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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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May 2022

The foot condition that is known as plantar fasciitis has been known to be similar to policeman’s heel or jogger’s heel. The pain that is associated with this condition is felt in the heel, and can become unbearable while walking or standing. The pain may intensify in the morning after arising. The plantar fascia is found on the bottom of the foot, and connects the heel to the toes. It is a shock absorber, and supports the arch in the foot. Plantar fasciitis occurs when this portion of tissue becomes irritated, and this can happen from wearing shoes that do not fit correctly. Additionally, it may happen from standing on hard surfaces for the majority of the day. The risk of developing plantar fasciitis may increase in patients who are overweight, or in people who frequently run. Some people have a tight Achilles tendon, which is the tendon that connects the heel to the calf muscles, and this can lead to plantar fasciitis. There are specific stretches that can be practiced which may help to diminish the pain. If you are afflicted with plantar fasciitis, it is suggested that you speak with a podiatrist as quickly as possible so correct treatment can begin. 

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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, 24 May 2022 00:00

Who Is Prone to Getting Sesamoiditis?

The two small bones in the ball of the foot under the joint of the big toe are referred to as the sesamoid bones. One is located on the outside of the foot, and the other is located closer to the center of the foot. Sesamoiditis occurs when the tissue that surrounds the sesamoid bones becomes inflamed and irritated. Sesamoiditis is considered to be a form of tendonitis, and can cause severe pain and discomfort. This generally happens from overuse and repeated pressure that is placed on the forefoot. The sesamoid bones absorb impact, and are responsible for helping the big toe move up and down during activity. Some of the symptoms that are associated with sesamoiditis can include foot pain that does not diminish, and the big toe may become stiff. People with increased chances of developing sesamoiditis include dancers, runners, and women who wear high heels. Effective treatment can begin with stopping the activity that caused this condition, resting the affected foot as often as possible, and possibly taping the big toe. If you have this ailment, it is strongly advised that you are under the care of a podiatrist who can help you with treatment options that are right for you.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our podiatrists of Central Valley Foot & Ankle. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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, 17 May 2022 00:00

Should I See a Podiatrist?

Our feet do so much for us and yet they are often ignored. Podiatrists are doctors who specialize in the treatment of the feet and ankles. There are several specific foot conditions that would benefit from this type of care. Neuropathy occurs when there is damage to the peripheral nerves. Numbness and loss of sensation from neuropathy can make it difficult to know when a foot injury has occurred. Although this condition cannot be cured, a podiatrist can suggest measures to take to minimize the danger of neuropathy.  A change in the color of feet is often an indicator of a disease such as an infection, like cellulitis, that needs to be treated. A podiatrist can help with foot deformities like bunions or hammertoes. Foot pain can arise for numerous reasons and wearing shoes that fit properly in addition to having feet examined by a podiatrist can help ward off more severe foot problems. Overall, rather than neglecting symptoms of foot problems, consult a podiatrist for proper diagnosis and treatment.

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to 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.

What Is a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

  • Diagnose foot ailments such as ulcers, tumors, fractures, etc.
  • Use innovative methods to treat conditions
  • Use corrective orthotics, casts, and strappings to correct deformities
  • Correct walking patterns and balance
  • Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

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, 10 May 2022 00:00

Testing Your Ankle Health

Most people do not spend a lot of time thinking about the health of their ankles, but this important joint is a workhorse for your body. When you trip but don’t fall, it’s because your ankles have kept you upright. If you need to switch directions in a hurry, it is the ankles that make it possible. One quick way to assess the health of your ankles is by taking a simple test. If you already are experiencing ankle pain, it is best to skip this test and seek out help from a podiatrist as soon as possible. Sit in a straight chair, extend your leg, and turn your ankle clockwise a few times, and then repeat counterclockwise. Try it on the other foot. No pain? That means your ankles are probably doing well. If one ankle is not responding as well as the other one, it may be an indication that something is wrong. Make a note of which part of the ankle hurts, how often the pain occurs, and what you are doing when it starts. This would be a good time to make an appointment with a podiatrist for an examination, diagnosis and possible treatment plan.

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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Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Published in Blog
Tuesday, 03 May 2022 00:00

Dealing with Cavus Foot

An abnormally high arch in the foot is known as cavus foot, which places a lot of pressure on the ball and heel of the foot when standing or walking. Other foot conditions may also be apparent, including hammertoe, calluses on the ball, side or heel of the foot, pain upon walking or standing, and the heel tilting inward. Cavus foot can also be linked to foot drop, where the foot drags while walking. It can develop at any age and result in both pain and instability. Many cases are thought to be caused by neurological conditions, including cerebral palsy, Charcot-Marie-Tooth disease, spina-bifida, muscular dystrophy, or stroke. In these cases, the condition is likely to worsen. In other cases, cavus foot may be caused by an inherited trait, and, if so, will likely remain stable. It is wise to seek the help of a podiatrist if you believe you have cavus foot. A visit may include examining your walking pattern, muscle strength and coordination, along with observing the pattern of wear on your shoes. Several non-surgical treatments, such as orthotics, shoe modification and bracing, may be recommended.   

If you have any concerns about your feet, 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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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