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Toenail Problems and How to Prevent Them

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

Toenail Conditions to Watch Out For

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

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

Tips for Healthy Toenails

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

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

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

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

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

Peripheral Artery Disease

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

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

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

Peripheral Neuropathy

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

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

Comparing and Contrasting PAD and Peripheral Neuropathy

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

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

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

Vamp Disease: Inflammation on the Top of Your Foot

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

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

Causes of Vamp Disease

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

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

Symptoms of Vamp Disease

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

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

Diagnosis of Vamp Disease

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

Treatment of Vamp Disease

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

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

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

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

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

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

Common Causes of Foot Bruises

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

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

Diagnosis of Foot Bruises

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

However, sometimes additional tests may be necessary:

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

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

When to Worry About Foot Bruises

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

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

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

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

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

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

Common Foot and Ankle Injuries

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

Foot Care Advice

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

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

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

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!

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4221 Medical Parkway
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Carrollton, TX

(469) 998-3668

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