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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

Visalia, CA (559) 636-3668
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Porterville, CA (559) 615-0420
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January 2023

Tuesday, 31 January 2023 00:00

Toenail Fungus Is Treatable

A noticeable symptom of toenail fungus is yellowish or white nails. In severe cases, they can eventually crumble and fall off, and it is advised that medical attention is sought from a podiatrist before this happens. It develops as a result of a fungus that enters the body through small cracks in the skin on the feet. This type of fungus lives and thrives in warm and moist environments, consisting of shower room floors and public swimming pools. It is beneficial to refrain from sharing towels, shoes and socks, in addition to wearing appropriate shoes while in these areas. Toenail fungus is treatable, and it generally takes up to a year for a complete recovery. After the fungus has stopped growing, the new nail will grow in, and prescribed medication is gradually stopped. If you see signs that you have developed toenail fungus, it is strongly advised that you are under the care of a podiatrist who will take a sample of the fungus, and start you on the right treatment path.

For more information about treatment, 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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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 Treating Toenail Fungus
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The outside of the foot is generally where pain is felt from cuboid syndrome. This is a foot condition that happens when the small cuboid bone becomes partially dislocated. This can occur suddenly, after an ankle is sprained, or gradually develop from repetitive use. The cuboid bone connects to the heel bone through ligaments and joints. The surrounding soft tissues may be damaged by an injury, and this may trigger the cuboid bone to move out of alignment. Research has shown that cuboid syndrome may be prevalent among people who have flat feet, which may affect the alignment of this bone. Patients can experience symptoms that can include swelling, tenderness, and weakness in the foot. Walking may be difficult, and the pain may become worse when physical activity is pursued. If you have pain in this part of your foot, please consult a podiatrist who can accurately diagnose cuboid syndrome and offer the treatment that is best for you. 

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, 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.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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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Physically active children may be prone to developing Sever’s disease. It is characterized by heel pain and limping, and it can cause pain and discomfort. It generally affects children and young teenagers who participate in running and jumping activities such as basketball, soccer, or football. It affects the growth plate in the heel, and tight calf muscles may lead to tension on the heel. Treatment begins with stopping the activity that caused this condition and resting the affected foot as often as possible. Many people choose to perform low impact activities that can include swimming and cycling, and this may help to strengthen the entire foot. Mild relief may be found by stretching the calf. This is effectively done while standing on a step, and lowering one heel at a time until a gentle stretch is felt. If your active child has any of these symptoms, please speak with a podiatrist as quickly as possible who can offer correct treatment options. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Central Valley Foot & Ankle. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.

Read more about Sever's Disease
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Tuesday, 10 January 2023 00:00

The Risks of Falling

The more one knows about the risks of falling, the better prepared one can be. Sorting through information and understanding myths related to falling is important. Falling can have serious consequences, particularly for seniors, and it may not just be a matter of getting up and continuing one’s day. Even if injuries are not life-threatening, they can be life changing. For example, a fractured foot or ankle can impact a senior’s ability to live independently. It has also been proven that the likelihood of falling again increases with falls. However, falling is not inevitable as one ages. Precautions, such as getting regular vision checks, reviewing side effects of medication, and staying active, can be taken to prevent falls. If you have fallen and sustained injuries to your feet or ankles, or would like more fall prevention information, a podiatrist can help you.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from Central Valley Foot & Ankle. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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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Wednesday, 04 January 2023 00:00

Diving and Foot Fractures

Diving can be safe and fun. However, as with most sports, injuries can occur, and awareness can help with prevention. The most common injury that might affect the feet with diving is smacking the diving board while taking off. Usually, this will result in minor scrapes but can cause a foot fracture. Most diving collisions occur from poor takeoff from the springboard or platform. Things have been invented to help limit these accidents, such as dryland diving equipment which enables one to attempt a dive using a harness over the water or trampoline. The best prevention is continuously practicing the fundamentals of the sport, including board work and takeoffs. Even the best athletes sometimes sustain injuries while participating in sports if you have fractured your foot while diving, see a podiatrist who can provide the best treatment options.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, 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.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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 Sports Related Foot And Ankle Injuries
Published in Blog
Tuesday, 03 January 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

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