Laser Treatment of Toe nail Fungus

I seem to be getting the best results when I combine topical prescription anti-fungal medication with Laser Treatment.

Laser treatment is always needed more than once.

I usually suggest 3 sessions that are done 2 month apart.

Recurrence is the biggest problem with nail fungus. Doing the laser more than once significantly decreases recurrence rates.

Between the sessions, the topical medication is used.

Our office is located in Irvine and Huntington Beach - Orange County, CA.

Feel free to visit my website for more information on herbal treatments and cost for laser. 

Podiatrist in Huntington Beach

Podiatrist in Huntington Beach

Dr. Kolodenker of OCPodiatry has opened up a second location in Huntington Beach, CA on September 2016.

Due to increasing demand for a Podiatrist in Huntington Beach, we have added another office location.

We want to thank all of the patients and physicians that made this move possible. Without you, we would not be here.

The community has been very welcoming and we've been thrilled being here.

Our Huntington Beach office will be able to do most of the same things that can be done at the Irvine location.

Our HB address is 19582 Beach Blvd Suite 270

By Beach and Yorktown

For a full list of things that we treat, please take a look at our website. 

Feel free to call our office for a consultation with Dr. Kolodenker (949) 651-1202

Podiatrist in HB

Dr. Kolodenker

Consult us before having your toe, foot or leg amputated!

Limb salvage is a very difficult and tricky thing to achieve.

We have had wonderful success in saving feet and healing wounds.

There have been plenty of situations where the patient was advised to have an amputation and we have been able to save them from that or at least minimize the loss.

It takes a full team and we have that available here at Hoag hospital in Orange County California.

Salvage is more time consuming and more expensive than an amputation. In the long run it is more worth it to keep your foot/leg. Your life expectancy decreases with a below knee amputation. Getting fitted for a prosthesis is not cheap either.

If there is a chance that something can be done, I will do it.

I've used lots of modalities and technology to heal wounds and prevent amputation.

I'll show some of the worst cases and the results we can get. There are more pictures on my website.


Case 1 is a young male with history of Diabetes. Necrotizing Fasciitis. Multiple surgeries were done. During the healing process patient ended up needing his 3rd toe amputated due to gangrene. Once complete gangrene sets in, there is nothing that we can do other than amputate.





After multiple surgeries and the use of Wound VAC



A very healthy granular bed that is ready for a skin graft.



A few days after skin graft placement. The graft has taken.






All wounds are almost fully closed. The last part is closing and we expect it to be fully closed in a few weeks.

Case 2. Large necrotic wound on the bottom of the foot. The top picture is after the first surgical debridement. Skin grafting and wound vac therapy allowed this to heal.

Feel free to contact Dr. Kolodenker for a consultation. 

(949) 651-1202

Orange County - Irvine, California

Congratulations to Dr. Gennady Kolodenker on winning the 2015 Patients' Choice Awards for Podiatrist in Irvine, CA

Congratulations to Dr. Gennady Kolodenker on winning the 2015 Patients' Choice Awards for Podiatrist in Irvine, CA
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Marketing Yourself in a Medical Private Practice

They don't teach you in residency the business of running a medical practice. They especially don't teach you on how to get new patients.

Most doctors think that they will start working on this when they are out of residency. BIG MISTAKE.

Start now!!!

The main way patients will find you or at least find out about you is online. Even if their primary doctor recommends you, they will google you.

Google yourself, see what comes up.

Create a website that is pertinent to your specialty. Do not worry so much about the SEO of it at this point. If you know where you will plan on practicing build the site tailored to that.

Have a professional facebook page.

Have a LinkedIn account.

Have a HealthGrades Page.

Have a YouTube Page. This is extremely helpful.

All these things will make you even more marketable.

For the doctors that want the freedom of a solo practice or small practice setting, you need these skills. If you don't have them, pay someone to do it for you or at least advise you.

All the negative posts about foot surgery

The most common thing I hear from patients after surgery is their amazement of the negative, horror stories that are written online about various foot surgeries.

My belief is that most people have great results after foot surgery. The things that are written online are rare case scenarios. Majority of patients that have great and good outcomes from surgery will not take the time to write their hearts out in a blog. People that do well move on with their lives.

The negative blogs are a way for people to share their feeling, find some answers and in a way try and help other people. I think it's great to second guess having surgery. Though the results are usually very good, they are not 100%.

You don't know what the underlying medical condition is present with the patient that writes a negative blog. Perhaps they can not take any pain medication or their pain threshold is much lower than yours.

Do your research and find a doctor you are comfortable with and will go over the common complications that can occur with whatever surgery you might be having.

If it is something foot or ankle related, feel free to ask on this blog and I'll do my best to get you an answer.

Contact Dr. Kolodenker

How to provide and take a great history so that a more accurate diagnosis is reached

I usually follow the NLDOCATS routine when talking to a patient Nature Location Duration Onset Course Aggravating factors Treatments Special/Other Always start by writing the Age and Gender.

Example: Joe is a 34 year old male who complains of...

Nature: What is the problem? Example: ankle fracture, foot pain, leg pain, toe pain, nerve pain....

Location: Be as precise as possible: Medial/Lateral, Left/Right, Dorsal/Plantar, name of tendon

Duration: How long has this been going on?

Onset: Was there any recent trauma? Did you just wake up with it? Was there a history of prior injuries or pains?

Course: Getting worse, better, same? 

Aggravating factors: What makes it worse? What makes it better?

Treatments: Has anything at all been tried? Medication, splints, braces, therapy, other doctors? 

Special/Other: Change in activities? Shoes? Run more? Run faster? Really anything else to fill in the gaps of the story.

This is a great way to obtain a detailed history.

Joe is a 34 y/o male who presents c/o pain in the left foot at the 3rd interspace. Feels like a sharp pain that radiates to his 4th and 3rd toes. Sometimes he notes a clicking. The pain has been present for about 6 months. Denies any history of injury. It has been getting worse the last few weeks. Pain is relieved with rest. Notes that he has increased running lately. Has been doing more business meeting in a dress shoe. Has tried Motrin with no relief of symptoms. Has not seen a doctor in the past. Diagnosis? Most likely a neuroma.