April 2025

Surgery may be necessary for a torn Achilles tendon when the tear is large or the tendon ends have retracted, meaning they have pulled apart and cannot come back together on their own. The Achilles tendon connects the calf muscles to the heel and helps the foot point downward, which is important for walking and standing on tiptoe. When the tendon is torn, this motion can become weak or painful. A podiatrist may perform a procedure called turn-o-plasty, which involves using a healthy part of the tendon to reconnect the gap. This section is repositioned and secured to the heel bone using surgical tools, allowing the tendon to heal in a strong, stable way. After surgery, the foot is supported in a cast or boot to allow for healing, and movement is gradually restored over time. If you have torn or injured your Achilles tendon, it is suggested that you schedule an immediate appointment with a podiatrist for treatment, which may include surgery.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Alex Kim, DPM of AVID Foot & Ankle Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

An ankle sprain injury occurs when the ligaments supporting the ankle stretch or tear, typically due to sudden twisting or rolling of the foot. This injury is frequent in sports and physical activities but can also result from uneven surfaces or wearing unsupportive footwear. The most commonly affected ligaments are on the outside of the ankle, which are more vulnerable when the foot rolls inward. Symptoms often include pain, swelling, bruising, and difficulty bearing weight. To diagnose an ankle sprain, a podiatrist will perform a physical examination and assess the range of motion, stability, and tenderness. Imaging studies, such as an X-ray or MRI scan, may be used to rule out fractures or more serious ligament damage. If you have injured your ankle, it is suggested that you promptly contact a podiatrist who can provide an accurate diagnosis and treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact our office located in Little Elm, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Gout is a painful type of arthritis that can affect the ankle, not just the big toe. It develops when uric acid builds up in the body and forms sharp crystals in the joints. When this occurs in the ankle, it may cause sudden, sharp pain along with swelling, redness, and warmth in the area. Movements like walking or climbing stairs can become difficult during a flare-up. Gout flare-ups in the ankle may last for several days and often return over time, if not properly managed. Risk factors include a diet high in red or organ meats, alcohol consumption, sugary beverages, excess body weight, and high blood pressure. A podiatrist can help determine whether gout is the cause of your ankle pain by examining the foot and ordering diagnostic tests, including bloodwork or imaging. Once diagnosed, a podiatrist can recommend treatment that may include medication to lower uric acid levels and reduce inflammation. If you are experiencing sharp pain in your ankles, it is suggested that you schedule an appointment with a podiatrist for an exam to determine if gout is the cause.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Alex Kim, DPM from AVID Foot & Ankle Center. 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 Little Elm, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The condition of the feet can provide important clues about overall health. Poor circulation, often linked to diabetes or vascular disease, may cause cold feet, numbness, or slow-healing wounds. Changes in toenails, such as discoloration or thickening, can indicate fungal infections or underlying medical conditions. The arches of the feet play a role in posture and alignment, and issues such as flat feet or high arches may contribute to joint pain and imbalance. Skin conditions, including dryness, cracks, or unusual rashes, may signal nutritional deficiencies or autoimmune disorders. Persistent foot odor, beyond normal sweating, can suggest bacterial or fungal infections. If you notice any changes to your feet, it is suggested that you visit a podiatrist who can link any of these changes to possible health issues and provide treatment.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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

Wearing high-heeled shoes can be especially challenging for people with flat feet, as the lack of arch support causes increased strain on the toes, arches, and ankles. High heels shift body weight forward, placing excessive pressure on the forefoot and forcing the ankle into an unnatural position. This can contribute to foot fatigue, pain, and an increased risk of bunions, hammertoes, and ankle instability. Without proper arch support, the foot may overpronate, leading to misalignment and additional stress on the lower leg. People with flat feet may also find it more difficult to maintain their balance in high heels, which can increase the likelihood of ankle sprains. A podiatrist can assess your foot mechanics and recommend custom orthotics or shoe modifications to improve comfort and stability. In cases where conservative approaches do not relieve pain, surgery may be considered to address structural concerns. If you have flat feet and experience pain wearing high heeled shoes, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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