We are your Central Valley experts for vein and wound care.
Phil is proud to be ‘locally grown’ here in the San Joaquin Valley. He spent his childhood in Exeter, California. For college, Phil decided to stay local and completed his undergraduate training at California State University, Fresno.
Josh was born and raised in Fresno. He remained in the Central San Joaquin Valley for his education and graduated from California State University, Fresno earning a Bachelor of Science degree in Interdisciplinary Health and Rehabilitation Sciences.
Varicose veins are twisted, enlarged veins. Any vein that is close to the skin's surface (superficial) can become varicosed. Varicose veins most commonly affect the veins in the legs. That's because standing and walking increase the pressure in the veins of the lower body.
For many people, varicose veins and spider veins — a common, mild variation of varicose veins — are simply a cosmetic concern. For other people, varicose veins can cause aching pain and discomfort. Sometimes varicose veins lead to more-serious problems.
Leg swelling can occur in any part of the legs, including the feet, ankles, calves and thighs. Leg swelling can result either from fluid buildup (fluid retention) or from inflammation in injured or diseased tissues or joints.
Many of the causes of leg swelling, such as an injury or prolonged standing or sitting, are common, easily identified and no reason for concern. Sometimes leg swelling can indicate a more serious disorder, such as heart disease or a blood clot.
Diabetic Foot Ulcer
Diabetic foot ulcers are among the most common complications of patients who have diabetes mellitus which is not well controlled. It is usually the result of poor glycemic control, underlying neuropathy, peripheral vascular disease, or poor foot care. It is also one of the common cause for osteomyelitis of the foot and amputation of lower extremities. These ulcers are usually in the areas of the foot which encounters repetitive trauma and pressure sensations. Staphylococcus is the most common infective organism. The disease is typically chronic, and an interprofessional approach will have the best outcome.
Venous Leg Ulcer
Venous ulcers most often form around the ankles.
Venous ulcers typically occur because of damage to the valves inside the leg veins. These valves control the blood pressure inside the veins. They allow it to drop when you walk. If the blood pressure inside your leg veins doesn't fall as you're walking, the condition is called sustained venous hypertension. That increase in blood pressure causes ulcers to form on your ankles.