The Achilles tendon is a fibrous band of tissue that links the muscles from your calf to your heel. The flexibility of the tendon is key for jumping, running, and walking. The Achilles bears a lot of stress and pressure during everyday activities, as well as during athletic and recreational play. If it becomes inflamed, swollen or irritated, it is called tendonitis. The most common risk factors for Achilles tendon injuries are starting a new sport, an increased amount or intensity of an activity, bone spurs on the heels, tight calf muscles when starting an activity, and wearing improper shoes when exercising. Common symptoms of Achilles tendon injuries include the following: pain that gets worse while being active, a stiff/sore Achilles tendon when first getting up in the morning, thickening of the tendon, and difficulty in flexing the affected foot. Some treatment options are rest, physical therapy, specific exercises to strengthen the calf muscles, and anti-inflammatory drugs for pain relief such as ibuprofen or naproxen. An Achilles tendon injury may be prevented by stretching before exercising and by wearing the correct shoes. It may be suggested to cease exercise on uneven surfaces and stop activities that cause pain. If you have an Achilles injury or if you would like to take precautions to prevent an Achilles injury, please consult with your local podiatrist.

Achilles tendon injuries need immediate attention to avoid future complications. 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.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

Research has indicated there are millions of people worldwide who have diabetes. Many of these patients will develop wounds on the feet, which may lead to foot ulcers. It is important to treat these wounds promptly, as this may prevent serious foot conditions from developing. Wound healing may be accelerated when the damaged tissue is removed, and this can be accomplished from a variety of methods. When the correct dressing is applied, the wound can heal and drain properly. Many patients find it necessary to keep pressure off the foot, and this can be accomplished by wearing a boot or a removable cast walker. If you would like additional information on how to care for foot wounds, it is strongly suggested that you schedule a consultation with a podiatrist.

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

Has your child been complaining of pain, swelling, or redness in one or both heels? Is your child very active, especially in sports such as basketball and soccer? Sever’s disease is a swelling and irritation of the growth plate in the heel. It is not actually a disease, but a heel injury. Sever’s disease happens during the growth spurt of puberty. During the growth spurt, your child’s heel bone grows faster than the muscles, tendons, and ligaments in their legs. While the best treatment is rest, your doctor may also recommend the following: ice packs on the heel every 1-2 hours for 15 minutes, gel cups or supportive shoe inserts, and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen for pain relief. If your child is complaining of heel pain, please contact your local podiatrist.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.

The purpose of the peripheral nerves is to send messages to the nerves in the body, which affect sensation. Peripheral neuropathy can occur if there are complications with this group of nerves. The symptoms that are often associated with this condition can include tingling in the feet and hands, numbness, and muscle weakness. There may be existing medical conditions that can lead to peripheral neuropathy, which can include diabetes. Mild relief can be found if certain prescription medications are taken, and these may be helpful in reducing any burning and shooting pains that exist. If you have a tingling sensation in your feet, it is suggested to consult with a podiatrist as quickly as possible who can guide you toward the correct treatment.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

Doctors that are referred to as podiatrists provide treatment for many foot conditions. These include ingrown toenails, foot and ankle injuries, and neuromas. The education podiatrists go through consists of medical school training, followed by obtaining a doctorate degree in podiatry. Many podiatrists choose to perform surgery that helps to correct bunions, hammertoe, and Achilles tendon injuries. Additionally, they are able to diagnose foot conditions which may improve from wearing custom made orthotics. These may be helpful in improving abnormal walking patterns, and patients who are afflicted with plantar fasciitis may find relief. If you would like to pursue a career in this field of medicine, please consult with a podiatrist who can answer any questions you may have.

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to 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.

What Is a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

• Diagnose foot ailments such as ulcers, tumors, fractures, etc.
• Use innovative methods to treat conditions
• Use corrective orthotics, casts, and strappings to correct deformities
• Correct walking patterns and balance
• Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

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.

Many people will suffer from ankle pain at some point in their lives. There are different reasons why this type of pain occurs, and these may include fracturing or spraining your ankle. An eversion ankle sprain is considered to be uncommon, and affects the ligaments on the inside of the ankle. This happens when the ankle rolls inward. If the ligament or tendon tears and a piece of bone is intertwined, it is referred to as an avulsion fracture. If the cartilage that protects the ends of the bones becomes damaged, this is known as a osteochondral fracture. If you have sprained or broken your ankle, it is advised to consult with a podiatrist who can properly diagnose and treat ankle pain.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and 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.

The purpose of the toenail is to protect the toes against injury. Many patients experience toenail fungus at some point in their lives. They often notice the nail will change consistency and has a yellow or white tinge to it.  Additionally, the nail will become darker and thicker as the fungus grows deeper into the nail bed. This condition is considered to be contagious, and the fungus that causes this thrives in warm and moist areas. These include public pools and surrounding areas, shower room floors, and locker rooms. As the fungus progresses, the nail may become brittle, and may have a foul odor to it. It may be possible to prevent this type of fungus from entering the body. This can be accomplished by wearing appropriate shoes while in public areas, and changing your socks often if they are wet for the majority of the day. Please consult with a podiatrist for additional information about toenail fungus.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. 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.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.