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Is My Foot Lying to Me? Phantom Feelings from Nerve Damage

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Ever feel a weird burning, crawling, or pinching in your foot and swear your sock is bunched up, only to find nothing there? Dr. Naghmeh Lilly Khavari hears reports of these phantom sensations all the time, and they are often the clearest sign of neuropathy, which is a condition that affects how the nerves communicate. Let’s discuss some of the most common sensations in detail.

Common Symptoms of Nerve Damage in the Feet

Your nerves are like the body’s wiring system. When they get damaged, compressed, or irritated by conditions like diabetes, tarsal tunnel syndrome, or a neuroma, they start to short-circuit.

Here are some of the weirdest and most common phantom sensations your feet might experience:

The Stuck Pebble Sensation

  • What it feels like: You constantly feel like you are standing on a marble, a small rock, or a wrinkled sock, usually right under the ball of your foot between your toes.
  • The reality: There’s nothing actually there. This feeling is caused by a Morton’s neuroma, which is a thickening of nerve tissue, and makes the nerve itself take up space and feel like a foreign object when compressed.

Pins and Needles

  • What it feels like: A crawling, prickling, or stinging sensation, like a thousand tiny needles that comes on for no reason.
  • The reality: This is paresthesia, and it means the nerve signals are going haywire, often caused by minor nerve compression or early-stage neuropathy.

The Burning/Icy Effect

  • What it feels like: Your feet feel intensely hot, as if they are perpetually on fire or submerged in scalding water, or sometimes they feel intensely icy and cold.
  • The reality: This is a classic sign of neuropathic pain. The damaged nerves are wrongly interpreting temperature signals.

The Itch You Can’t Scratch

  • What it feels like: An intense, sometimes debilitating itching sensation, often deep inside the skin or muscles, that you can’t scratch away with any relief.
  • The reality: There is no rash or external cause. This happens when damaged nerves misfire, and your brain translates the abnormal signal into an unrelenting itch.

Extreme Sensitivity

  • What it feels like: Normally, non-painful stimuli become excruciating. The slight brush of a pant leg can feel agonizing.
  • The reality: This is called allodynia. Pain receptors become severely oversensitive.

The Muscle Jump

  • What it feels like: You might notice subtle, spontaneous, quick twitching in the muscles of your foot or calf, even when you’re resting.
  • The reality: This is fasciculation, which is minor, involuntary muscle contractions often associated with nerve irritation or damage.

Disclaimer: We’ve all had these sensations from time to time. But if you are experiencing many of these in tandem frequently, it could be a sign of neuropathy. Visit us for a consultation!

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!

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!

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!

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.

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!

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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