Please be advised that our office will remain open despite concern for COVID-19. Our hours will change from 3/23/20 through 4/3/2020 to reduce the volume of patients being seen at a time (see below). We are taking precautions to protect our staff and patients, and ask that you notify us if you are not feeling well prior to coming to your appointment. There are some cases where we may advise you to keep your appointment despite feeling unwell. We will update this message if there are any changes.

  • Monday's - Dr. Alway will be working from 8:30 AM - 5 PM
  • Tuesday's - CLOSED
  • Wednesday's - Dr. Miller will be working from 8:30 AM - 5 PM
  • Thursday's - Dr. Ho will be working from 8:30 AM - 5 PM
  • Friday's - Dr. Miller will be working in the Arcata office from 8:30 AM - 4:30 PM

**Dr. Bookwalter's schedule has been closed**

Eureka Office - 3258 Timber Fall Court, Eureka, CA 95503, (707) 441-1112 (Main Office)

Arcata Office - 3798 Janes Rd. Suite 6, Arcata, CA 95521, 707-441-1112 (Satellite office used by Dr. Miller on Friday's only. Please contact the Eureka office for all inquiries.)

Wound Care Clinic - 3800 Janes Rd., Arcata, CA 95521 707-825-4930 (Dr. Alway and Dr. Miller practice at the Wound Care Clinic on Thursdays' and Fridays')

707-441-1112
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As always, you can contact our office to answer any questions or concerns.

Swelling of the feet, ankles and legs, also known as edema, is often caused by an abnormal build-up of fluids in ankle and leg tissues. Painless swelling of the feet and ankles is a common problem, particularly in older people. It may affect both legs, including the calves and/or thighs. Because of gravity, swelling is particularly noticeable in the lower legs. Swelling in the legs and feet may also be a symptom of other, more serious health issues, such as heart failure, renal failure, or liver failure.

Common causes of foot, ankle, and leg edema include:

  • Blood pressure-lowering drugs.
  • Body fluid overload.
  • Burns.
  • Certain antidepressants.
  • Congestive heart failure.
  • Diagnostic tests.
  • Environment.
  • Estrogens and progestin oral contraceptives.
  • Extremity surgery.
  • Generalized allergy.
  • Glomerulonephritis or other kinds of kidney disorders.
  • Infiltration of an intravenous site.
  • Injury or trauma to the ankle or foot.
  • Insect bite or sting.
  • Long airplane flights or automobile rides.
  • Long-term corticosteroid therapy.
  • Medical treatments.
  • Medications.
  • Menstrual periods (for some women).
  • Pregnancy (mild to severe swelling).
  • Prolonged standing.
  • Starvation or malnutrition.
  • Sunburn.
  • Testosterone.
  • Venogram.
  • Venous insufficiency (varicose veins).

You can mitigate swelling by elevating your legs above the heart while lying down. Avoid sitting or standing without moving for prolonged periods of time. Avoid putting anything directly under the knees when lying down, and don't wear constricting clothing or garters on the upper legs.

Exercising the legs causes the fluid to work back into the veins and lymphatic channels so that the swelling goes down. Mild pressure applied by elastic bandages or support stockings can help reduce ankle swelling. A low-salt diet may also help reduce fluid retention and decrease the ankle swelling.