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

February 2023

Tuesday, 28 February 2023 00:00

Proper Wound Care Begins With Clean Hands

A wound can happen from a surgical cut that is made through the skin, or it can happen for other reasons. Proper wound care starts with washing and drying the hands, followed by gently cleaning the wound. This can be done by using a saline solution or soapy water. It is crucial to remove any dried blood that has accumulated, which can aid in the healing process. When applying the dressing, it is important to cover the entire wound, in addition to changing it daily. If the wound is on the foot, it generally needs prompt medical attention. Diabetic patients can easily have wounds on their feet as a result of neuropathy, which is the inability to feel cuts or scrapes. Wounds can form from existing cuts in people who are diabetic, which can possibly prompt critical health hazards to develop. If you have a wound on your foot, it is strongly suggested that you are under the care of a podiatrist who can accelerate the healing process with proper treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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 Wound Care
Published in Blog

Studies show that a large majority of cyclists experience foot pain. While cycling, a great deal of force is generated through the legs, to the feet, and onto the pedals. This can cause burning pain, numbness, and sharp pain in the soles of the feet. The reason for these symptoms is thought to be a result of the nerves between the metatarsal bones coming into contact with the rider’s cleats. If the ride is long, the weather warm, and the shoe inflexible, the pain can become even worse. Experts recommend that one way to help alleviate this type of pain from cycling is to wear different shoes. Wider shoes with looser straps can increase the range of motion in the feet. In contrast, stiffer shoes, while thought to preserve energy, can also increase hot spots and swelling. For help with selecting the proper footwear for cycling or other options for foot pain that cycling may cause, please consult a podiatrist.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains 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 and ankle needs.

Read more about Sports Related Foot and Ankle Injuries
Published in Blog
Tuesday, 14 February 2023 00:00

Genetics May Cause Bunions to Form

A bunion is easy to notice. The medical term for this condition is referred to as hallux valgus, and is evident by the bony lump that gradually develops on the side of the big toe. It happens from genetic reasons, or from wearing shoes that do not have ample room for the toes to move in freely. This may cause pressure to be exerted on the big toe, which can move toward the other toes, possibly causing them to shift toward each other. Many people develop corns or calluses on top of the toe from having it rub on the top of the shoe, and it can appear unsightly. Having an abnormal foot structure may lead to developing bunions, which is why family members may have them. Patients may choose to wear protective coverings over their bunion, which can shield it from the top of the shoe. If you have developed this ailment, it is suggested that you are under the care of a podiatrist who may recommend surgery for permanent removal.

If you are suffering from bunion pain, 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.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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 Bunions
Published in Blog
Tuesday, 07 February 2023 00:00

What Is Peroneal Tendinopathy?

Peroneal tendinopathy is an overuse injury that causes inflammation and degeneration of the peroneal tendons on the outer part of the ankle. The peroneal tendons go down the back and under the lateral malleolus, or the bony part on the outside of the ankle. When there is an overuse injury, the peroneal tendons rub on the bone, and it becomes inflamed. Running, poor flexibility, tight calf muscles, and overtraining are some of the reasons this can happen. The main symptom of peroneal tendinopathy is pain on the outside of the ankle. Rest is important in overuse injuries such as this and continuing the activity that caused the injury will interfere with healing. However, other physical activities, such as swimming or cycling, can be substituted to maintain fitness until the pain subsides. If the outside of your ankle hurts, see a podiatrist who will perform tests to diagnose the problem, and offer treatment options.

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.

 

Read more about Ankle Pain
Published in Blog
Thursday, 02 February 2023 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
Connect with us