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

Blog

Tuesday, 07 February 2023 00:00

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
Thursday, 02 February 2023 00:00

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.

Tuesday, 31 January 2023 00:00

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
Tuesday, 24 January 2023 00:00

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.

 

Read more about Cuboid Syndrome
Connect with us