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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

October 2022

Tuesday, 25 October 2022 00:00

Finding Shoes for Problem Feet

Many problems with the feet, such as blisters, corns, and calluses, are either caused by or adversely affected by the type of shoes you wear. A shoe that fits well can not only help to alleviate foot pain, but also keep it from getting worse. The choice of proper footwear is largely dependent on knowing what is wrong with your feet. To find out exactly what you need, you may want to see a podiatrist, who is medically trained to deal with problems of the feet and ankles. The doctor can perform tests and examine the biomechanics of your feet to determine treatment options and offer guidance on footwear choices. If you have bone deformities, such as bunions or hammertoe, these must also be taken into account while making your footwear decisions. As a rule, when buying shoes it is a good idea to measure your feet accurately and purchase the size that fits the larger foot. If you need orthotics, inserts to correct problems such as fallen arches and overpronation, you will need to bring them with you as you try on shoes. If custom orthotics are necessary, your podiatrist can have them created to address your particular foot problems.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact one of our podiatrists from Central Valley Foot & Ankle. Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

  • Be sure the shoes fit correctly right away
  • Ensure the ball of your foot fits comfortably in the widest portion of the shoes
  • Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
  • Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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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Tuesday, 18 October 2022 00:00

Reasons Cracked Heels Can Develop

The foot condition that is known as cracked heels often comes from having extremely dry skin. This can happen for a number of reasons, including medical conditions consisting of eczema and psoriasis. Additionally, wearing shoes that have an open back may cause this ailment to develop, or it may also come from standing on hard surfaces for the majority of the day. Cracked heels can cause pain and discomfort, and mild relief may be found when a good moisturizer is frequently used. Many patients find it helpful to soak their feet in warm water, although this may only provide temporary relief. There are effective methods that may help to prevent cracked heels from developing, including wearing shoes that have a closed back, and choosing what type of surface to stand on, if possible. It may help to avoid taking hot showers, in addition to refraining from using lotions that may contain alcohol. If you have cracked heels, please consult with a podiatrist who can recommend the correct treatment option for you, which may include using a prescription cream. 

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact one of our podiatrists from Central Valley Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

  • Invest in a good foot cream
  • Try Using Petroleum Jelly
  • Ease up on Soaps
  • Drink Plenty of Water

Ways to Prevent Cracked Heels

  • Moisturize After Showering
  • Skip a Shower
  • Keep Shower Water Lukewarm
  • Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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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High top sneakers were once worn primarily by basketball players to protect their ankles from getting injured. The jury is still out among experts on whether high tops are beneficial or detrimental to the athletes they were designed to protect. But now, high tops have become a fashion statement and are worn by many children who do not participate in sports. It is thought by some that wearing high tops can actually decrease the child’s development of ankle strength, flexibility and stability. On the other hand, some experts believe that wearing low top sneakers actually helps to develop ankle strength without exterior support. It is believed by some that continued wear of high tops by young people can increase the likelihood of restricted mobility in the ankle, as well as the weakening of ankle tendons, muscles, and ligaments. All this, they say, may add up to an increased chance of injury. For more information on the footwear that is most beneficial for your child, please consult with a podiatrist.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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
Wednesday, 05 October 2022 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Published in Blog
Tuesday, 04 October 2022 00:00

Causes of Ankle Pain at Night

Ankle pain at night can be debilitating, because it interferes with sleep. The ankle allows your feet to flex and extend, so if you move your foot while sleeping it will aggravate an injured ankle and result in pain. Other symptoms include swelling, bruising, and deformity. Frequently, the pain from an injured ankle also radiates into the foot, lower leg, and knee, causing further discomfort and more opportunity to lose sleep. One cause of ankle pain is a sprain, which is a torn or ruptured ligament that results when your foot rolls inward and stretches the ligament past its normal range. Other causes of ankle pain include bursitis, tendonitis, and arthritis. Being overweight can cause and increase ankle pain. Stress fractures in the foot, along with gout and poor circulation are known to contribute to ankle pain. Treating ankle pain can be a long process, and it is wise to consult with a podiatrist early to reduce the time it will take to heal. A podiatrist can examine your ankle and address the cause of the pain, offering proper treatment options that may help you sleep better at night. 

Ankle pain can be caused by a number of problems and may be potentially 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
  • Bursitis
  • 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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