Balance issues often begin with problems in the feet and ankles, especially as people age. Good balance depends on being able to feel the ground and move with stability. Diabetes-related nerve damage, called neuropathy, can reduce feeling in the feet and affect the balance. Fallen arches, arthritis, joint stiffness, and painful foot deformities can also change the way a person walks and increase the risk of falling. Shoes that do not fit well or do not provide enough support can further affect balance and lead to slips or trips. A podiatrist can examine foot structure, check circulation and nerve function, and identify problems that affect balance and safe movement. Treatment includes custom orthotics, bracing, and guidance on supportive footwear. Improving foot stability can help retain balance and reduce the risk of falls. If you have injured your foot or ankle from falling, it is suggested that you schedule an appointment with a podiatrist for effective treatment solutions and prevention tips.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

Swelling of the feet, also known as edema, occurs when fluid builds up in the tissues, causing the feet and ankles to appear puffy, tight, or enlarged. The skin may look shiny or stretched, and pressing on the area can sometimes leave a temporary indentation. Edema can cause discomfort, a heavy feeling, or difficulty fitting into shoes. Common causes include prolonged standing or sitting, injury, poor circulation, and pregnancy. Underlying medical conditions, such as heart, kidney, or vein issues, are other factors. A podiatrist can evaluate the pattern and severity of swelling, check for foot or ankle abnormalities, and help determine if further medical evaluation is needed. Treatment options include compression therapy, supportive footwear, and custom orthotics. Guidance on elevating the feet and improving circulation through targeted exercises may be discussed. Early care can help reduce discomfort and prevent skin changes or ulcers. If you have swelling of the feet, it is suggested that you make an appointment with a podiatrist.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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.

Tarsal tunnel syndrome develops when the tibial nerve is compressed as it passes through the tarsal tunnel on the inside of the ankle. This pressure can cause burning, tingling, numbness, and shooting pain that may radiate into the foot. Other signs include weakness in the foot muscles and increased discomfort with activity. Diagnosis often involves a physical examination, nerve testing, and imaging, like MRI scans, to identify compression or structural abnormalities. Risk factors include flat feet, ankle injuries, inflammation, and space-occupying lesions. A podiatrist can provide proper evaluation, recommend orthotics or supportive devices, and design a treatment plan to reduce nerve pressure. If you have pain in this part of your foot, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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.

A bunion is a hard bump that forms at the base of the big toe where it meets the long bone of the foot. Over time, the big toe begins to lean toward the second toe, which causes the joint to stick outward and become swollen and painful. As the deformity progresses, the joint may become stiff, irritated, and difficult to move. When the pain becomes severe or walking is limited, bunion surgery may be recommended to correct the problem. Several types of procedures may be used depending on the size and shape of the bunion. One procedure removes the bony bump. Another type of surgery cuts and shifts the bone so the big toe can return to a straighter position. In more advanced cases, the joint may be stabilized using small screws or plates to keep the bones aligned. A podiatrist can examine the foot, evaluate the severity of the bunion, and determine the most effective surgical option. If you have a painful bunion, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

If you are suffering from bunions, 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.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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.