Keeping You on the Move...and in the Know.

Bunionectomy Procedure Before and After

Check out the Before / After on this Bunion! Looking Pretty Good!

A bunion is a bony protuberance that is found at the joint at the base of the big toe. As is common with patients who have large bunions, the patient pictured was experiencing painful rubbing in her shoes as a result of her condition. After exhausting other conservative treatment methods, ultimately surgery seemed like the best option for this particular case. As you can see, 6 weeks after surgery, it's already looking much better than before! Her scar will continue to fade over the next few months as well.

There are many ways to treat bunions, including nonsurgical methods, but unlike other foot conditions, because a bunion is a bone deformity, it won't just go away on its own. In fact, over time if left untreated, bunions can grow & become even more painful & result in even further deformities in other parts of the foot.

To treat bunions, we first aim to relieve the pressure & pain which are usually most concerning to patients. We can do this in a variety of ways with bunion sleeves, protective padding, shaving calluses, prescribing custom orthotics, altering footwear, & physical therapy, among other options. 

Often in less severe cases, these treatment options can help correct the issue enough to prevent further damage & reduce pain. However, in other cases, surgery may be necessary to remove the protuberance & help bring the foot back into normal alignment. With bunionectomy procedures, as in the case pictured, you can immediately walk around on your feet after the procedure, and generally within a week you should be able to resume full activity. 

If you or a loved one struggles with bunions, as do 33% of the Western population, I'd encourage you to set up an appointment, even via telemedicine if you'd prefer, so we can review the specifics of your case and formulate a treatment plan tailored to your individual needs. Visit our Appointment Request page to make an appointment, or you can call our office in Manteca, CA at 209-823-2700. I look forward to helping you give the boot to your bunions!

The forecast is calling for 4 days in a row over 100 degrees this week, which means it's officially sandal season! Are your toenails ready? I'm not just talking about a home pedicure during quarantine, but I'm talking about fungal nails in particular, which are no fun during sandal season. Let's go through the facts about toenail fungus:

Who does it affect? Nail fungus is actually quite a common problem. Anyone can have it! But those with diabetes, circulatory issues, or immune-deficiencies are more at risk of developing fungal nails.

What is it? Toenail fungus is an infection of the nail and its symptoms include darkening and thickening of the nail, increased smell, white streaks across the nail, and debris under the nail plate. Because fungal nails tend to be thick, they are difficult to cut and can become painful when wearing shoes. Most often, fungal nails are not painful and as a result they can be easy to ignore.

Where is it found? The nail fungus is an infection that sits under the top layer of the toenail.

When can you get it? Nails are especially vulnerable to fungal infections when exposed to damp, moist areas such as sweaty shoes, walking bareboot around swimming pools, locker rooms, saunas, etc

Why is it important to treat? When toenail fungus is left untreated, it can spread to other toenails, skin, and even your fingers. Additionally, the earlier you seek treatment, the better the likelihood of being able to clear up your nails.  So, as your local podiatrist, I encourage you not to leave your fungal nails untreated!

How: To stop fungal nails, try home remedies first, such as establishing a regular routine of cleaning your feet, drying well between your toes, and changing shoes frequently. Over-the-counter topical treatments can be used as well.

If you've tried that, and your fungal nails aren't improving, stop by the office for some more advanced treatment options including a topical antifungal treatment, debridement to remove the infected portions of the nail, oral medications, or even surgical treatment. The earlier you seek treatment for your fungal nails, the better your chances for improving your nail condition. 

If you are interested in learning more about how to clear up your nails, visit our patient education section on fungal nails or make an Appointment Request today. Let's get your toes ready for sandal season!

From Diabetic Foot Care to Surgical Procedures, Dr. Harvey & our team in Manteca, CA is waiting to help get you back on your feet! We've adjusted our office hours and implemented some new procedures to help keep you and our team safe from the spread of COVID-19. Here is what you can expect at your next appointment:

  • New Hours: Monday-Thursday 8:00AM - 5:00PM, Friday 8:00AM - 12:00PM
  • Prescreening: Before entering the office, you'll be screened for symptoms of COVID-19: fever, cough, difficulty breathing, chills, sore throat, headache, etc.
  • A Virtual Waiting Room: call us from your vehicle in the parking lot & we'll call you back after your room has been cleaned & sanitized for your safety. You'll head directly to your treatment room with no waiting in the lobby.
  • Masks: we ask that you join our team members in wearing masks in the office.
  • Hand Sanitizer: all patients will sanitize their hands before rooming.
  • Limited Additional Persons: we ask that you please come unaccompanied into the office, if possible.
  • Regular cleaning: As always, rooms are cleaned & sanitized with hospital grade cleaning supplies between each patient.

If you still don't feel comfortable coming into the office, Dr. Harvey is offering telemedicine visits which can be conducted by video or phone call if necessary. Please call us at 209-823-2700 if you have additional questions or would like to set up an appointment!


We know many of our patients may be wary to travel due to the Coronavirus Pandemic. We are excited to introduce TELEMEDICINE VISITS, which allow you discuss your medical issues with Dr. Harvey from the comfort of your own home! Because of the pandemic, many insurance companies, INCLUDING MEDICARE, are paying for telemedicine visits now, with copays and deductibles being waived. While there is a limit to what can be accomplished virtually, there is also quite a bit that Dr. Harvey can help you with using a teleconference. Telemedicine Visits are available for conditions such as:

  • Ingrown Toenails

  • Diabetic Wound Follow Ups

  • Bunions

  • Heel Pain

  • General Foot Pain

  • & more!

Here's a short video from Dr. Harvey describing Telemedicine visits!

Are you curious about how a Telemedicine Visit works? Before your visit, our team will contact you to walk you through all the details. We will ask you to give us your formal consent to treat you using telemedicine and set up a date and time that works best for you. In advance of your appointment, our team will send you a secure message with a link to join a teleconference with Dr. Harvey hosted by Zoom Meetings. If you don't feel comfortable with technology, we recommend that you have someone close by who can help you with the technical details to make sure your visit runs smoothly. 

For your appointment, you'll need a device with an internet connection. A mobile phone, tablet, laptop, or desktop computer are all options you can use. If you are joining the meeting using a mobile device, you may need to download the free "Zoom Cloud Meeting" app in order to connect with Dr. Harvey. If you are using a laptop or desktop, you can simply join the meeting by clicking on the URL in our message to you. Whatever device you use, just make sure it's set up in such a way to allow Dr. Harvey to get a good look at your feet! 

If you are interested in learning whether or not you are eligible for a telemedicine visit, please contact our office today by calling 209-823-2700 or clicking on Contact Us. We look forward to helping you get back on your feet soon!

“Zero Pain”

One Patient’s Real Life Experience with Orthotics

“I first began seeing Dr. Harvey for pain in my right heel. I work as a manager at a local business here in Manteca, CA and I’m on my feet all day, but my condition made it so that I had to walk around on my tip toes everywhere. It was awful!"

Does this sound like you or someone you love? Read on for this patient's experience in our office:

"Dr. Harvey advised me that in addition to steroid shots, custom orthotics could help relieve my pain. I followed his treatment plan and now six months later I have zero pain! I wear the custom orthotics he made for me every single day. The staff was very helpful and Jackie even worked with my insurance company to help me get a second pair almost for free. She was great. I highly recommend working with Dr. Harvey and the team at San Joaquin Foot & Ankle if you have similar issues; I’m so glad that I did!”

--54 year old female resident of Manteca


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