Common Problems of the Foot and Ankle Demystified
Are there any new treatments for heel pain (plantar fasciitis)?
Yes. If the more traditional treatments don’t offer relief, we can use a pulse activation treatment called EPAT. It’s highly effective in curing conditions such as heel pain caused by plantar fasciitis as well as Achilles tendonitis. It requires three to five five-minute in-office treatments over three weeks with no need for injections or anesthesia and no downtime. Patients walk right out of the office and can continue doing all normal activities. Our website, PremierFoot.com, has more information on the EPAT therapy, a non-operative, non-invasive treatment for heel pain.
My toenails are thick and discolored. What can I do for this?
This is most likely caused by nail fungus, the same fungus that causes athlete’s foot. Unfortunately, over-the-counter medicines tend to be the least effective. Our approach is usually to culture the nail to determine if your problem is fungus and to diagnose what type of fungus. We can then prescribe the appropriate topical or oral antifungal medicine. We also perform in-office laser treatments for nail fungus.
I have bumps on my big toe that are causing pain when I wear shoes. Are these bunions? Can they be fixed?
These are most likely bunions or hallux valgus (the medical term) where the bone begins to displace over time causing pain. If conservative measures don’t offer relief, surgery can be done in an outpatient setting. In most cases, you can walk immediately after surgery. You’ll wear a walking boot for four weeks, then begin to transition into regular shoes. No matter what your complaint, we always begin with the least invasive treatment options and exhaust all conservative therapy before considering surgery. When surgery is the best option, we advocate the least invasive procedures to shorten recovery time, lower the risk of complications, and offer more precise and successful results.
If I have diabetes or a parent that does, what kinds of things should I be concerned about in my/their feet?
The things we’re most concerned about is loss of sensation in the feet and decreased blood flow in the feet. A diabetic might not be able to feel pain and detect foot problems. If they have poor blood supply, they may have a hard time healing as well. We offer in-office vascular screening called Padnet to check the blood flow for early detection of vascular disease. This has led to dramatic improvements in our diabetic patients and others with vascular disease. We have nerve scanning at some of our offices as well. And recently, we’ve become some of the first foot doctors in Texas to offer “smart socks” that connect to an app to monitor potential foot problems. Call (469) 640-5164 for more details.
My husband keeps doing home surgery with nail cutters for his ingrown toenail. Can it be fixed permanently?
Absolutely. We can perform a five-minute, in-office procedure to permanently correct the problem. Afterwards, he can return to normal activities such as working, running, and swimming the next day.
About the Expert
Dr. Binoy Sheth, DPM, ABPM
Premier Foot & Ankle
Dr. Sheth is a board certified podiatrist treating all conditions and injuries related to the foot & ankle. He treats children and adults and specializes in sports medicine and diabetic foot care. Dr. Sheth practices at Premier Foot and Ankle in Allen and Sherman which also has locations in McKinney, Plano, Frisco, Dallas, Mesquite, and Celina. He participates in mission trips to Mexico and enjoys snowboarding, football, golfing, woodworking, traveling, and spending time with his wife.
Get in Touch
PremierFoot.com // (972) 424-8999