If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site
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
google review
Porterville, CA (559) 615-0420
google review

March 2022

Tuesday, 29 March 2022 00:00

How Poor Circulation Can Affect Feet

When the heart pumps blood around the body, it is called circulation. Good blood circulation works to provide oxygen and nutrients to cells and remove waste from the body. Factors that can lead to poor circulation include high or low blood pressure, high red blood cells, a weak heart, and problems with veins and arteries interfering with the flow of blood to the body. Circulation can be improved by being more active, implementing cardiovascular and stretching exercises, and maintaining good health habits, like having a healthy body weight and not smoking. Other ways include reducing saturated fats, increasing omega-3 fatty acids and antioxidants in the diet, and having a balanced level of iron intake. Underlying conditions that can impact proper blood circulation include obesity, diabetes, and a heart condition. When one has poor circulation they may experience numbness, tingling, and pain in their limbs, including the feet. This can lead to falls or other conditions that can be dangerous and should be checked by a qualified podiatrist who can examine the feet, diagnose problems, and suggest proper treatment methods.

 

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact one of our podiatrists of Central Valley Foot & Ankle. Our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

  • Muscle pain, stiffness, or weakness   
  • Numbness or cramping in the legs 
  • Skin discoloration
  • Slower nail & hair growth
  • Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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 Causes, Symptoms, and Treatment of Poor Blood Circulation in the Feet
Published in Blog
Tuesday, 22 March 2022 00:00

Will Wearing Flip Flops Damage My Feet?

People often wear flip-flops in summer and warmer weather. These shoes often feel comfortable, but if worn too much and for long periods of time they can cause foot and body problems. The lack of support in flip-flops can lead to issues with foot arches and heels, including painful plantar fasciitis – an inflammation of the fascia on the bottom of the foot. Long-term pain in foot arches and heels can further lead to bone spurs or impact the way one walks, which can cause further problems with the knees, hips, and the back to develop. If pain in the feet results from wearing such shoes, a visit to a podiatrist is suggested to halt or treat serious issues from developing.

 

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact one of our podiatrists from Central Valley Foot & Ankle. Our doctors will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

  • Ankle problems
  • Hip problems
  • Lower back problems
  • Pain in the balls of the feet
  • Problems with foot arches
  • Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

  • Sprained ankles
  • Blisters
  • Infections
  • Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

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 Flipping Out About Flip Flops
Published in Blog

Rheumatoid arthritis (RA) is a progressive disease that causes the body’s immune system to mistakenly attack healthy tissue. RA can break down cartilage between bones in the ankle. Without healthy cartilage between ankle bones, bones rub together and cause friction that can lead to inflammation and pain in the ankle joint. In addition, RA can also weaken surrounding tissues that normally support and stabilize the ankle. Over time, the damage RA inflicts on the ankle can change how the joint functions and may lead to further destruction. A podiatrist can diagnose RA in your ankles and help determine the best course of treatment, which may include non-steroidal anti-inflammatory medications, corticosteroid injections, custom orthotics, physical therapy, and in some cases, surgery.

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
Wednesday, 09 March 2022 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Published in Blog
Tuesday, 08 March 2022 00:00

Possible Causes of Blisters

Blisters on the feet can be uncomfortable, painful, and if infected, can become a serious health issue. Blisters are a small pocket of fluid that develops over a damaged portion of skin. This is the body’s natural defense in protecting the area as new skin forms. Blisters can develop from wearing shoes that do not fit correctly, and this can cause the foot to rub against the shoe. Many patients find it helpful to keep their feet as dry as possible, and this can aid in preventing blisters. Additionally, blisters can develop from a severe sun or chemical burn, frostbite, or possibly from an allergic reaction. If you have developed blisters on your feet, it is suggested that you speak to a podiatrist who can guide you toward proper treatment and healing techniques.

Blisters are prone to making everyday activities extremely uncomfortable. 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 develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often 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.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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
Published in Blog
Tuesday, 01 March 2022 00:00

What Is a Navicular Stress Fracture?

One of the foot’s 26 bones is called the navicular bone, which sits just in front of the ankle on the top of your foot. A stress fracture of the navicular bone is commonly the result of explosive and repetitive action of the feet, especially during running fast or jumping. During activity, the navicular bone may be squeezed between the two bones in front of and in back of it, causing stress. Symptoms of a navicular stress fracture are an ache in the midfoot area, including the inside of the arch, and pain if you press on the bone. This discomfort may subside once activity is stopped and the foot rests, but is likely to recur when the action starts again. If you have pain when flexing your foot upward, you may have a navicular fracture. A visit to a podiatrist for diagnostic imaging tests is a good idea. Treatment options, depending on the severity of the injury, include a walking splint, a full cast, or surgery. 

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Central Valley Foot & Ankle. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate 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 and ankle needs.

Read more about Stress Fractures of the Foot and Ankle
Published in Blog
Connect with us