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Brenda Carnaghi, DPM, is a board-certified podiatrist and surgeon with over 17 years of experience serving patients at Gentle Foot and Ankle Care in Troy, Michigan. Dr. Carnaghi is a Michigan native originally from St. Clair Shores. She received her bachelor’s degree in psychology as well as a master’s in clinical/community health education from Wayne State University. She then earned her medical degree from the Ohio College of Podiatric Medicine. Dr. Carnaghi went on to complete an extensive three-year surgical residency at St. Vincent Mercy Medical Center in Toledo, Ohio. She is board certified by the American Board of Foot and Ankle Surgery in foot surgery. She has a special interest in the treatment of sports-related injuries, diabetic preventative care, diabetic wounds, foot and ankle surgery, and pediatrics. She is on staff at Troy Beaumont Hospital and Ascension Macomb/Oakland Hospitals. She is an avid sports fan and loves spending time with family. Call the office or schedule an appointment online today to learn more about Dr. Carnaghi and your foot and ankle care needs.

Distinguished podiatrist Rafi Jarjous, DPM, has dedicated his life to providing exceptional medical care to his patients. He is proud to provide care to the communities of South Lyon, Commerce and Troy, Michigan at Gentle Foot and Ankle Care.

Born in Syria, Rafi's journey is marked by determination, academic excellence, and a deep-rooted passion for helping others. His early years were shaped by a supportive and close-knit family community. His mother, a mathematics teacher, and his father, a skilled craftsman and sign maker, instilled in him the values of hard work and dedication. In 2004, Rafi's family moved to Michigan, United States, seeking new opportunities and a fresh start.

Driven by his intellectual curiosity and desire to make a difference, Rafi pursued higher education. He obtained a Bachelor of Science degree in Chemistry from Wayne State University. Fueling his ambition further, Rafi went on to achieve a Doctor of Podiatric Medicine degree from Kent State University College of Podiatric Medicine in 2020. Continuing his pursuit of excellence, Rafi completed a rigorous three-year podiatric surgical residency program, specializing in reconstructive rearfoot and ankle training at Ascension Macomb Oakland Hospital in Warren, Michigan. This additional credential further fortified his expertise in diagnosing and treating various foot and ankle pathologies.

Throughout his academic journey, Rafi's leadership qualities and commitment to his profession shone brightly. As a class president for all four years of podiatry school, he served as a voice for his peers and championed their needs and concerns. In his residency, Rafi actively engaged in regular academic sessions and participated in an annual online lecture series, enhancing his knowledge and staying at the forefront of advancements in podiatric medicine.

Beyond his professional endeavors, Rafi treasures his role as a family man. He is blessed with a loving wife, and they eagerly anticipate the arrival of their first child later this year. Recognizing the significance of family, Rafi appreciates the support and strength it provides, both personally and professionally.

In his leisure time, Rafi indulges in several hobbies that bring him joy and relaxation. He finds solace in biking, relishes the flavors of a perfectly brewed cup of coffee, and occasionally immerses himself in the virtual world of video games. An amicable and sociable individual, Rafi enjoys hosting bonfires and game nights, fostering connections, and creating memorable experiences with friends and loved ones.

Looking to the future, Rafi is resolute in his commitment to providing his patients with the highest level of podiatric medical and surgical care. Equipped with his exceptional training and expertise, he strives to alleviate pain, improve mobility, and enhance the quality of life for those who entrust him with their foot and ankle health.

Rafi Jarjous is a testament to the power of perseverance, compassion, and dedication. Through his unwavering pursuit of excellence in podiatry and his genuine concern for his patients' well-being, he continues to positively impact lives and leave a lasting impression in the field of medicine.

Dr. Alaa N. Mansour is a fellowship-trained, double board-certified foot and ankle surgeon practicing at Gentle Foot & Ankle Care in Madison Heights, Michigan. He specializes in advanced foot and ankle reconstruction, with a particular focus on primary and revision total ankle replacement, complex ankle deformity correction, post-traumatic arthritis, and limb salvage.

Dr. Mansour holds two board certifications from the American Board of Foot and Ankle Surgery (ABFAS):

• Foot Surgery

• Reconstructive Rearfoot/Ankle Surgery

His advanced surgical training and reconstructive experience allow him to manage challenging conditions involving the foot, ankle, and hindfoot, including complex fractures, severe deformities, failed previous surgeries, and advanced joint degeneration.

Dr. Mansour combines modern surgical techniques with individualized treatment planning, emphasizing the preservation of mobility, restoration of function, and improvement of his patients' quality of life.

Areas of Surgical Expertise Total Ankle Replacement and Advanced Ankle Arthritis

Total ankle replacement is a major focus of Dr. Mansour's surgical practice. He treats patients with severe ankle arthritis, including post-traumatic arthritis following previous fractures and injuries.

His approach incorporates advanced preoperative planning, modern implant technology, and patient-specific techniques when appropriate. He evaluates patients for both ankle replacement and ankle fusion, helping them understand which treatment best aligns with their anatomy, activity level, and long-term goals.

Learn More About Total Ankle Replacement

Revision Total Ankle Replacement and Failed Ankle Surgery

Dr. Mansour has a particular interest in complex revision ankle surgery, including the evaluation and treatment of painful or failed total ankle replacements.

These challenging cases may involve implant loosening, bone loss, instability, deformity, or complications from previous procedures. Treatment options may include revision ankle replacement, advanced reconstruction, or conversion to fusion.

He also evaluates patients with painful ankle fusions and persistent symptoms following previous foot and ankle surgery.

Talar Avascular Necrosis and Total Talus Reconstruction

Dr. Mansour treats complex conditions affecting the talus, including avascular necrosis (AVN), talar collapse, and severe post-traumatic bone loss.

For appropriately selected patients, advanced reconstructive options may include total talus replacement, patient-specific 3D-printed implants, ankle reconstruction, or fusion procedures.

His approach emphasizes careful evaluation of the remaining bone structure, joint surfaces, and overall alignment to determine the most appropriate treatment.

Complex Foot and Ankle Deformity Reconstruction

Dr. Mansour's reconstructive expertise includes severe flatfoot deformities, ankle and hindfoot malalignment, chronic ankle instability, post-traumatic deformities, and complications from prior surgery.

He utilizes advanced reconstructive techniques, including osteotomies, tendon transfers, ligament reconstruction, and joint-preserving or joint-reconstructive procedures when indicated.

His goal is to restore alignment, stability, and function while addressing each patient's unique anatomical challenges.

Charcot Reconstruction and Limb Salvage

Dr. Mansour treats complex foot and ankle conditions associated with neuropathy, Charcot arthropathy, severe deformity, and limb-threatening complications.

His limb-salvage approach emphasizes reconstructive surgery, stabilization, wound management, and multidisciplinary care when necessary, with the goal of preserving a functional limb whenever safely possible.

Minimally Invasive Bunion Surgery and General Foot & Ankle Care

In addition to advanced reconstruction, Dr. Mansour performs minimally invasive bunion surgery and treats a broad range of foot and ankle conditions, including hammertoes, fractures, tendon injuries, sports injuries, and chronic foot pain.

He offers both surgical and nonsurgical treatment options tailored to each patient's needs.

Education, Fellowship Training & Board Certification

Doctor of Podiatric Medicine
Rosalind Franklin University of Medicine and Science

Foot and Ankle Surgical Residency
Beaumont Hospital — Wayne, Michigan
Chief Resident

Advanced Reconstructive Foot and Ankle Surgery Fellowship
Reconstructive Foot & Ankle Institute — Indianapolis, Indiana

American Board of Foot and Ankle Surgery (ABFAS)
Board Certified in Foot Surgery and Reconstructive Rearfoot/Ankle Surgery

His fellowship training provided advanced experience in complex reconstruction, deformity correction, ankle replacement, and challenging revision procedures.

Philosophy of Patient Care

Dr. Mansour believes that successful treatment begins with listening to patients, understanding their concerns, and developing a plan that reflects their individual goals.

He takes a thoughtful, evidence-informed approach to both surgical and nonsurgical care, recognizing that surgery is not always the first or best option.

Whether treating a patient with chronic foot pain or performing a complex revision ankle replacement, his priority is to provide personalized care, communicate clearly, and help patients make informed decisions about their treatment.

Beyond the Operating Room

Outside of medicine, Dr. Mansour enjoys spending time with his family, traveling, hiking, beekeeping, and practicing Brazilian jiu-jitsu. He is fluent in both English and Arabic.

Schedule a Consultation with Dr. Mansour

Dr. Mansour welcomes patients throughout Metro Detroit, Southeast Michigan, and beyond who are seeking evaluation for advanced ankle arthritis, total ankle replacement, revision surgery, complex deformities, or other foot and ankle conditions.

Gentle Foot & Ankle Care
30775 Stephenson Highway
Madison Heights, MI 48071

Phone: 248-585-1177

Schedule an Appointment with Dr. Alaa Mansour

Brian Burkardt, DPM, is a board-certified podiatrist and surgeon with over 18 years of experience at Gentle Foot and Ankle Care in Commerce Township and South Lyon, Michigan. Dr. Burkardt is a Michigan native originally from Monroe, Michigan. He received his Bachelor of Science from Siena Heights University in 1999. He graduated from the Ohio College of Podiatric Medicine in 2003 with honors. Dr. Burkardt then went on to complete an extensive three-year surgical residency at Southeast Michigan Surgical Hospital, formerly Kern Hospital. Dr. Burkardt joined Gentle Foot and Ankle Care in 2006. He is currently on staff at Huron Valley Sinai-DMC and Beaumont Royal Oak. He is board certified in both Foot Surgery and Rearfoot Reconstructive and Ankle by the American Board of Foot and Ankle Surgery. His clinical interests include bunion correction, diabetic limb salvage, wound care, trauma, and reconstructive surgery. Dr. Burkardt resides in Northville, Michigan, with his wife and three children. He enjoys golf, hunting, fly fishing, and running. He looks forward to providing high quality, compassionate, and state of the art treatment to all patients.

Martin Quiroga, DO, MBA, is a board-certified physician and the founder of Michigan Advanced Pain & Spine, located in Warren, Michigan. His mission is to relieve pain and restore function so his patients can experience an improved quality of life. 

Dr. Quiroga is trained in both general surgery and pain management and has extensive training in advanced interventional treatments for alleviating multiple causes. He excels at managing complicated cases and injuries that other treatments have failed to remedy. 

Dr. Quiroga's key to success is gathering all of the requisite information so that he can make an accurate diagnosis. This allows him to offer a wide range of therapeutic options, including procedures and treatments using state-of-the-art technologies and the latest advanced techniques to provide meaningful and lasting benefits. He takes every precaution and utilizes every method available to find treatments that are tailored to suit individual needs. 

To schedule an appointment with Dr. Quiroga, call Michigan Advanced Pain & Spine or request an appointment online today.