include infection, delayed healing, minor bleeding, or temporary tenderness around the treated area. In rare cases, nail regrowth or persistent discomfort may occur. Following proper post-procedure instructions and keeping the site clean greatly reduces these risks. For safe, lasting relief from ingrown toenails, it is suggested that you consult a podiatrist experienced in this procedure.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Kellvan Cheng, DPM of Elite Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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.

Hyperuricemia, or gout, is a condition caused by high levels of uric acid in the blood, leading to crystal deposits in joints. Although rare in children and adolescents, it can occur due to genetic factors, kidney issues, obesity, or certain medications. Risk factors include a family history of gout, poor diet, and metabolic disorders. Symptoms include sudden joint pain, redness, swelling, and warmth, often affecting the big toe. These painful flare ups can limit mobility and daily activities. A podiatrist can provide an accurate diagnosis, pain management, lifestyle recommendations, and supportive footwear to prevent recurring attacks. If your child or teenager has symptoms of gout, it is strongly suggested that you consult a podiatrist who can offer effective treatment and relief tips for this painful condition. 

Gout is a foot condition that requires certain treatment and care. 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 type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

There are noticeable symptoms that occur when toenail fungus develops. These can include yellowing of the toenails, and in advanced stages, they can thicken and can possibly detach from the nail bed. Many patients find their nails have become unsightly, and the texture may have changed if afflicted with fungus. A toenail fungal infection is caused by a fungus that lives and thrives in warm and moist environments, including public shower room floors, pools, and surrounding areas. Proper prevention techniques can consist of wearing appropriate shoes while in these types of places, in addition to refraining from sharing towels, socks, and shoes. There are various treatment methods available, and it is suggested that you consult with a podiatrist who can determine what the most effective treatment is for you.

For more information about treatment, contact Kellvan Cheng, DPM of Elite Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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.

Runners are prone to foot and ankle injuries due to repetitive impact, improper footwear, or overtraining. Common issues include sprains, tendonitis, and stress fractures that can disrupt training and daily activities. Preventing running injuries begins with wearing supportive shoes, gradually increasing mileage, and incorporating strengthening and stretching exercises. The calf stretch improves flexibility in the Achilles tendon, while the figure four stretch helps release tension in the feet and ankles. These exercises promote stability and reduce the risk of injury. If you have endured a foot or ankle injury while running, it is suggested that you consult a podiatrist who can assess your gait, recommend custom orthotics, and design a personalized recovery plan. 

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Kellvan Cheng, DPM of Elite Foot & Ankle. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries? 
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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.

Color changes in the feet, such as redness, blue tones, or pale patches, can be an early indicator of autonomic involvement in systemic sclerosis, a rare autoimmune disorder. Systemic sclerosis affects blood flow by tightening blood vessels and altering circulation, which can cause noticeable color shifts in response to temperature or stress. Feet may appear blue due to reduced oxygen, red with increased blood flow, or pale when circulation is restricted. These color changes may also come with symptoms like numbness, tingling, or sensitivity to cold, signaling an underlying problem with the autonomic nervous system, which regulates involuntary functions, including blood vessel dilation. If you have this condition and it affects your feet, it is strongly suggested that you visit a podiatrist to manage symptoms and prevent complications. These foot specialists can assess circulation, suggest protective strategies for temperature changes, and work with other specialists to ensure proper blood flow and nerve function, ultimately helping to maintain foot health.

Some foot conditions may require additional professional care. If you have any concerns, contact Kellvan Cheng, DPM of Elite Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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.