A Mission of Excellence
The Podiatry division of UrgentPoint Medical Group has a mission to provide a seamless connection between podiatric limb preservation and state-of-the-art vascular surgery from VASC along with providing a broad scope of podiatric surgical and nonsurgical services.
William F. McCarron, DPM, FACFAS
Dr. McCarron graduated from Boston College with a Bachelor of Science in Biology in 1991 and then graduated with a Doctorate in Podiatric Medicine from Pennsylvania College of Podiatric Medicine in 1995. He received his surgical residency certification from the Harvard Medical School affiliated Beth Israel Deaconess Medical Center and jointly, with the world-renowned Joslin Diabetic Center.in Boston in 1997. The Joslin Diabetes Center performs research and provides comprehensive care for the diabetic population. During his residency, he recognized the importance of working with a team of specialists such as vascular surgeons, infectious disease physicians, nephrologists, endocrinologists and primary care physicians in order to preserve diabetic limbs.
He is currently Board Certified in foot surgery by the American College of Foot and Ankle Surgery. He is a Fellow of the American College of Foot and Ankle Surgeons. He is a member of the American Podiatric Medical Association, California Podiatric Medical Association and the Los Angeles County Podiatric Medical Association. He is a Qualified Evaluator for the State of California.
Jennifer Kep, DPM
Dr Kep was born and raised in California and went to UC Berkeley for college. Then for podiatry school she went to Dr. William M. Scholl College of Podiatric Medicine in Chicago, she then completed residency at St Vincent Hospital in Worcester, MA and did a Diabetic Limb Salvage/Wound care fellowship at UT Southwestern in Dallas.
Patients with diabetic neuropathy, peripheral vascular disease, and venous stasis disease suffer from limb threatening infection from ulcerations and gangrene. By combining forces between podiatry and vascular surgery we strive to preserve limbs and in turn protect the quality of life each of our patients desire.
Personalized treatment plans: Your treatment plan is tailored to your unique health needs even when multiple conditions are affecting your limbs.
Skin substitute graft
Skin substitutes are engineered dressings designed to facilitate wound closure by performing as many of the key roles of normal skin as possible.
Surgical debridements of ulcerations
Debridement is the removal of necrotic tissue from a wound. Generally, the presence of necrotic or dead tissue is seen as a delaying factor in pressure ulcer healing, preventing the formation of healthy granulation tissue and a good environment to harbour more bacteria, thereby increasing the risk of further sepsis.
Laser therapy is FDA cleared to treat a wide range of patient conditions from pain, inflammation, and onychomycosis. We utilize this treatment for a wide range of conditions, including Achilles Tendonitis,plantar fasciitis and arthritis and wart excision gout, bone spurs, bunions, fungal nail, inflammation and pain relief, and many other conditions.
Aggressive antibiotic coverage, All are essential tools that each surgeon will use in the care of our patients.
Diabetic Foot Care
Nail trimming and callus trimming
Provide links to: Urea cream, and CBD oil
Urea is used to treat dry/rough skin conditions (e.g., eczema, psoriasis, corns, callus) and some nail problems (e.g., ingrown nails). It may also be used to help remove dead tissue in some wounds to help wound healing. Urea is known as a keratolytic.
Urea cream can be found over the counter at drugstores
The action of CBD oil on the ECS has a full-body effect that may also help manage foot problems due to its anti-inflammatory and pain-reducing properties. Hemp-derived CBD also has the added benefit of providing temporary relief without the psychoactive properties inherent with products containing THC.
Diabetic shoes can be provided for patients who have diabetic neuropathy, peripheral vascular disease or combination of both who are at risk of getting ulcerations ill fitting shoes. Extra-depth shoes provided by Dr. comfort are preventative measures taken versus ulceration. Our trained staff can provide custom fit for diabetic shoes as well as diabetic inserts in the shoes that provide support and comfort.
We explore non-surgical and surgical solutions for correcting bunions that best suit each individual patient on a case by case basis.
For a severe bunion, surgery may involve removing the enlarged portion of the bone, cutting and realigning the bone, and correcting the position of the tendons and ligaments. Arthritic bunion or big toe joint. If the joint is damaged beyond repair, as is often seen in arthritis, it may need to be fused.
Hammertoe correction, or hammertoe surgery, is a procedure that treats hammertoe—a deformity of the second, third or fourth toe that leaves it bent at the middle joint, so that it curves into a “C” shape.
Excision of Morton's Neuroma
The excision of Morton's Neuromas is a procedure designed to alleviate pain or discomfort associated with an enlarged nerve. When a nerve becomes compressed or pinched between the bone or adjacent ligaments holding them together, it creates a painful condition that may require surgery.
Plantar Fascia Release/Debridement
Plantar fasciitis release surgery involves cutting part of the plantar fascia ligament to release tension and relieve inflammation of the ligament (plantar fasciitis)
What to Expect: If you have traditional open surgery, you may wear a non-weight-bearing cast or walking boot, for 2 to 3 weeks after surgery to allow tissues to heal.
If you have endoscopic surgery, you can begin limited weight-bearing immediately and can begin wearing normal shoes again as soon as it is comfortable. Most people return to their normal activities in 3 to 6 weeks.
You will begin a gradual strengthening and flexibility program after surgery. Running or jumping is restricted for at least 3 months after surgery.
Nerve Entrapment Release
Percutaneous neuroplasty, also called nerve hydrodissection, is used to treat painful nerves that are entrapped in scar tissue from surgery, trauma, or damaged from chronic repetitive movements. Percutaneous means “through the skin”. This precise ultrasound-guided treatment is a gentle technique that utilizes the injected fluid to mechanically push away scar tissue that is entrapping or pinching a nerve.
What to Expect
This is not a painful procedure that can take between 15 to 40 minutes.The nerve is assessed with ultrasound and the nerve cross-sectional area is measured at the place where the nerve hurts the most. By carefully viewing a nerve with ultrasound, we can assess whether the nerve is being entrapped. However, in some cases the nerve may look pretty normal despite your symptoms. The position of the nerve may be marked on the skin to help the procedure go smoothly.
The skin is then cleaned with a surgical skin cleanser and sterile ultrasound gel is put on the skin over the nerve. The skin is numbed with some lidocaine first, and then the needle used to perform the neuroplasty is guided down to the targeted nerve using constant ultrasound-guidance.
There may be temporary (1 to 2 hours) numbness or even some weakness in the treated limb. This is not a painful procedure and there is only mild soreness afterward. Usually very little or no pain medication is needed by most patients. Avoid NSAIDs like ibuprofen. Acetaminophen can be used for mild pain.Avoid showering for 1 day and avoid immersion in water for 2 days. Any bandages can be removed after 1 day. Depending on the part of the body treated, you may need a sling or crutches for a few hours until the numbness or weakness wears off.
Benefits are usually seen within a few days. The procedure may need to be repeated if you have only partial relief or if symptoms return.
Ingrown Toenail Removal
Surgical removal of an ingrown nail involves removing a small portion of the side of the nail and destroying the nail bed beneath. The toe is injected with a numbing medicine, and the toenail is cut to create a new, straight nail edge. The cells underneath the nail will try to grow a new nail, so they must be destroyed, thereby creating a permanently thinner nail. If there is heaped up (hypertrophied) tissue on the side of the toe, it must be removed. The toe is then bandaged until it completely heals (a few weeks).
What Our Patients Are Saying:
At ToeAlign We:
● Meet the patients where they are, every single time by offering flexible appointments, and individual treatment plans
● Offer Advanced wound care options, including skin substitutes, with focus on on limb preservation
● Offer both nonsurgical, and surgical care that aim to provide immediate relief, functionality, and mobility
All United Health
Anthem Blue Cross
Blue Shield of CA
Choice MG/ Horizon Valley MG
Community Family Care IPA
Dept of Vet Affairs
EPIC MSO Mgmt. for Alliance, Beaver, Chaffey, Family Practice, Fenix, Pinnacle, Redlands Yucaipa, Tri Valley
Medical Groups, and St. Mary’s MGs
High Desert Primary Care (St. Joseph) Medical Group
Hispanic Physicians IPA
Humana Inc/Choice Care Network
Inland Faculty MG
LA Care Direct Network plan-
La Salle Medical Associates/ Network Medical Management
MedPoint Mgmt. MSO for Healthcare LA IPA and Global Care MG
Prime Care Redlands & San Bernardino PODS
Prospect MG/Vantage/Cal Care-
Rios Southwest (Managed By) Elite Health Care
San Bernardino Medical Group
Promise Health plan/BSCA Med-Cal Plan-
Village Health/Direct Network
Brand New Day/Universal Care