My Blog
By Keith J. Kalish, DPM, PA
April 28, 2021
Category: Foot Care
Tags: Bunions  

Bunions are caused when the bone connected to the big toe isn’t supported because of the way the foot is structured, such as low arches. Bunions are a small bump that is located at the base of the big toe and if you’ve ever struggled with bunions, you know that they can be painful to live with. Dr. Keith Kalish in Vero Beach, FL, can help reduce any pain that you may feel from having bunions and can help you regain total foot health.

How to Care for Bunions

If you struggle with bunions, you may feel your bunions throb or ache after a long day and you may avoid certain activities because of them. If you constantly feel pain from your bunions, there are some forms of both home and in-office treatment that your podiatrist in Vero Beach, FL, may recommend for you.

Some examples of treatments you can do at home and lifestyle changes you should make are:

  • Avoiding wearing high-heeled shoes.
  • Massaging the area a few times a day, especially after wearing shoes.
  • Icing the bunion 2-3 times a day.
  • Losing weight to avoid excess weight being placed on the feet.
  • Soaking your feet in warm water.
  • Avoid activities that may cause a flare-up with your symptoms.
  • Exercises and stretches to strengthen your feet.

In addition to recommending some lifestyle changes, your podiatrist may recommend some in-office or custom-made treatments as well. Some of these include:

  • Custom fitting orthotics.
  • Splints from your doctor to wear while sleeping.

If pain persists, foot surgery may be the next option. A bunionectomy may be suggested to remove the bunion and relieve some of the stress placed on your feet.

Contact Your Podiatrist Today!

If you deal with persistent pain from bunions, it may be time to contact Dr. Keith Kalish in Vero Beach, FL. Call (772) 567-0111 today to schedule an appointment and help reduce the pain you feel from your bunions.

By Keith J. Kalish, DPM, PA
December 04, 2020
Category: Foot Care
Tags: Diabetic Foot  

Patients who have diabetes are often encouraged to check their feet and toes regularly. This is because they can have more serious concerns related to their feet. The foot doctors at Keith J. Kalish, DPM in Vero Beach, FL help patients with diabetic foot infections and wounds. Learn why diabetic foot care is important and how you can ensure the ongoing health of your feet with the help of your podiatrist.

What Is Diabetic Foot Care?

Diabetic foot care is the process of actively caring for your feet and toes when you're also managing diabetes. Diabetes can cause foot complications because this medical condition makes it harder for foot injuries and infections to resolve themselves normally. Foot care includes checking your feet for everything from ingrown toenails to keeping your feet clean and dry. Patients must also monitor blood circulation in the feet and report any numbness or potential nerve damage to a podiatrist as soon as possible.

Why Is It Important?

Patients who have diabetes often have problems with increased blood glucose levels, which is what impedes the healing process when the foot or a toe is injured. In an extreme case that isn't treated, a foot injury that becomes infected could lead to foot surgery or amputation. Diabetic foot care is important because it helps preserve foot function.

Foot Care Tips

If you have diabetes and are concerned about foot health, here are a few important tips to care for your feet:

  • Wash and look at your feet daily. If you cannot see the bottom of your feet use a mirror.
  • If you develop a cut or infection on your feet it is important to see one of our podiatrists within one week.
  • Keep your skin soft and supple by using a good moisturizing cream like Cerave or Eucerin daily
  • A diabetic foot exam should be performed by a podiatrist every 3 months to help prevent foot problems
  • Always wear socks and shoes in the house and when walking. 
  • Diabetic shoes with extra depth and width and Diabetic arch supports are covered by your insurance once a year. This needs to be prescribed by a podiatrist.
  • If you have numbness, pins, and needles or burning in your feet this is called Neuropathy and the pain and discomfort can be treated with medications prescribed by a foot specialist
  • Foot problems in diabetes are preventable with the help of one of our Podiatrists

It's also crucial that you work with your primary care doctor to successfully treat your diabetes and keep your glucose levels normal.

Call for Help with Your Feet

It's important that you prioritize foot care if you've been diagnosed with diabetes. Keep in touch with your podiatrist at Keith J. Kalish, DPM in Vero Beach, FL. Call (772) 465-3207 today to request an appointment.

First Responders For Vascular Disease Provided by the APMA While many people are aware of the risk factors of heart disease, fewer are aware that the blockages that can cause heart disease affect more than coronary arteries -- they can also affect other arteries throughout your body. This condition is called vascular disease, and can cause serious effects that may result in amputation of your lower limbs. 

Experts point out that your feet are an early warning system for vascular disease. 

“Podiatrists are often the first physicians to spot and diagnose vascular disease,” says Dr. R. Daniel Davis, DPM, immediate past president of the American Podiatric Medical Association (APMA). Although risk factors for vascular disease can vary from patient to patient, here are seven of the most common, some of which can be managed by maintaining a healthy lifestyle. 

  1. Smoking - When it comes to smoking, consider calling it quits. Smoking increases the risk of many serious health conditions, including vascular disease. 
  2. Using oral contraceptives - If you take oral contraceptives, it’s important to be mindful of their association with an increased risk for vascular disease. 
  3. Family history of vascular disease - Talking to your family members about their health history is a great way to get a more complete picture of your own risk for a number of conditions, including vascular disease. 
  4. Diabetes - For a number of reasons, those with diabetes should pay careful attention to their feet. One reason is that diabetes is a risk factor of vascular disease. 
  5. Obesity - Obesity can increase your risk for a number of health concerns. Maintain a healthy weight if possible, particularly if you have other risk factors for vascular disease. 
  6. High cholesterol - While there are no noticeable symptoms of high cholesterol, it can be dangerous for a number of reasons. Some people can help lower their cholesterol with a healthy diet and exercise. However, if you have a family history of high cholesterol, a healthy diet and exercise might not be enough. Talk with your doctor to find out if you need medication to help lower your cholesterol. 
  7. High Blood Pressure - High blood pressure is common, and can be risky for a number of reasons, including its association with vascular disease. If you see a suspicious spot, blister or wound on your foot or ankle and you have one or more of the above risk factors, make an appointment with an APMA-member podiatrist right away. Podiatrists are the most qualified doctors to care for your feet, ankles, and related structures of the leg and can help you get an early diagnosis of vascular disease. 

More information about vascular disease can be found at

 March Madness and your Feet!

Basketball is a high-impact and physically demanding sport. Hughston Health Alert indicates that more than 1.6 million Americans sustain foot and ankle injuries annually while participating in basketball. Many of these injuries are chronic or overuse injuries. They occur gradually and you might not ever recall a specific injury. These problems -- such as stress fractures, instability and chronic pain -- can lead to sore feet. Fortunately, there are a number of steps you can take to help eliminate sore feet.


Common treatments include the RICE. The acronym RICE stands for rest, ice, compression and elevation.


The American Academy of Podiatric Sports Medicine indicates that many of the pains and injuries felt in basketball can be prevented by proper conditioning.  Always stretch and warm up prior to a basketball game.


Durable, high-quality shoes go a long way toward preventing sore feet in basketball. A good pair of shoes also can help to prevent ankle, leg, hip and back pain. Shoes should provide your feet with proper stability, flexibility and shock absorption.


When conservative measures fail or pain persists for more than five days, visit a podiatrist, or foot doctor. A podiatrist can investigate what is causing your pain. Dr. Kalish and staff can help keep you in the game.





Beware of green beer, it can cause pain in your big toe! St. Patrick's Day will be celebrated on March 17th and the typical American celebration will include green beer.  Certain foods and beverages raise the level of uric acid in the body which can lead to a gout attack and green beer is one of them.  Gout is caused by an excess of uric acid which is a natural waste product made by the body. The uric acid forms crystals that collect in the joints causing reddness, swelling and pain! Foods to limit or avoid are alcohol (Green Beer), organ meats, food and beverages sweetned with high fructose corn syrup and seafood with high purine content (shellfish). Also drinking plenty of water will flush uric acid out of your system. If you have a painful gout attack after your celebration, Dr. Kalish and staff can help.

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