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5 Foot Signs That Usually Don’t Mean Heart Trouble

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During American Heart Month, it’s typical to read a lot of fear-mongering misinformation online and get scared. However, we at  Carrollton Foot Center are here to set the heart’s record straight. If you notice any of these signs in your feet, your cardiovascular system is most likely fine, contrary to what you might have thought.

1. Burning or Tingling in One Foot

While poor circulation can cause a dull ache, a sharp burning sensation in your feet, especially if it’s only in one foot, is rarely a heart issue. Instead, this usually points to a nerve problem. You might have a pinched nerve in your back (sciatica) or a localized issue like Morton’s neuroma, which is a thickening of the tissue around the nerves leading to your toes. If it feels like an electric shock, it’s likely a nerve, not a heart problem.

2. Cold Feet Only After It Rains or Snows

If your feet are icy cold 24/7, even in a warm room, you might check your circulation. But if your feet only feel cold after you’ve been out in the slush, it’s likely an environmental or footwear issue. Many waterproof boots lose their seal over time. If moisture is getting in, your feet will freeze regardless of how strong your heart is. If they warm up quickly once you’re inside, your heart is doing its job just fine.

3. A Painful Knot in Your Arch

If you feel a sharp pain in your arch the second you step out of bed, your mind might jump to a blood clot or arterial blockage. However, this is the classic signature of plantar fasciitis.

This is a mechanical issue where the thick band of tissue supporting your arch becomes inflamed. It’s about how you walk and the shoes you wear, not how your heart is pumping.

4. Swelling in Only One Ankle

We often hear that swollen ankles mean heart failure. However, heart-related swelling is almost always bilateral, meaning it happens in both feet at the same time.

If only your left ankle is puffy while your right one looks normal, you are likely looking at a local issue like a minor sprain, a bug bite, or a localized vein problem rather than a failing heart.

5. Sudden Yellowing of the Toenails

If your toenails are turning yellow and getting thick, you might worry about oxygen levels. In reality, 90% of the time, this is simply a fungal infection.

Fungus loves the damp environment of winter boots. While it’s a nuisance, it’s a localized skin and nail issue, not a sign that your heart is struggling to deliver nutrients.

Always check with a trusted podiatrist to be 100% sure!

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!

What Your Feet Reveal About Your Thyroid Health

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While many people associate thyroid issues with fatigue or weight changes, Carrollton Foot Center is here to tell you that your feet provide early warnings of an under or overactive thyroid. It’s National Thyroid Awareness Month, so let’s jump into the signs that can help you identify a potential hormonal imbalance.

Chronic Dryness and Cracked Heels

One of the most common signs of hypothyroidism, or an underactive thyroid, is severely dry and cracked skin. When the thyroid does not produce enough hormones, the metabolism slows down and reduces sweat and oil production.

This lack of natural moisture often leads to deep, painful fissures on the heels and a leathery texture on the soles of the feet. Unlike standard dry skin, thyroid-related dryness typically persists even after the frequent application of high-quality moisturizers.

Temperature Regulation and Circulation

If you find that your feet remain icy cold even in a warm room or under heavy blankets, it may be a sign of low thyroid function. An underactive thyroid can lead to decreased circulation. In some cases, this poor circulation can cause a yellowish tint on the soles of the feet, a condition known as carotenemia, which occurs because the body is struggling to convert carotene into vitamin A.

Swelling and Fluid Retention

Swelling and fluid retention are also closely linked to thyroid health. Patients with hypothyroidism often experience puffy feet and ankles due to a buildup of fluid in the tissues.

As well, those with Graves disease may develop a rare skin condition that causes the skin on the lower legs and feet to become thick, red, swollen, and to have an orange-peel texture.

Nerve Pain and Brittle Nails

Thyroid disorders can also impact the nerves and muscles in the legs and feet, which manifests as tingling or numbness in the toes and soles, a burning sensation that worsens at night, and frequent muscle cramps.

Your nails can also provide clues, because thyroid issues often cause toenails to become brittle, slow-growing, or prone to fungal infections.

Why Podiatry for Thyroid Health

If you notice these changes, a visit to a podiatrist is a great first step. While we treat the immediate discomfort in your feet, we also look for these systemic red flags and can coordinate with your primary care physician for necessary blood work.

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!

bottom of foot

What Leneva Fat Pad Replacement Can Do for Your Feet

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Nature designed the human foot with a brilliant built-in shock absorber: the plantar fat pad. However, due to aging, genetics, or years of high-impact activity, that fat pad can wear away. And when it thins out, it feels like walking directly on bone.

Enter Leneva Fat Pad Replacement. This isn’t just a temporary filler or a cortisone shot, but a regenerative solution designed to literally replace the cushioning tissue that time has taken away. Dr. Naghmeh Lilly Khavari relies on Leneva Fat Pad Replacement to treat a variety of foot problems. Here is how this restoration process works and the specific conditions it treats.

Understanding Fat Pad Replacement

Unlike synthetic fillers used in cosmetic procedures, Leneva is an allograft adipose matrix. Think of it as a natural honeycomb scaffold derived from sterile fat tissue. When placed into the foot, it acts as a framework that produces its own fat cells.

The result is not a foreign object, but a restoration of the patient’s own natural fat pad. It essentially gives the foot a do-over on its natural cushioning.

Treating Fat Pad Atrophy

The primary use for this technology is treating fat pad atrophy. Patients with this condition often describe the sensation of walking on marbles or feeling deep, bruising pain in their heels or the balls of their feet.

By performing a fat pad replacement, the volume is restored. This puts a functional pillow back between the skin and the bone, relieves that bone-on-ground pain, and allows for comfortable walking again.

Eliminating Pressure Points

Fat pad replacement is also a powerful tool for dealing with chronic corns and calluses. These hard spots form because a bone inside the foot is pressing relentlessly against the skin from the inside.

Trimming the skin only helps temporarily because the pressure remains. But Leneva allows for internal offloading. By replacing the fat layer between the bony prominence and the skin, the pressure is dissipated. With the friction gone, the painful corn or callus often stops forming entirely.

Protecting the Diabetic Foot

For people managing diabetes, pressure points are dangerous precursors to ulcers. A specific area of high pressure can cause the skin to break down.

Fat pad replacement creates a protective buffer in these high-risk zones by restoring the cushion. Then, the risk of tissue breakdown is significantly reduced.

Relief for High-Impact Pain

Leneva Fat Pad Replacement is also excellent for pain in the ball of the foot. Whether caused by the anatomy of the foot or years of running, thinning fat in the forefoot causes burning pain. Replacing these pads provides the shock absorption necessary to return to activity without the burn.

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!

5 Subtle Warning Signs of Foot Conditions You Shouldn’t Ignore

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If we at Carrollton Foot Center know one thing about feet, it’s that they are great barometers of our health. But while a dramatic ankle sprain or a painful ingrown toenail sends a clear message, many foot and ankle conditions begin with subtle, easily missed warning signs. In this blog post, we’ll help you tune your ear to your feet and listen to specific symptoms you shouldn’t dismiss.

That Lingering Ache

If your feet and ankles consistently ache after a normal day of activity, don’t just chalk it up to a long day or being on your feet. A lingering, dull pain that doesn’t disappear with a night’s rest could be an early signal of plantar fasciitis, a stress fracture, or even developing arthritis. While muscle soreness is normal, a sharp or specific ache in a joint or bone is a sign that a particular structure is under too much stress and needs attention.

Numbness and Tingling

A sudden tingling or numbness in your feet is often just a temporary nerve compression from sitting in an awkward position. But if you experience persistent or recurring sensations like pins and needles, or if your feet feel numb without an obvious cause, it’s a definite red flag.

These sensations can be an early sign of peripheral neuropathy, which is a common complication of diabetes. It can also be a symptom of a pinched nerve in your back, or a condition like tarsal tunnel syndrome in your ankle, where a nerve is being compressed. While these aren’t guarantees, it’s important to get them checked sooner rather than later.

Skin, Nail, and Hair Changes

If you notice your feet are consistently cool to the touch, or if the skin on your legs and feet appears unusually shiny, pale, or bluish, it could be a sign of Peripheral Artery Disease and poor circulation.

Similarly, thinning or hair loss on your toes, or toenails that are growing very slowly and have become brittle or discolored, can also be signs that your feet aren’t getting the healthy blood flow they need.

Uneven Shoe Wear

Take a look at the soles of your shoes. If one shoe is wearing down much faster than the other, or if a specific part of the sole is wearing down excessively, it’s a strong indicator of a gait abnormality. This means you might be walking in a way that puts abnormal stress on your feet. And no, not all walking issues are apparent! Biomechanical problems can be subtle, and they’re not just a shoe issue; they need correction, or else they can lead to secondary injuries.

Recurrent Ankle Instability

Believe it or not, that’s exactly what it’s called: chronic ankle instability. If you’ve had a bad ankle sprain in the past and always feel like you’re on the verge of another one, that’s a clear sign of chronic ankle instability. This isn’t just a weakness; it means the ligaments literally haven’t healed properly.

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!

Someone performing shockwave therapy on a foot as a person is laying down

Debunking Common Myths About Shockwave Therapy

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If you’ve been battling persistent foot or ankle pain that just won’t quit, you might have heard about Radial Pulse Shockwave Therapy. We at Carrollton Foot Center swear by it for the treatment of many foot and ankle conditions. But as with any innovative medical technology, there tend to be a lot of misconceptions. So in this article, we’re giving you our honest insight into how shockwave therapy actually works. What’s true and not true? Keep reading to find out.

Myth 1: RSWT is a Painful and Invasive Procedure

This is a common concern, but RSWT is actually a minimally invasive, in-office procedure. The treatment uses a small device to send harmless, low-energy waves to your skin. While patients typically feel a brief, quick pulsing or tapping sensation, the discomfort is generally well-tolerated and short-lived. There is no need for anesthesia, no incisions, and no downtime. You can walk out of the office and go on about your day.

Myth 2: RSWT is Just a “Freeze” Treatment or Basic Ultrasound

RSWT is completely different from cryotherapy and ultrasound. Cryotherapy relies on extreme cold to numb and reduce inflammation, whereas ultrasound uses sound waves to create heat deep within the tissues.

Shockwave therapy, however, uses radial pressure waves to stimulate a natural healing response in the body. How? By increasing blood circulation, breaking up scar tissue, and essentially resetting the healing process in chronic conditions that have stalled.

Myth 3: You Only Need One Session to Be Cured

Radial Pulse Shockwave Therapy is not a one-and-done solution. A series of treatments (typically 3-5 sessions, spaced a week apart) is standard protocol for most chronic conditions.

While you might feel some relief after the first session, the cumulative effect of the treatments is what truly drives long-term healing.

Myth 4: RSWT is Only for Heel Pain

While RSWT is known for fighting against plantar fasciitis, its use is much broader. In fact, it’s effective for various chronic soft tissue injuries like Achilles tendonitis, shin splints, and even pain from Morton’s neuroma. Any condition rooted in chronic inflammation, scar tissue, or poor blood flow can potentially benefit from RSWT.

Myth 5: RSWT is a Miracle Cure for Everyone

But despite this versatile range of conditions, shockwave therapy isn’t for everyone. Plus, no medical treatment can offer a 100% guarantee for every single patient. Its success depends on many factors, including your overall health, the severity and duration of your injury, and how well you follow post-treatment care.

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!

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!

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!

Haglund’s Deformity: Debunking the Bony Bump

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What is that odd-looking bump near the back of your heel? It could be Haglund’s deformity, often referred to as “pump bump,” which is a bony enlargement located where the Achilles tendon attaches. This prominent bone can cause significant discomfort and irritation, especially when wearing shoes.

Luckily, we at Carrollton Foot Center are here to debunk the bony bump and offer expert insight into all things Haglund’s Deformity. Let’s take a look.

Causes of Haglund’s Deformity

While the exact cause is often unclear, several factors contribute to the development of Haglund’s Deformity. These include:

  • Foot structure: Individuals with high arches or flat feet may be more susceptible.
  • Shoe gear: Wearing shoes with rigid backs, such as high heels or tight-fitting footwear, can exacerbate the condition.
  • Overuse: Repetitive activities that put stress on the heel, like running or dancing, may contribute to the bony growth.
  • Achilles tendon tightness: A stiff Achilles tendon can pull on the heel bone, contributing to the deformity.

Symptoms of Haglund’s Deformity

Individuals with Haglund’s deformity often experience pain and inflammation at the back of the heel, which can worsen with shoe friction. The affected area may also become red, swollen, or blistered.

Prevention

While there’s no guaranteed way to prevent Haglund’s deformity, certain measures can help reduce the risk:

  • Proper footwear: Choose shoes that fit well and provide adequate cushioning. Avoid tight-fitting shoes or those with hard backs, and regularly replace worn out shoes.
  • Stretching exercises: Incorporate calf stretches into your daily routine to maintain flexibility.
  • Orthotics: Custom orthotics can help distribute pressure and alleviate discomfort.
  • Weight management: Maintaining a healthy weight can reduce overall stress on the foot and heel.

Treatment

Treatment for Haglund’s deformity focuses on pain relief and inflammation reduction. Non-surgical options include over-the-counter pain relievers, shoe modifications, and physical therapy. For severe cases, cortisone injections or surgery may be considered.

Depending on the severity of your bump, consult with your podiatrist to see which treatment option is the best for you.

Board-certified podiatrist Dr. Naghmeh Lilly Khavari is dedicated to her clients in Carrollton, TX. From ingrown toenails to innovative surgical solutions, she offers a vast array of treatments. Contact Carrollton Foot Center’s office at 469-998-3668 to book an appointment now!

Staying Safe at the Salon: 5 Pros and Cons of Pedicures

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Many of us can benefit from an occasional pedicure’s ability to reduce inflammation, improve sensation in the feet, and promote healing. However, we at Carrollton Foot Center want you to know that pedicures can also be dangerous, especially for those with diabetes, peripheral neuropathy, and weakened immune systems.

In this article, we’ll weigh both sides of the bathtub, from improved circulation to possible infection, to help you determine if pedicures are right for you.

The Pros and Cons

Pro: Improved Circulation

The massage techniques used by nail technicians stimulate blood flow in the feet and ankles.

Con: Infection

This massaging effect may not stimulate sensation in diabetics or those with peripheral nerve damage, meaning they are still susceptible to wounds from pedicure techniques.

Pro: Early Detection

Trained pedicurists can identify signs of potential problems like calluses and ingrown toenails.

Con: Inexperience

Untrained technicians may not notice the signs of a problem that a podiatrist can, leaving you with a false sense of security and confidence in your feet.

Pro: Exfoliation and Skin Health

Pedicures remove dead skin layers that lead to dryness, roughness, and cracking.

Con: Cuts and Abrasions

Even minor nicks from tools or buffing the cuticle can become entry points for infection, especially for diabetics with decreased circulation.

Pro: Improved Toe Health

Regular trimming and filing during a pedicure helps maintain proper toenail shape and generally prevents ingrown toenails.

Con: Ingrown Toenails

However, improper and aggressive trimming techniques can increase the risk of ingrown toenails and fungal nail infections.

Pro: Maintaining Good Foot Hygiene

The soaking, cleansing, and drying process removes dirt, sweat, and bacteria that can accumulate on the feet.

Con: Harsh and Unsanitary Tools

Improperly sterilized tools can spread bacteria or fungus. Some salons may also use strong chemicals in foot soaks or polishes that can irritate the skin, leading to allergic reactions or rashes.

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, an esteemed expert who is dedicated to her patients in Denton, Dallas, and Collins Counties. She helps with a wide breadth of issues, from ingrown toenails to diabetic neuropathy. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to schedule your initial appointment today!

Fouling Out: 5 Game-Stopping Basketball Foot Injuries

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The NBA finals are here, which means summer leagues, AAU, and intense training sessions are upon us. We at Carrollton Foot Center understand that basketball is a fast-paced sport that demands a lot from your feet all year round.

Whether you’re a seasoned player or just starting out, learning common basketball foot injuries and proper foot care is essential for staying healthy and hitting those jumpers this summer. That’s what this blog’s about.

Common Basketball Foot Injuries

The constant jumping, stopping, and changing directions on the court carries a risk for various injuries:

  • Ankle Sprains: This is perhaps the most common basketball injury, occurring when the ligaments in your ankle overstretch or tear. It can happen due to landing awkwardly, stepping on someone’s foot, or rolling your ankle outwards. Symptoms include pain, swelling, bruising, and difficulty walking.
  • Plantar Fasciitis: This painful inflammation of the heel is often linked to repetitive stress from activities like basketball.
  • Achilles Tendonitis: Even legends such as Kobe Bryant have experienced issues with their Achilles. Overuse or tight calf muscles can irritate this tendon, causing pain and stiffness, particularly in the back of your heel and ankle.
  • Stress Fractures: These tiny cracks in the bones of your foot can develop from repetitive stress, especially in athletes who increase their training intensity too quickly.
  • Ingrown Toenails: Tight-fitting basketball shoes can put pressure on your toes, increasing the risk of ingrown toenails that dig into the surrounding skin, causing pain, redness, and swelling.

Essential Foot Care for Basketball Players

  • Invest in high-quality basketball shoes that provide adequate support, cushioning, and stability for your feet. Choose shoes specific to your playing position.
  • Regularly consulting a podiatrist can be highly beneficial, especially for athletes. They can assess your feet, identify potential problems early on, and recommend orthotics or other preventative measures.

By incorporating proper foot care practices into your routine, you can significantly reduce your risk of injuries and keep your feet healthy for optimal performance.

Consult with Board-certified podiatrist Dr. Naghmeh Lilly Khavari, a well-respected expert who is eager to assist her patients in Denton, Dallas, and Collins Counties. She treats a vast array of issues, from ingrown toenails to plantar fasciitis. Call Carrollton Foot Center’s office (located in Carrollton, Texas) at (469)-998-3668 to book your initial consultation today!

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Carrollton, TX

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