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We are accepting new patients!
We now accept Anthem Blue Cross Covered California insurance.
Dr. Koelewyn will be in the Porterville location on Monday, Tuesday, Wednesday & Friday.
On Thursdays Dr. Koelewyn is in the Visalia location, and Dr. Shah is in the Porterville location.

Paul Mayo, DPM
Kathan Shah, DPM
Kristopher Koelewyn, DPM

Visalia, CA (559) 636-3668
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Porterville, CA (559) 615-0420
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October 2021

Tuesday, 26 October 2021 00:00

Why Is My Ankle in Pain?

Ankle pain can be caused by a variety of factors. For instance, you may have an ankle sprain or fracture. Ankle sprains occur when ligaments that support the ankle get stretched or torn, and fractures are actual breaks in one or more bones that make up the ankle joint. Pain in the ankle may also be caused by gout, rheumatoid arthritis, osteoarthritis and other types of arthritis which affect the ankle joint. There are other conditions such as nerve injuries, heel injuries, and blockages in blood vessels that may produce ankle pain. Pain due to tarsal tunnel syndrome (a compression of the tibial nerve in the tarsal tunnel) can be felt anywhere along the nerve, including the ankle. There may be painful damage to the cartilage or tendons in the ankle. If you are feeling pain in your ankle, get your condition evaluated and diagnosed by a podiatrist who can also create a treatment plan based on their findings.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with one of our podiatrists from Central Valley Foot & Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions, please feel free to contact our offices located in Visalia and Porterville, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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Published in Blog
Tuesday, 19 October 2021 00:00

The Basics on Plantar Warts

Verrucae plantaris, or plantar warts, are viral lesions that form on weight-bearing areas of the foot such as the bottom of the heels and toes, and the ball of the foot. Because they are found on the bottom of the feet, they can feel especially painful and tender. Pain is commonly felt while walking or doing other physical activities. The tiny blood vessel that feeds the wart is sometimes visible, and may appear as a tiny black dot in the center of the wart. An Individual plantar wart can develop in a given area, or it can sometimes be clustered with others, forming what is called mosaic warts. Plantar warts can grow deep into tissue, making it harder for them to clear up on their own. They can often reoccur as well. For a speedier and more permanent resolution to plantar warts, contact a podiatrist to go over your treatment options.

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Central Valley Foot & Ankle. Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions please feel free to contact our offices located in Visalia and Porterville, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about All About Plantar Warts
Published in Blog
Tuesday, 12 October 2021 00:00

Arthroscopy: A Technological Marvel

In arthroscopic surgery, a small incision in the skin is made to allow a narrow instrument (arthroscope)—with a light and video camera attached—to be inserted into the ankle. The video from the camera transmits a signal to a large screen which the surgeon views to see and diagnose damage inside the ankle. The surgeon can look at this video to guide them during arthroscopic surgery, using tiny surgical instruments inserted through other small incisions. Arthroscopic ankle surgery can be used to restore damage to cartilage, remove bone spurs, scar tissue and debris, and treat certain conditions in the small area at the back of the ankle. Arthroscopic surgery offers shorter hospital stays and recovery time, and it has a lower risk of infection due to small incisions being made—as opposed to larger incisions associated with open surgeries. Make an appointment with your podiatrist to see if arthroscopic surgery is appropriate for your ankle condition.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Central Valley Foot & Ankle. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our offices located in Visalia and Porterville, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Surgery
Published in Blog
Sunday, 10 October 2021 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Published in Blog
Tuesday, 05 October 2021 00:00

What Is Cold Treatment?

Cold treatment is a simple and useful way to treat foot and ankle injuries by applying ice to the affected area. Ice helps with injuries by cooling down the affected soft tissues, making blood vessels constrict and reducing blood flow and bleeding in the area. Reducing blood flow to the injured area also reduces swelling, and therefore pain and inflammation. The ice that you use should never be placed directly on your skin, as this could cause an ice burn. Instead, wrap the ice in a towel before putting it on the injury. You should ice an injury for approximately 10-15 minutes, then wait at least two hours before applying ice again. If you have certain medical conditions, such as a loss of sensation in your feet, high blood pressure, heart problems, open wounds, or Raynaud’s disease, you should not use cold treatment without a doctor’s approval. To learn more about the benefits of cold treatment for foot and ankle injuries, please consult with a podiatrist. 

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact one of our podiatrists of Central Valley Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please feel free to contact our offices located in Visalia and Porterville, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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