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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

December 2022

Tuesday, 27 December 2022 00:00

Effective Relief Methods for Arthritic Feet

Arthritis in the feet can cause severe pain and discomfort. It is possible that relief can be found when specific methods are practiced. Self-management techniques can include learning how to reduce stress, improve mood, and generally feel more in control of health issues. This is instrumental in managing some of the pain that is associated with arthritic feet. Additionally, physical activity is linked to an improved sense of well-being, and it may help to eliminate some of the discomforts that occur with feet that have arthritis. Research has indicated it is beneficial to lose weight with existing arthritis, often improving foot mobility and range of motion. It is important to incorporate a gentle exercise program into the daily routine which may help to reduce the risk of injury in completing daily activities. If you have arthritis in your feet, it is strongly urged that you routinely visit a podiatrist who can guide you toward proper management and relief tactics.

Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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.

Read more about How to Care for Your Arthritic Foot
Published in Blog
Tuesday, 20 December 2022 00:00

All About Plantar Fibromas

A plantar fibroma is a firm lump that appears on the sole of the foot. These nodules are benign but can cause some pain in the arch when you are standing or walking. Plantar fibromas are about an inch in diameter, and sometimes develop into clusters. These growths do not usually go away on their own, and may need to be removed surgically if they inhibit your daily activities. The cause of plantar fibromas is largely unknown, but a number of conditions may be linked to their formation. A family history of plantar fibromas is the most common risk factor. Men are twice as likely to develop plantar fibromas than women. Certain medical conditions, such as diabetes and liver disease, are believed to be associated with fibroma development. Long term alcohol consumption is considered another risk factor. Healing from repetitive stress to the plantar fascia is thought to be a factor. A number of non-surgical as well as surgical treatments are available to remove plantar fibromas. It is suggested you visit a podiatrist for an exam and the treatment options that are best for you. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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

Read more about Plantar Fibroma
Published in Blog
Tuesday, 13 December 2022 00:00

Blisters and Basketball

Blisters can develop on the feet for any number of reasons and there are several different kinds of blisters that may form. Blisters may form in response to repeated pressure or friction on the feet while an individual is playing basketball. If a basketball player is wearing inadequate footwear, then this may also cause blisters. Importantly, blisters are composed of a layer of skin that produces a watery kind of pus. If you have blisters from basketball, it is important to take care of your feet so that the blisters can heal. You might also try to prevent future blisters from developing by wearing basketball shoes that provide enough room in the shoes. You might even be sure to wear socks that properly cover the feet. Contact a podiatrist today for information about blisters from basketball.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, 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.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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.

Read more about Blisters on the Feet
Published in Blog
Tuesday, 06 December 2022 00:00

Pain in the Arch

When an individual experiences foot pain, they ought to take note of where and how they are feeling the pain. This is so because foot pain can often tell us a great deal about what the underlying problem might be. An individual can experience pain in virtually all parts of their foot, and this can point to different potential sources of pain. Sometimes, an individual might experience pain in the inside or arch of their foot. This can be indicative of several different things. For example, one might experience arch pain because of structural issues perhaps caused by weight gain, overuse, and physical stress. Additionally, pain in the arch may be indicative of a specific foot affliction such as plantar fasciitis, which is defined as the inflammation of the plantar fascia band of tissue along the arch of the foot. Contact a podiatrist today if you are experiencing arch pain. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Read more about Foot Pain
Published in Blog

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Published in Blog
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