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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 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!

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!

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!

Barefoot Running: The Pleasure and the Pain

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With the foot pain many of us experience from running, it’s tempting to turn to the Barefoot Running Movement for answers! However, according to the American Podiatric Medical Association, the benefits of barefoot running have never been confirmed by research. Although the movement touts upsides such as improved circulation, coordination, and strength, you should speak with our experts at Carrollton Foot Center to ensure barefoot running will be safe and effective for you.

Bare Feet Vs. Regular Shoes

According to the Barefoot Running Movement, humans have been running barefoot since ancient times. Shoes, however, are a recent creation that stunts the way you are naturally designed to move. This notion that regular running shoes are unnatural may make sense to you if your feet hurt while running. This may also explain the success of “minimalist” or “five-toed” shoes. In between bare feet and regular running kicks, minimalist shoes act as a compromise to the pros and cons of pure barefoot running.

Benefits of Barefoot Running:

  • Encourages a more natural running This can help reduce impact on your joints, shorten your strides, and increase athletic performance.
  • Promotes landing on the ball of your feet as opposed to “heel striking,” reducing the chance of injury and plantar fasciitis.
  • Strengthens the muscles in your foot that aren’t usually engaged in regular shoes. Progressively, this could correct flat feet and similar arch problems.

Downsides of Barefoot Running:

  • Increases risk of infection and skin injury. This is especially the case for diabetics, who may not have proper feeling in their feet.
  • Takes time getting acclimated to the “natural” running form. Acclimation struggles also extend to not having access to clean or safe terrain.
  • Heightens the chance of stress fractures and Achilles injuries. This is due to lack of foot support.

Ultimately, it is necessary to weigh both sides to see if barefoot running is right for you. 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!

Hitting the Pavement Without the Pain: How Runners Can Conquer Heel Pain

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Carrolton Foot Center is all in favor of regular running! It’s an incredibly beneficial form of exercise that delivers consistent benefits, boosting both physical and mental well-being. However, there’s no such thing as a free lunch, and running is no exception.

Heel pain and Achilles tendonitis are among the common costs runners must confront, and like any podiatric problem, they create serious stumbling blocks when left untreated. The blog below should help you stay fit, flexible, and focused on your goals.

Preventing Heel Pain with a Strong Foundation

You can keep heel pain from starting with some of these preventative measures.

  • Supportive Shoes: Invest in well-fitting running shoes with proper arch support and cushioning specifically designed for your running style. Replace them every 300-500 miles to maintain optimal shock absorption.
  • Stretch It Out: Regularly performing calf stretches and foot mobilizations helps maintain flexibility and range of motion, reducing stress on the heel.
  • Gradual Progression: Don’t jump into high mileage or intense training too quickly. Gradually increase distance and intensity to allow your body to adapt and strengthen.
  • Cross-Training: Mix up your routine with low-impact activities like swimming or cycling to provide recovery periods for your heels.

Managing Heel Pain: When Prevention Isn’t Enough

Sometimes, you’ll need to handle pain that’s already present, and RICE (Rest, Ice, Compression, and Elevation) isn’t always enough.

  • Custom Orthotics: Podiatrists can create custom orthotic inserts that address your specific biomechanical imbalances, providing targeted support and pressure relief to prevent conditions like plantar fasciitis and overpronation.
  • Pain Relief Options: Over-the-counter pain relievers can help manage discomfort.

Treating Persistent Heel Pain: Advanced Strategies

If pain persists despite conservative measures, your podiatrist may recommend:

  • Leneva® Fat Pad Injections: These injections replenish lost cushioning in the heel pad, promoting pain relief and tissue healing, which is particularly helpful for plantar fasciitis.

Board-certified podiatrist Dr. Naghmeh Lilly Khavari is committed to helping patients in Carrollton, TX. With advanced treatment methods, she offers assistance with everything from ingrown toenails to sophisticated surgical solutions. Contact Carrollton Foot Center’s office at 469-998-3668 to schedule an appointment today!

How Certain Foods Affect Arthritis Symptoms

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We all know how closely related our diets are to our physical and mental health, but one connection that’s frequently overlooked is the relationship between our food choices and our foot health. In honor of National Nutrition Month, Dr. Khavari of Carrollton Foot Center, PLLC, wants to bring our feet into the equation, exploring a very common foot condition that is greatly affected by what’s on our plates – arthritis.

What is Arthritis?

Arthritis is the swelling of one or more joints, and with 33 joints in the foot, there’s plenty of room for arthritis to develop. Arthritis in the feet can manifest in various forms, all of which result in joint discomfort and limited mobility.

The Impact of Poor Nutrition:

Inflammatory Foods

Consuming a diet rich in inflammatory foods can cause inflammation in the body. Processed foods, sugary snacks, and excessive red meat intake are known to trigger inflammation, intensifying arthritis symptoms in the feet.

Lack of Antioxidants

Antioxidants play a crucial role in neutralizing free radicals, which can contribute to joint damage. A deficiency in antioxidants found in fruits, vegetables, and nuts may leave the joints vulnerable to oxidative stress, worsening arthritis symptoms. Anti-inflammatory foods, such as fatty fish, leafy greens, berries, and nuts, can help reduce inflammation and alleviate arthritis symptoms in the feet.

Omega-6 Fatty Acids Imbalance

An imbalance between omega-6 and omega-3 fatty acids can promote inflammation. Diets high in processed oils and fried foods, which are abundant in omega-6 fatty acids, need to be balanced out with omega-3 to maintain joint health. Incorporating sources of omega-3, such as flaxseeds, chia seeds, and fatty fish, while minimizing the consumption of processed oils and fried foods is key!

Vitamin and Mineral Deficiencies

Inadequate intake of essential vitamins and minerals can contribute to weakened bones and joints. This deficiency may lead to an increased risk of arthritis, particularly osteoarthritis in the feet. Make sure to incorporate enough vitamin D, calcium, and antioxidants into your diet to support joint health.

Making informed dietary choices is essential in alleviating arthritis pain and discomfort. Board-certified podiatrist Dr. Khavari in Carrollton, TX, is committed to helping her clients prioritize their foot health so they can feel their best. Contact our office at 469-998-3668 to schedule an appointment!

Two New Ways to Treat Toenail Fungus

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Nail fungus, or onychomycosis, isn’t just unsightly – it can be painful and persistent, too. While traditional treatments can work, they often involve months of topical medications or oral antifungals. And frankly, they also tend to produce mixed results and potential side effects.

Podiatry is a field that’s friendly to innovation, however. That’s why the expert team at Carrollton Foot Center is proud to employ two innovative tools when treating toenail fungus: The Lunula Laser and KeryFlex nails. Used in tandem, these dynamic new treatments are revolutionizing the way our DPM approaches onychomycosis. Read on to learn how!

Shining a Light

  • The Lunula Laser utilizes painless, low-level laser therapy.
  • Its unique dual-wavelength approach targets the fungus directly while stimulating the nail bed to promote healthier growth.
  • This non-invasive treatment requires no downtime and boasts a high success rate, making it a patient-friendly option.

Adding Strength and Beauty

  • KeryFlex nails are flexible, resin-based prosthetics that seamlessly adhere to the damaged nail.
  • They offer immediate cosmetic improvement, hiding discoloration and restoring a natural appearance.
  • Their benefits go beyond aesthetics: KeryFlex nails create a protective barrier, preventing further fungal invasion and promoting healthy nail growth underneath.

The Synergistic Duo

Combining Lunula Laser’s fungus-fighting power with KeryFlex’s protective shield creates a powerful one-two punch against onychomycosis. The laser tackles the infection at its source, while the KeryFlex nail provides a favorable environment for healthy nail growth, preventing reinfection.

Compared to traditional methods, this duo offers several advantages in the fight against fungus:

  • Painless and non-invasive: No needles, harsh chemicals, or uncomfortable side effects.
  • Faster results: Visible improvement in weeks, compared to months with traditional treatments.
  • Higher success rates: Studies show high efficacy with both Lunula Laser and KeryFlex, often exceeding oral antifungals.
  • Improved patient experience: Comfortable, convenient, and cosmetically appealing.

Are you still struggling with fungal toenails? Our board-certified podiatrist, Dr. Naghmeh Lilly Khavari, is here to help. She treats various conditions such as bunions, corns, calluses, diabetic foot conditions, ingrown toenails, plantar fasciitis, and more. Our team provides superior service to patients in Denton, Dallas, and Collins counties. Contact our office at (469) 998-3668 for your foot and ankle solutions! Our office is at 4221 Medical Parkway, STE 450, in Carrollton, TX.

Contact Us

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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