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The Pros and Cons of Having Wide Feet

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Have you ever had to squeeze into a tight shoe that you thought would fit? You might have wide feet, and while this isn’t inherently a problem, it comes with its own set of challenges, particularly when it comes to finding appropriate footwear. At Carrollton Foot Center, we want our patients to better understand their natural foot shape, which is why, in this blog post, we’re uncovering all things about foot width, from good to bad (yes, there are some pros).

How to Tell If You Have Wide Feet

If you’re reading this article, you may already have a clue. If your toes always feel cramped or if your vamp is never quite comfortable, this indicates that your feet don’t fit the standard width of most shoe manufacturers.

Foot width is typically measured at the widest part of your foot, that is, across the ball of your foot, right under the toes. Go to any shoe store, and they’ll have the Brannock device to help you find an accurate fit. However, getting professionally measured by a podiatrist is the best way to measure, especially if you’re already having issues.

Note that another great tell is genetics. They play a significant role in determining foot width; if your parents have wide feet, chances are you might, too.

The Pros of Wide Feet

Before we dive into what foot problems you may already have, let’s discuss some benefits of wide feet.

A broader foot often provides a more stable base for balance, so it could reduce the risk of falls, which could be lifesaving as we age. This increased surface area can also lead to better weight distribution across the foot’s structure when properly supported, which reduces pressure points throughout the feet that a narrower shape may be susceptible to.

When correctly fitted, wide feet can even contribute to the durability of shoes by preventing the material from being stretched and strained excessively.

Foot Conditions Caused by Wide Feet

While wide feet themselves don’t directly cause specific conditions, they can be a risk factor for them when squeezed into ill-fitting footwear, such as:

  • Bunions: Although often hereditary, narrow shoes on a wide foot can severely exacerbate the condition by pushing the big toe inward.
  • Hammertoes: The cramped space forces your toes to curl.
  • Corns and Calluses: Constant rubbing against shoe sides or between squished toes results in thickened, painful skin.
  • Ingrown Toenails: Pressure from a narrow toe box can force the nail into the surrounding skin.
  • Metatarsalgia: If the shoe’s forefoot area is too narrow, it compresses the metatarsals and the nerves between them.

(And let’s not forget: blisters).

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, a knowledgeable professional who is dedicated to her patients in Denton, Dallas, and Collin Counties. Dr. Khavari treats a wide range of conditions, from ingrown toenails to foot and ankle injuries. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to schedule your first appointment today!

Cycling and Your Foot and Ankle Health

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Did you know that May is National Cycling Month? Before you get out there on your bike, we at Carrollton Foot Center want to inform you of the upsides and downsides of cycling. In this article, we’ll stroll through the surprising relationship between your feet and this low-impact exercise, including the potential injuries you can sustain that most beginner cyclists don’t know about.

How Cycling Can Benefit Your Feet

One of the primary benefits of cycling for the lower extremities is improved circulation. The rhythmic pedaling action helps to pump blood through the muscles of your legs and feet. This can be advantageous for diabetics, people with ankle swelling, or those who spend long hours standing.

Since the circular motion of pedaling encourages a fluid movement in the ankle, cycling can also contribute to an increased range of motion in the ankle joint. While not as extensive as the range of motion during walking or running, this movement can be beneficial for overall joint health.

Many people think cycling is just for the thighs and glutes, however, cycling can indirectly strengthen the muscles surrounding the ankles and feet as they work to stabilize your position on the pedals.

Negative Impacts of Cycling on Your Feet

Despite its low-impact nature, cycling can negatively affect the feet and ankles if proper precautions aren’t taken. The repetitive motion of pedaling (while generally smooth) can lead to overuse injuries if training intensity or duration is increased too quickly.

Do you have neurological issues? While cycling can improve circulation, beware of certain pressure points from the pedals and tight-fitting cycling shoes. Both can compress nerves and blood vessels in the feet, which may not be a good match for these sensitive areas.

For everyone involved, improperly fitted cleats or an incorrect bike setup can also force the feet and ankles into unnatural positions and cause strain.

Common Foot and Ankle Injuries in Cycling

If you’re a cyclist, you should also look out for these common conditions:

  • Metatarsalgia: Pain and inflammation in the ball of the foot due to pressure on the metatarsals.
  • Achilles tendonitis: Inflammation of the Achilles tendon, often linked to improper saddle height or cleat position.
  • Plantar fasciitis: Heel pain that can be aggravated by excessive pedaling or improper foot support within the shoe.
  • Sesamoiditis: Inflammation of the small bones under the big toe joint, potentially caused by increased pressure during the pedal stroke.

Cycling and Your Feet

So, what’s the verdict? It depends on your lifestyle and preexisting foot and ankle health status. However, for non-sensitive people who take the proper steps to cycle safely, this is still a relatively low-impact exercise compared to running.

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, a knowledgeable professional who is dedicated to her patients in Denton, Dallas, and Collins Counties. Dr. Khavari treats a wide range of conditions, from ingrown toenails to foot and ankle injuries. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to schedule your first appointment today!

5 Foot Conditions Alcohol Contributes To

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While enjoying a drink or two might be a part of social gatherings, excessive alcohol consumption can have far-reaching consequences for the health of your feet and ankles. It’s National Alcohol Awareness Month, which means it’s time to realize that alcohol can interfere with various bodily functions and lead to a range of foot and ankle problems. Today, we at Carrollton Foot Center will unpack 5 of the most common, from causes to symptoms and further complications.

Alcohol’s Impact on Your Feet and Ankles

  1. Peripheral Neuropathy

Peripheral neuropathy can be significantly affected by excessive alcohol intake. Alcohol is a neurotoxin, meaning it can damage these nerves and impair their ability to send important signals.

This damage often manifests in the feet and ankles and gives you numbness, tingling, burning pain, and weakness. Reduced sensation in the feet can make it difficult to detect injuries, which increases the risk of unnoticed cuts, sores, and developing infections.

  1. Diabetes

That brings us to alcohol’s effects on diabetes. Not only does it disrupt blood sugar regulation and cause hyperglycemia and hypoglycemia, but alcohol is also a diuretic that causes dehydration. If you are a diabetic already prone to infection, excessive use can further increase your risk of dry, cracked skin.

Alcohol also weakens the immune system, making such infections harder to fight off, and contributes to weight gain that puts extra stress on your diabetes (which continues the vicious cycle).

  1. Gout

Gout (a form of inflammatory arthritis) is another condition heavily influenced by alcohol consumption. Essentially, alcohol interferes with the kidneys’ ability to effectively eliminate uric acid from the body. This buildup of crystals drives intense pain in the big toe joint (along with swelling, redness, and warmth).

Gout isn’t exclusive to the big toe, though. It can also affect other joints in the foot and ankle, causing unique discomfort and mobility issues.

  1. Swollen Ankles

Alcohol can impair the function of the liver and kidneys, both of which play crucial roles in regulating fluid balance in the body. When these organs are compromised, it can lead to fluid accumulation in the feet and ankles. This swelling can cause the feet and ankles to feel heavy, tight, and uncomfortable, potentially hindering movement.

  1. Injury

Beyond these specific conditions, studies show that excessive alcohol consumption significantly increases the risk of foot and ankle injuries. The impaired coordination, balance, and judgment can result in a variety of injuries, including sprains, fractures, and dislocations.

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, a knowledgeable professional who is dedicated to her patients in Denton, Dallas, and Collins Counties. Dr. Khavari treats a wide range of conditions, from ingrown toenails to foot and ankle injuries. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to schedule your first appointment today!

Why Kids and Adults Need Orthotics

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Custom orthotics are a common treatment for various foot and ankle conditions, but the needs and considerations for pediatric patients differ significantly from those of adults. Today, we at Carrollton Foot Center will explore the key distinctions between pediatric and adult orthotics and highlight how podiatrists tailor their approach to ensure optimal foot health for patients of all ages.

Why Orthotics?

We covered this in a previous blog, but today, we’ll go more in-depth as to how each age group depends on orthotics differently.

In Children:

  • Guiding Growth and Development: Orthotics can help guide proper foot and ankle development in children and address issues like flat feet, in-toeing, and out-toeing. Early intervention can prevent long-term complications and promote healthy biomechanics.
  • Addressing Congenital Conditions: Orthotics can be used to manage congenital foot deformities, such as clubfoot, which helps to correct alignment and improve function.
  • Supporting Neuromuscular Conditions: Children with neuromuscular conditions like cerebral palsy may benefit from orthotics to improve stability, reduce spasticity, and enhance mobility.
  • Managing Pediatric Foot Pain: Orthotics can address various sources of foot pain in children, such as Sever’s disease or juvenile bunions.

In Adults:

  • Correcting Biomechanical Issues: Orthotics can fix problems like flat feet, high arches, overpronation, or underpronation. These can all cause pain, affect your gait, and ruin your ability to exercise.
  • Managing Foot Conditions: Orthotics can help alleviate pain and improve function in conditions like plantar fasciitis, heel spurs, bunions, and metatarsalgia.
  • Offloading Pressure: Orthotics redistribute pressure and reduce stress on specific areas of the foot, which is crucial for people with diabetes or those prone to ulcers.
  • Improving Sports Performance: This applies to both groups, but orthotics can enhance athletic performance by optimizing biomechanics and reducing stress on the feet and lower limbs!

Pediatric and Adult Orthotics: Key Differences

In terms of function, pediatric orthotics often aim to guide proper foot development and prevent future problems, whereas adult orthotics may focus more on correcting existing issues and alleviating pain.

One of the key differences between pediatric and adult orthotics is the need to accommodate growth and development. Children’s feet are constantly growing and changing, so their orthotics must be designed to adapt to these changes. In contrast, adult feet generally require a more stable fit to provide greater support and correction.

Orthotic Progress Monitoring

Furthermore, children may adapt to orthotics more quickly due to their greater flexibility and adaptability, while adults may require a longer adjustment period.

Consequently, pediatric orthotics typically need to be re-evaluated more frequently than adult orthotics, usually every 6-12 months, or more often if the child experiences a growth spurt. Adult orthotics, on the other hand, may only need re-evaluation every 1-2 years unless there are changes in the patient’s condition or footwear.

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, a knowledgeable professional who is dedicated to her patients in Denton, Dallas, and Collins Counties. Dr. Khavari treats a wide range of conditions, from ingrown toenails to foot and ankle injuries. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to schedule your first appointment today!

The Signs of Heart Issues Your Feet Are Showing

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Our hearts are happy for American Heart Month! This February, we at Carrollton Foot Center are prioritizing cardiovascular health and raising awareness about heart disease. In this article, we’ll be explaining the heart and foot connection, sharing with you the signs of heart problems you can detect simply by looking down.

Foot Problems That May Signal Heart Issues

Certain foot appearances and symptoms can indicate a heart problem. These include:

  • Swelling: The heart may struggle to pump blood effectively, which can cause fluid to accumulate in the extremities.
  • Leg Pain: Pain or cramping in the legs and feet, especially during activity, can indicate peripheral artery disease, which we discussed in a recent blog.
  • Skin Changes: Changes in skin color or temperature, such as pale or bluish feet, can explain poor circulation that is potentially linked to heart disease or diabetes.
  • Sores that Don’t Heal: Slow-healing wounds or ulcers on the feet can be a sign of diabetes and inadequate circulation, both of which are risk factors for heart disease.
  • Tingling and Numbness: Peripheral neuropathy can occur due to diabetes or circulation issues associated with heart disease.
  • Decreased Sensation: Reduced blood flow to the feet can impair nerve function. This makes it harder to feel injuries or changes in temperature, thereby increasing the risk of foot ulcers and infections.
  • Increased Risk of Infections: Sometimes, heart problems can slow down wound healing and make the feet more susceptible to infections.

The Importance of Foot Care for Heart Health

Beyond foot checks for the aforementioned signs, if you have any existing conditions like diabetes or high blood pressure, it’s important to manage them effectively.

Also, stay active with regular exercise to improve heart fitness and benefit your feet. And lastly, don’t hesitate to seek professional help from a podiatrist if you notice any concerning changes in your feet or have any persistent foot problems.

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, a knowledgeable professional who is dedicated to her patients in Denton, Dallas, and Collins Counties. Dr. Khavari treats a wide range of conditions, from ingrown toenails to foot and ankle injuries. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to schedule your first appointment today!

Toenail Problems and How to Prevent Them

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Our toenails play a crucial role in protecting our toes and supporting healthy foot function. However, various conditions can affect our nails, leading to discomfort, pain, and even infections. This article from us at Carrollton Foot Center provides essential knowledge for maintaining optimal toenail health and preventing common problems.

Toenail Conditions to Watch Out For

Don’t get us wrong: everyone should take proper care of their toenails. But, if you are an athlete, diabetic, or someone prone to infection, you should be particularly careful. Here are some toenail issues to watch for:

  • Brittle Nails: Nails that are dry, cracked, or easily broken can indicate anemia, thyroid disorder, or nutritional deficiencies.
  • Fungal Infections: Onychomycosis can cause nails to thicken, discolor, and become brittle.
  • Ingrown Toenails: The classic case when the nail turns on you (literally), growing into the surrounding skin and causing pain, redness, and swelling.
  • Discolored Nails: Changes in nail color, such as yellowing, greening, or blackening, can signal fungal infections, injuries, or other medical conditions. For instance, it’s common for athletes with black nails to have a subungual hematoma caused by repetitive trauma.

Tips for Healthy Toenails

  • Numerous studies show that biotin can help strengthen brittle nails, including this one courtesy of PubMed. Similarly, zinc is known to be essential for cellular growth. It’s also known that white spots in toenails are linked to deficiencies in zinc.
  • Beyond vitamins and supplements, It’s always best to consult a doctor or podiatrist before starting any new supplements, especially if you have any underlying health conditions or are taking medications.
  • This is why maintaining healthy toenails should start with the basics: trimming them to prevent ingrown toenails, washing your feet daily, drying them thoroughly, and wearing clean socks to prevent fungal infections.
  • Also, there are some great ways to take care of toenail fungus should you encounter it, which is why healthy nails are always a podiatrist consultation away.

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, an esteemed professional who is dedicated to her patients in Denton, Dallas, and Collins Counties. Dr. Khavari treats a wide range of conditions, from ingrown toenails to foot and ankle injuries. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to schedule your first appointment today!

Peripheral Artery Disease and Peripheral Neuropathy: What’s the Difference?

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As we approach the peripheries of 2024, it’s only appropriate to discuss peripheral artery disease (PAD) and peripheral neuropathy, two distinct conditions that affect the feet in the form of pain, numbness, and weakness.

However, both conditions stem from different underlying causes and require distinct approaches to management. Today, we at Carrollton Foot Center will explain them in detail.

Peripheral Artery Disease

PAD is a circulatory condition that reduces blood flow to the feet. This causes pain, cramping, and numbness- especially during activity.

Peripheral artery disease (PAD) is a significant health concern, affecting an estimated 8.5 million Americans, particularly those over 60. Smoking is a major risk factor for developing PAD, along with other conditions like diabetes, high blood pressure, and high cholesterol.

And it’s best not to ignore PAD: if untreated, it can increase the risk of heart attack, stroke, and even amputation.

Peripheral Neuropathy

Peripheral neuropathy involves damage to the peripheral nerves, which transmit signals between the brain and spinal cord to the rest of the body. This damage can lead to similar symptoms of symptoms, including burning sensations, shooting pains, and muscle weakness in the extremities.

According to the National Institute of Diabetes and Digestive Kidney Diseases, up to 50% of people with diabetes have peripheral neuropathy. This means that diabetes is a significant risk factor, but autoimmune diseases, infections, vitamin deficiencies, and exposure to toxins are all potential culprits.

Comparing and Contrasting PAD and Peripheral Neuropathy

While both conditions can cause similar symptoms, there are key distinctions:

  • Underlying cause: PAD stems from narrowed arteries and reduced blood flow, while peripheral neuropathy results from nerve damage.
  • Diagnosis: PAD is often diagnosed with imaging tests like an ankle-brachial index, while peripheral neuropathy may involve nerve conduction studies or biopsies.
  • Treatment: PAD treatment focuses on improving blood flow with lifestyle changes, medications, or procedures like angioplasty. Conversely, with peripheral neuropathy, we aim to manage the underlying cause and alleviate symptoms with medications, physical therapy, and alternative therapies.

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, an esteemed professional who is dedicated to her patients in Denton, Dallas, and Collins Counties. Dr. Khavari treats a wide range of conditions, from ingrown toenails to foot and ankle injuries. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to schedule your first appointment today!

Vamp Disease: Inflammation on the Top of Your Foot

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Lacing your shoes too tight might leave you with a lesser-known podiatric condition called Vamp Disease. This refers to inflammation on the top of your foot caused by irritation from the upper part of your shoe, aka the vamp.

The mechanism behind this spooky-sounding condition is essentially nerve compression from said tightness. But Halloween’s over, and we at Carrollton Foot Center aren’t here to lecture you on the science. Instead, let’s talk about causes, symptoms, and treatment.

Causes of Vamp Disease

Besides excessive shoe friction, these are other causes of Vamp Disease:

  • Improper gait: An abnormal walking pattern, such as pronation (rolling inward), can cause increased pressure on the big toe during push-off.
  • High-impact activities: Activities that involve repetitive pounding on the forefoot, like running or jumping, can increase the risk of irritation.
  • Hypermobility: Individuals with loose ligaments in the foot may experience increased strain on the tendons around the big toe.

Symptoms of Vamp Disease

Pain is the most common symptom of vamp disease, often described as a burning or aching sensation on the top of the big toe, particularly when wearing shoes or engaging in activities.

Chronic friction can also lead to the development of a thickened, hardened area of skin, known as a callus, on the top of the big toe.

Diagnosis of Vamp Disease

A podiatrist can diagnose vamp disease through a physical examination. They will assess your foot structure, gait pattern, and the location and nature of your pain. X-rays may be ordered to rule out other potential causes of pain (like a stress fracture).

Treatment of Vamp Disease

Treatment for vamp disease focuses on reducing inflammation and preventing further shoe irritation. For instance, wearing shoes with a softer, more flexible vamp or opting for wider shoes can greatly reduce pressure on the affected area.

Custom orthotics can also help redistribute pressure and improve foot biomechanics that reduce stress on the big toe.

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, an esteemed professional who is dedicated to her patients in Denton, Dallas, and Collins Counties. Dr. Khavari treats a wide range of conditions, from ingrown toenails to foot and ankle injuries. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to schedule your first appointment today!

Understanding Foot Bruising: Causes, Symptoms, and When to Seek Help

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Bruises on the foot are often no big deal. However, in some cases, bruises come seemingly out of nowhere and cause a great deal of stress and confusion.

While this could be a sign of an underlying condition, this article (courtesy of Carrollton Foot Center) will explore various causes of foot bruises, their symptoms, and when it’s important to seek medical attention.

Common Causes of Foot Bruises

These include minor injuries like bumps, scrapes, or falls, as well as more significant events such as sprains or fractures. Repetitive activities, such as running or jumping, can also lead to microtrauma and bruising.

Poor blood flow can also make the skin more susceptible to bruising. For example, certain blood clotting disorders and some medications can increase the risk of bruising.

Diagnosis of Foot Bruises

Symptoms of bruising typically appear as a bluish-purple mark on the skin, and the bruised area may be painful or tender to the touch, swollen, and feel warm. From this information, a healthcare provider can diagnose a foot bruise based on a physical examination and your medical history.

However, sometimes additional tests may be necessary:

  • X-rays: To rule out fractures or other bone injuries.
  • Blood tests: To check for blood clotting disorders or other medical conditions.
  • Ultrasound: To examine the soft tissues of the foot.
  • MRI: To obtain detailed images of the foot and ankle.

By combining a physical examination with appropriate diagnostic tests, a healthcare provider can accurately diagnose the cause of a foot bruise and recommend the best course of treatment.

When to Worry About Foot Bruises

A Rapidly growing or color-changing bruise may be a sign of an underlying medical condition. This is especially true if the bruising doesn’t heal or appears to be worsening. In this case, it may be a sign of a blood clotting disorder.

Also, if your bruises accompany other symptoms such as numbness, tingling, or weakness, it could be a sign of peripheral artery disease.

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, a renowned expert who is dedicated to her patients in Denton, Dallas, and Collins Counties. Dr. Khavari treats a wide range of problems, from ingrown toenails to foot and ankle injuries. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to schedule your first appointment today!

Scooters, Skateboards, and Sidewalk Sports: A Foot Health Balancing Act

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Skateboarding, scootering, and other blacktop board sports feel like a staple of American upbringing. From Heely’s (remember those shoes with built-in wheels?) to Ripsticks, there has been a range of driveway toys and activities that have caused an equal amount of pleasure and pain.

Falling off a board on your neighborhood street seems like fun, but understanding the potential dangers and taking preventive measures can help you enjoy these activities without compromising your foot health. We at Carrollton Foot Center are here to fill you in.

Common Foot and Ankle Injuries

  • Ankle sprains: The repetitive twisting and turning in board sports can strain the ankle ligaments, and tricks on skateboards inevitably lead to awkward falls.
  • Fractures: Falls and impacts can result in fractures of the foot, ankle, or leg bones. Longboards down steep hills can reach speeds of 80 miles per hour, which spells obvious trouble for catastrophic foot injuries.
  • Scooter Fractures: These can occur from scooter whiplash. They swivel quite loosely, and if they hit you hard enough, it can fracture your ankle.
  • Abrasions and cuts: Skin injuries are common due to falls and contact with the board or ground.
  • Tendonitis: Inflammation of the tendons in the foot or ankle can occur due to overuse. Boarding on hard pavement leads to hard landings, and the force generated to perform tricks lends itself to inflammation.

Foot Care Advice

Protective gear is more than just a helmet and some kneepads. We recommend skating in shoes such as Vans or Nike’s SB brand. These shoes are designed for extra padding and have durable soles. Also, wear socks to prevent blisters, and consider using ankle braces for added support.

This may seem like a challenge, but try skating in safer areas where the terrain isn’t uneven. Skate parks offer smooth grounding that reduces the risk of injury. You also have a better chance of learning proper techniques, which can teach you how to stay safe on your board.

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, a respected professional who is dedicated to her patients in Denton, Dallas, and Collins Counties. Dr. Khavari treats a wide breadth of issues, from ingrown toenails to foot and ankle injuries. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to schedule your first appointment today!

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We’d love to hear any question or concern you have.

4221 Medical Parkway
STE 450
Carrollton, TX

(469) 998-3668

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