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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]
January 05, 2016
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The Importance of Diabetic Foot Care
Shae Paschal, DPM,
The new year is a good time to remind everyone with diabetes about the importance of taking good care of your feet. Diabetes can be dangerous to your feet. To avoid serious foot problems, follow these prevention tips:
  • Inspect your feet daily. Check for cuts, blisters, redness, swelling, bleeding or nail problems. Use a magnifying hand mirror to look at the bottoms of your feet (if your eyesight is poor, ask someone to check your feet for you). Call our office to schedule an appointment if you notice any unusual symptoms.
  • Wash your feet in lukewarm water. Keep your feet clean by washing them daily in lukewarm, not hot, water. If you have numbness in your toes or feet, test the water temperature with your elbow.
  • Cut nails carefully and straight across. Don't cut nails too short since this could cause ingrown toenails. Also, file nail edges.
  • Never trim corns or calluses. Don't perform "bathroom surgery"-let your foot and ankle surgeon do the job. Don't use sharp instruments to cut at anything on your feet. Even small cuts can lead to big problems.
  • Moisturize your feet. Use a moisturizer daily to keep dry skin from itching or cracking. However, don't use moisturizer between your toes, as this could lead to fungal infection.
  • Wear socks to bed. If your feet get cold at night, wear thin socks without tight elastic bands.  Never use a heating pad or a hot water bottle to keep your feet warm in bed. Cold feet can be a sign of poor circulation-bring this up with your physician.
  • Keep your feet warm and dry. Don't get your feet wet in snow or rain. Wear warm socks and shoes in the winter and also make sure your footwear is dry before putting it on.
  • Shake out your shoes and boots before wearing. You may not always feel something in your shoe, so be sure to look inside before putting them on. Do this several times a day in case you pick something up inside your shoe during the day.
  • Get regular checkups at our office. We can help you prevent diabetic foot complications before they start.
If you or your family members have diabetes, schedule an appointment with our office so we can make sure your feet are in tiptop shape for the winter.
Shae Paschal, DPM

A little information about Dr. Paschal....................................................
Dr. Paschal joined Accent Podiatry Associates in October 2009 after completing a three (3) year surgical residency in Miami, Florida. He completed his undergraduate work at the University of Texas at Arlington, where he received his bachelor's degree in Biology. He then moved to south Florida, where he completed his medical training at Barry University's School of Podiatric Medicine and Surgery. After podiatry medical school, Dr. Paschal completed a three (3) year podiatric medicine and surgical residency at Jackson North Medical Center, a Jackson Memorial health care affiliate. Dr. Paschal is an Associate of the American College of Foot and Ankle Surgeons and a member of the Texas Podiatric Medical Association and American Podiatric Medical Association. He specializes in forefoot and reconstructive surgery, trauma, sports injuries, limb salvage and wound care. Dr. Paschal is very happy to be back home in Texas!
By [email protected]
December 15, 2015
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Tasty Holiday Meals Can Trigger Painful Toes



Dharmesh Bhakta, DPM, FACFAS



With the most festive season of the year here, be aware that sudden change in your diet can trigger painful gout attacks, especially in your feet.

Gout attacks are caused by the accumulation and crystallization of uric acid in joint tissues. Because the big toe joint is the coolest part of the body and uric acid is sensitive to temperature change, the big toe is most often affected by this painful condition. 


Foods high in purines contribute to uric acid buildup and we recommend patients who are prone to gout attacks avoid purine - rich items such as shellfish ( shrimp, crab, etc.), organ meats ( kidney, liver, etc.), red meat, red wine and beer.


Gout can be treated with medications, diet changes, increase consumption of appropriate fluids, and elevating and immobilizing the foot. If you are suffering from pain in your feet or big toe this holiday season, call our office and make an appointment to have an exam.


If you're suffering from unexplained foot pain, don't ignore it, call our office for a complete evaluation. Dr. Bhakta  can be contacted at Accent Podiatry Associates at 817-557-1006.

For more information on treating foot and ankle ailments, visit the American College of Foot and Ankle Surgeons', patient information website, FootHealthFacts.org.


A little information about Dr. Bhakta.....................................................


Dr. Bhakta joined the staff at Accent Podiatry Associates in July of 2002. Dr. Bhakta completed his undergraduate work at the University of California at Riverside, majoring in Biochemistry with a minor in Mathematics. He then pursued his podiatric medical degree at the California School of Podiatric Medicine in San Francisco, California and received his degree in 2000.  Dr. Bhakta continued his post-graduate training by completing a podiatric internship at Wyckoff Heights Medical Center in Brooklyn, New York that involved hospital and community podiatric medicine. Dr. Bhakta also participated in a podiatric surgical residency at Englewood Hospital in Englewood, New Jersey. He is board certified in foot surgery by the American Board of Podiatric Surgery, a Diplomat of the American Board of Podiatric Surgery, and is a Fellow of the American College of Foot-ankle Surgeons.


In addition, he is Wound Care Certified (WCC) by the Wound Care Education Institute. Dr. Bhakta is actively involved in the APMA and the TPMA organizations as well. Dr. Bhakta specializes in pediatric foot care, reconstructive surgery, sports injuries, limb salvage and wound care. He also specializes in peripheral nerve disease, www.aens.us. In his leisure time, Dr. Bhakta enjoys golfing and helping out in the community.


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Arlington Office - 817-557-1006

Mansfield Office - 817-477-3611


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