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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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June 2022

Tuesday, 28 June 2022 00:00

Common Symptoms of Morton’s Neuroma

Research has indicated that the foot condition known as Morton’s neuroma is generally simple to diagnose. The common symptoms that many people experience with this ailment can include a tingling sensation between the second and third toes, or the fourth and fifth toes. It may begin after wearing specific types of shoes, or from walking or standing for an extended period of time. Many people can develop this condition from wearing high heels. This can be a result of a lack of adequate space for the toes to move freely in. A clicking feeling and sound may be felt in the ball of the foot, and it can feel uncomfortable. Many people often equate this feeling with the sensation of stepping on a marble, or having an out of place seam from a sock. Additionally, the toes can separate with a large Morton’s neuroma, and medical attention is needed. The toes may become numb, and it can be quite painful to walk. If you have any of these symptoms, it is advised that you place yourself under the care of a podiatrist who can use various conservative methods, or possibly even perform surgery, to treat Morton’s neuroma. 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of Central Valley Foot & Ankle. Our doctors will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different 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 care needs.

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Published in Blog
Tuesday, 21 June 2022 00:00

How Long Can Gout Last?

Severe pain, swelling, and redness surrounding the joint in the big toe can be indicative gout. It is a form of arthritis, and it can come from genetic factors or from eating foods that are high in purine levels. Elevated levels of purine can produce uric acid, and form crystals that can build up in the joints of the big toe. Some foods that have large amounts of purines include red meat, shellfish, and drinks that are made with large amounts of sugar. Additionally, people who are overweight, have high blood pressure, or who are diabetic may be prone to getting gout. This condition occurs in flare-ups and can last up to a week. Chronic gout may cause loss of mobility and joint damage. There are effective preventative methods that may help to control the onset of gout. These can consist of incorporating a healthy diet into your daily routine, performing simple exercise programs, and maintaining an acceptable weight. If you suffer from gout, it is strongly suggested that you are under the care of a podiatrist who can help you with additional prevention and treatment options.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Central Valley Foot & Ankle. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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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Published in Blog
Tuesday, 14 June 2022 00:00

Signs of Poor Circulation

The circulatory system in the body is rarely thought about when it is working properly. Problems may occur when blood flow is restricted, and can cause reduced mobility, in addition to increasing the risk of a heart attack. A common cause of poor circulation is peripheral artery disease (PAD). One of the first signs of this condition can be pain in the feet and legs while walking, and this may be diminished by stretching and exercising at least three times per week. It is suggested to patients who smoke to stop or cut back, and people who are diabetic to control their sugar intake. A sign of poor circulation can include a wound on the foot that doesn't heal. Many people are unaware they may have cuts and scrapes on their feet as a result of the inability to feel sensations. Patients who are short of breath may be experiencing poor circulation, and this may be a subtle sign of a heart issue. If you have any of these symptoms, it is strongly suggested that you are under the care of a podiatrist who can offer you correct treatment options.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. 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

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

  • Numbness
  • Tingling
  • Throbbing or stinging pain in limbs
  • Pain
  • Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

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 care needs.

Read more about Causes Symptoms and Treatment for Poor Circulation in the Feet
Published in Blog
Tuesday, 07 June 2022 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Published in Blog
Tuesday, 07 June 2022 00:00

Why High Heels Can Cause Foot Pain

High heels came into being for some practical and vanity reasons. Men wore them so their feet fit better in stirrups when horseback riding and women wore them because they made their feet look smaller, their bodies look taller, and their legs more elongated and toned in appearance. When high heels are worn, the foot is put at a forward angle causing one to walk on their toes and changing body biomechanics, posture, and gait. This leads to a greater risk of injury and the development of painful chronic foot conditions. The higher the heel and the longer the wear, the greater the risks. When wearing high heels, one’s body struggles to stay balanced and various painful foot conditions can develop as a result, such as plantar fasciitis. If you want to continue wearing high heels, try to alternate them with other footwear, vary heel heights of shoes, and stretch calf muscles so they will not be shortened and tight. If your foot pain does not resolve, consult with a podiatrist for proper diagnosis and treatment.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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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