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By [email protected]
April 05, 2016
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It is Pedicure Season-Beware!
by Bryan Molen, DPM, AACFAS
As warmer weather approaches, sandals and flip flops are coming out of the closet and revealing opportunities to get a pedicure. As you are aware, there are nail salons everywhere and more popping up all over the DFW area.  

However, this little luxury can become hazardous. I know millions of people enjoy manicures/pedicures each year and you never hear any negative stories. Unfortunately, not all pedicure facilities offer clean and proper foot care. There are horror stories that you don't hear about. For example, there are skin eating diseases and infections that can come about if the nail salon does not properly sanitize their instruments or have inadequately trained nail technicians.

In Dr. Robert Spalding's book entitled Death by Pedicure, he states "that it is estimated that about 1 million unsuspecting clients walk out of their chosen salon with infections-bacterial, viral and fungal. He claims that in his research "75% of salons in the United States are not following their own state protocols for disinfection procedures". The problem is that there is no way to really tell if the salon is properly sanitizing their instruments without inspecting the process. In Texas and Iowa, it is required by law that nail salons use autoclaves to sterilize their instruments. Autoclaves kill 100% of germs. The problem is who is checking to see if the nail salon regularly uses their autoclave to sterilize. Ask the salon manager how they disinfect their tools and look to see if they have a color change pouch that the instruments are prepared in. The color changes on the bag once the sterilization conditions have been properly met. This means that the object inside the package has been processed. Autoclave pouches are sealed and should be opened in front of you.
Know about your health status:
If you are going to a nail salon, you should know about your general health. For example, are you a diabetic or have poor circulation or take a long time to heal. Are you on blood thinners? Discolored or sickly nails should be treated by your podiatrist.
Diabetics need to be especially careful that you are not accidentally cut on your feet. Many diabetics have foot neuropathy and can't feel if the nail technician nicked their foot. Small cuts can bloom into raging infections if you are a diabetic. You should consider not getting a pedicure from someone who is not a medical professional. 

Do you have any other serious health condition? Ask your podiatrist and/or medical doctor if he/she believes it is safe to get pedicures. Again, a small cut can result in a long healing process if your health condition has been compromised.

Know about your nail salon: 
  • Is your pedicurist licensed by your state, if yes, the license should be posted.
  • Does the nail salon & tools look clean? 
  • Does the pedicurist wash their hands before touching you & wear gloves?
  • Does the foot bath have  a disposable liner? 
  • Does the pedicurist sterilize the instruments in the autoclave and unwrap them in front of you?  
Bring your own quality nail polish, which will protect against possible germs spreading and dilution of the nail polish. Some salons dilute nail polish bottles that have become clumpy from old age or from too much exposure to air. This action compromises the quality of the polish, which makes it chip easier. Please don't have nail technicians use callus-cutting tools and nail nippers, files, cuticle pushers, and electric burrs and drills, which can scratch and nick your skin. This may result in drawing blood, although just because no blood is visible doesn't mean there aren't microscopic entry points, which make you susceptible to infection.

A Pedicurist is Not a Podiatrist:
Podiatrists are doctors of podiatric medicine that have several years of training to diagnose and treat conditions of the foot, ankle, and related structures of the leg. However, Pedicurists are very skilled and know how to make your toes pretty but they are not medical professionals. 

You only have two feet so you need to care for them. If you have healthy toenails, you may be able to paint your own toenails. But podiatrists will tell you to use nail polishes that don't contain toxic ingredients and are enriched with naturally-occurring elements like tea-tree oil, garlic bulb extract, wheat protein and Vitamin C & E. Check the health of your toenails regularly after you remove the nail polish. If there is a change in color or thickness of your nails, make an appointment with your podiatrist. You want to avoid fungal toenail condition, which can become painful and distort your toenails. Toenail fungus spreads quickly and is very unattractive. Having pretty nails is alluring and fun to get compliments on your pretty toenails. However, be wise about keeping your feet looking great this summer. If you need to see a podiatrist, call Accent Podiatry Associates at 817-557-1006 and/or go to our web site at www.accentpodiatry.com. We care about your health. Caring is our business.
By [email protected]
March 07, 2016
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Still think High Heels Are Worth It?
Dharmesh "Dan" Bhakta, DPM, FACFAS
It's not what fashion-conscious women want to hear-another warning about high heels.
Dr. Bhakta, DPM, who is a foot and ankle surgeon at Accent Podiatry Associates in Arlington and Mansfield, explains that pump-style shoes often cause significant pain by irritating a common bony deformity on the back of the heel called 'pump bump.' In many cases, it can lead to bursitis or Achilles tendonitis if left untreated.
Pump bump is common in young women who wear high heels almost every day. The rigid back of a pump-style shoe can create pressure that aggravates the heel bone when walking.  According to the ACFAS Consumer Web site, FootHealthFacts.org, the bump or bony protrusion is a hereditary deformity that can cause Achilles tendonitis or bursitis due to constant irritation from pump-style shoes. Those with high arches or tight Achilles tendons are especially vulnerable to developing pump bump if they work in high heels. The medical term for the disorder is Haglund's deformity. In addition to the noticeable bump, symptoms include pain where the Achilles tendon attaches to the heel, swelling in the back of the heel and redness in the area.
In most women, doctors can prescribe medications to reduce the pain and inflammation. This does not, however, get rid of the bony protrusion. Dr. Bhakta suggests that icing the back of the heel reduces swelling, and stretching exercises can relieve tension in the Achilles. Long-term, it's best to avoid wearing high heels, if possible. Therefore, when the dress code requires high heels, Dr. Bhakta tells his female patients to try heel lifts to decrease pressure on the heel. Or, he recommends they wear appropriate dress shoes that have soft backs or are backless.
Women with foot pain can contact Dr. Bhakta's office at (817) 557-1006. For more information on "pump bump" and other foot and ankle conditions, visit FootHealthFacts.org.
Dharmesh Bhakta,  DPM
By [email protected]
February 11, 2016
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                                                 What do these people all have in common?

* Bilbo Baggins

* Angelina Jolie

* Gwyneth Paltrow

* Royal Duchess Kate Middleton

 and 60 million Americans all suffer from the same foot malady-flat feet! Yes, flat feet is the most common foot deformity known. Did you know that we are all born with flat feet or fallen arches?  Humans develop arches naturally through exercise, which promotes the development of foot ligaments and tendons. However, some people never develop their arches for one reason or another.

Of course, flat feet may or may not result in discomfort. In fact, some people with flat feet can run marathons or play in the NBA. For example, some professional athletes, especially basketball players, have flat feet, which causes them to roll their ankles inward when walking or running.  In time, this rolling action can result in a slight misalignment in the legs, which can lead to pain in the heels, knees, and even the lower back.  

To remedy this condition, professional athletes and our patients use custom made insoles known as orthotics in their footwear. Orthotics are measured and designed by a podiatrist, and when worn inside athletic or walking shoes, help restore natural foot function. On the other hand, if you have leg pain, a wedge may need to be inserted along the inside edge of the orthotic or wearing an ankle brace may help. In extreme cases where the patient has a ruptured tendon or arthritis, the patient may find insoles coupled with pain medication not very helpful. These patients may require surgery. Lastly, if your flat feet pain has been exacerbated by weight gain, losing weight may be a big help.


In any case, visit your podiatric office, if you have flat feet/fallen arches and feel discomfort in your feet, hips, knees or ankles. At Accent Podiatry Associates (817-557-1006), our trained foot and ankle surgeon physicians will carefully examine your walking gait and determine your diagnosis and treatment.

By [email protected]
February 10, 2016
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                                    Diabetes is Alive and Well in America


It is estimated that by year 2050 1 in 3 Americans will be diagnosed with diabetes in America. In year 2012, they estimated 29.1 million Americans were diagnosed with diabetes. Diabetes is a condition whereby “the body does not properly process foods used for energy”. This is important as this disease impairs the body from being able to convert sugars, starches, and other foods into energy. This disease can negatively affect your eyes, heart, kidney, nerves and feet.

If you are diagnosed with diabetes, please follow these foot care suggestions:

* Carefully examine your feet on a daily basis for any cuts, bruises, sores, dry skin or changes to your toenails (i.e., discoloration or thickening).

* Exercise. Wear appropriate athletic footwear when exercising. For example, walking has a variety of benefits (i.e., improves circulation, strengthens bones, improves your mood, strengthens muscles, helps in losing weight, etc.).

* Choose to wear thick, soft socks. Avoid socks that may have a seam, which could rub and cause blisters or other skin injuries.

* Avoid trying to remove corns, calluses or warts by yourself through your own surgical methods. Also, over the counter products may burn your skin and cause irreparable damage to your foot, especially if you have diabetes.

* Never go barefoot. The risk of cuts and infection is too great if you have diabetes.

* Make sure that when you purchase new shoes, they are properly measured and fitted. Foot size and shape may change over time as diabetes may affect blood flow.  You don’t want to stress your feet with improperly fitting footwear.

* Quit smoking. Smoking affects small blood vessels and can cause decreased blood flow to your feet. Regrettably, lots of people with diabetes who are smokers wind up with foot amputations.

* Watch if you feel tingling, pain (burning or stinging) or weakness in your feet. This may be a sign of nerve damage also called neuropathy. Unfortunately, neuropathy may result in lack of sensitivity of feeling in your feet. In short, you can injure your foot and not know it!

* Make an appointment to see a podiatrist, at last annually. You have only two feet, care for them. Call Accent Podiatry Associates to make an appointment at 817-557-1006.

By [email protected]
February 02, 2016
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Heed Caution to Kids Feet Problems



Bryan Molen, DPM, AACFAS

Winter months bring basketball, cheerleading, wrestling and hockey seasons all rolled together. With these school sport seasons in full swing, remember your kids should never "play through the pain" in their feet. Left untreated, a nagging heel pain can lead to difficulty in walking that may require complicated therapy or treatment.

We see more young athletes during this season than any other patient. Kids who have growth spurts could have heel pain starting at age 8 until around age 13 (girls) and 15 (boys). One source of the pain is usually the growth plate of the heel bone, since it is continually growing with the body. Overuse, repeated pounding, or excessive weight or force on the Achilles tendon can also cause inflammation and pain.

Help your young athlete prevent heel pain:

1. Use the correct shoe for the given sport, since different sports require various

    levels of support. Have shoes professionally fitted to ensure proper fit and

2. Appropriate stretching and warm up for all sports activities should be done to

     help prevent injury.

3. If your child is overweight, help him or her to shed some pounds. Extra weight

    puts additional stress on the feet.

4. Limit wearing cleated shoes to the time actually spent on the field. Cleated

     shoes do not provide adequate support and may cause increased pressure on

     the feet.

5. Make sure shoes are well-constructed and support the foot adequately.

Most importantly, if your child has foot or ankle pain, please have them examined
by our podiatry office for an accurate diagnosis and to avoid complications.


Bryan Molen, DPM


A little information about Dr. Molen...................................................


Dr. Molen  relocated his family to Texas and became a part of the Accent Podiatry Associates team in August, 2012. June, 2012, he completed a 3 year foot and ankle reconstructive surgical residency at Kern Residency at Southeast Michigan Surgical Hospital in Warren, Michigan. He was chief resident from July, 2011 until June, 2012.  Dr. Molen completed his undergraduate work at Temple University School of Podiatric Medicine in Philadelphia, Pa.  He is an active member of the American Podiatric Medical Association and the American College of Foot and Ankle Surgeon. Dr. Molen is also an Associate of the American College of Foot and Ankle Surgeons (AACFAS)




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Arlington Office - 817-557-1006

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Podiatrist - Arlington, Accent Podiatry Associates, 3050 S. Center Street, Suite 140, Arlington, TX 76014 - 817-557-1006