Comprehensive Foot & Ankle Care in Fairfax, VA
Diagnosis and treatment of routine to complex lower extremity conditions, including heel pain, bunions, hammertoes, and ingrown toenails.
Most foot and ankle problems don't need surgery. They need an accurate diagnosis and a plan that fits how you live. Heel pain, bunions, hammertoes, and ingrown nails are among the most common reasons people see us, and most improve with conservative care.
Both of our physicians are board-certified and surgically trained, so you get a full picture of your options from the first visit. If conservative treatment works, that's where we stay. If it doesn't, the same team that knows your history takes you through the next step. We see patients from across Fairfax County and Northern Virginia at our office at 12700 Fairlakes Circle.
Who it's for
- Heel pain and plantar fasciitis
- Achilles tendinopathy and other tendon problems
- Bunions, tailor's bunions, and hallux rigidus
- Hammertoes, claw toes, and corns
- Ingrown and fungal toenails
- Morton's neuroma and forefoot pain
- Flat feet, high arches, and midfoot arthritis
- Warts, calluses, and skin conditions of the foot
What to expect
- Listen first. We start with your symptoms, activity level, footwear, and what you've already tried.
- Hands-on exam. We assess alignment, range of motion, strength, and gait.
- Imaging when it helps. In-office digital X-ray gives answers the same day. We order ultrasound, MRI, or CT when needed.
- A clear plan. You leave knowing what's causing the problem, what we recommend, and what to expect.
- Follow-up. We check progress and adjust treatment until you're back to normal activity.
Treatment options
- Stretching and strengthening programs
- Footwear guidance and padding
- Custom orthotics from 3D scans
- Bracing, night splints, and taping
- Corticosteroid and regenerative injections
- In-office ingrown toenail procedures
- Physical therapy referral and coordination
- Minimally invasive and reconstructive surgery when conservative care isn't enough
Your physicians
Dr. Andrew Falco and Dr. Shyaun Rafii trained side by side at MedStar Georgetown University Hospital and have practiced together ever since. Dr. Falco focuses on identifying the underlying cause of symptoms before choosing between conservative and surgical care. Dr. Rafii takes the same measured approach, weighing nonoperative options first and building each plan around your lifestyle and goals.
Frequently asked questions
Do I need a referral?
Many plans let you see a podiatrist directly. Check your plan or call our office and we'll help you find out.
When should I see someone for heel pain?
Heel pain shouldn't be ignored or walked off: treating the underlying issue early protects your mobility and prevents long-term damage. If you have persistent discomfort, severe pain, or sharp pain with your first steps in the morning, get it evaluated.
Can an ingrown toenail be treated in one visit?
Yes. Most ingrown nails are treated in the office under local anesthetic in about 15 minutes. You can usually walk out and return to normal shoes within a few days.
Will I need surgery for my bunion?
Not necessarily. Wider shoes, padding, and orthotics can manage symptoms for many people. Surgery is an option when pain limits your activity, and our minimally invasive approach can shorten recovery.