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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 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!

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!

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!

Custom Orthotics Cater to Feet of All Ages

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Sometimes, we all need a little extra support to function. And when it comes to your feet, that’s especially true! Tired arches and aching heels don’t usually mend themselves, and leaving problems untreated can lead to further complications. This holds true for both our youngest patients and the senior citizens that we treat at Carrollton Foot Center.

In many cases, conservative interventions can make all the difference. That’s where custom orthotics come in, offering personalized solutions for both children and adults. Take a look at the information below to find out what these sole savers can do for you!

Growing Strong: Orthotics for Developing Feet

  • Children’s feet are constantly growing and evolving, and sometimes, that growth can lead to misalignments like flat feet or high arches.
  • Custom orthotics, crafted to mold perfectly to a child’s unique foot shape, can promote proper development, guiding growing bones into correct alignment while reducing the risk of long-term problems like hip and knee pain.
  • Early intervention with orthotics can address issues like heel pain and ingrown toenails, improving a child’s overall comfort and participation in activities.
  • By providing stability and support, orthotics can improve balance, coordination, and endurance, giving young athletes a boost in their chosen sports.

Stepping Ahead: Orthotics for Adult Feet

  • Whether it’s plantar fasciitis, arthritis, or simply tired feet, orthotics can redistribute pressure and provide cushioning, leading to pain relief and improved mobility.
  • Orthotics can address problems like foot pronation or supination, preventing further damage and improving overall posture and gait.
  • For individuals with diabetes or neurological issues, orthotics can play a crucial role in preventing foot ulcers and promoting wound healing.

Customized for You

  • Unlike the one-size-fits-all approach of over-the-counter inserts, custom orthotics are made specifically for each individual’s foot.
  • The precise fit minimizes pressure points, providing targeted support exactly where it’s needed.
  • High-quality materials ensure your orthotics withstand the demands of daily life.
  • With proper care, custom orthotics can offer years of improved foot health and comfort.

Wondering if orthotics are right for you? Come ask board-certified podiatrist Dr. Naghmeh Lilly Khavari! Committed to helping all her clients in Carrollton, TX, she offers a wide variety of treatments, from ingrown toenails to advanced surgical solutions. Contact Carrollton Foot Center’s office at 469-998-3668 to schedule an appointment today!

Shockingly Effective: Non-Invasive RSWT Nixes Nasty Heel Pain

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Heel pain can derail your day, and unfortunately, it can also be a stubbornly persistent problem. Typically caused by weakened or strained plantar fascia, untreated heel pain can spiral into further complications and become intensely painful.

At Carrollton Foot Center, many of our patients have active lifestyles, so they’re eager to return to their normal daily activities. And because we utilize the latest in advanced medical technology, we often recommend RSWT, or Radial Pulse Shockwave Therapy, to help repair your heels and get your routine back to normal.

This post is devoted to explaining the ins and outs of RSWT, covering what it can treat, how it works, and why it might just be the perfect choice for your aching heels!

What is RSWT?

Radial Pulse Shockwave Therapy may be sophisticated technology, but in some ways it’s simple:

  • This FDA-approved method has been shown to speed up the rate of recovery for soft tissue tendinopathy and related conditions.
  • Of all the non-invasive, conservative treatments available, it is the most advanced.
  • It uses sound waves to trigger your body’s natural healing response.

What Can It Treat?

RSWT can be a great option for treating a variety of issues, but most of them pertain directly to soft tissue dysfunction or similar problems, such as:

How Does it Work?

Chronic pain can trick your response systems; if it endures long enough, it will cause your body to stop recognizing that there is an injury in the afflicted region. Once this occurs, the healing process is halted, but the pain will remain. That’s when RSWT really comes in handy:

  • Ballistic sound waves penetrate deeply into the soft tissue and cause a minor inflammatory issue in the chosen area.
  • The soundwaves and inflammation reactivate your body’s natural healing process.
  • Additionally, energy emissions cause the cells in surrounding tissue to exude biochemical substances that empower your boy’s healing capabilities.
  • Said biochemical substances enable the construction of new blood vessels and soft tissue as needed.

When it comes to innovation, Dr. Naghmeh Lilly Khavari is always raising the bar in Carrollton, TX. She offers a variety of treatments, from conservative interventions to advanced surgical solutions. Contact our office at 469-998-3668 to schedule an appointment today!

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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