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Posts for category: Foot Care

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.

By Keith J. Kalish, DPM, PA
June 03, 2015
Category: Foot Care
Tags: Joint Pain  

Joint Pain In FeetThe foot contains 26 bones and more than 30 joints, which can create multiple areas for pain to originate.  Swelling, tenderness, stiffness, redness, bruising, and/or increased warmth may accompany the pain in the affected joints. Your podiatrist describes joint pain as being caused by trauma, infection, arthritis, bursitis, gout, or structural foot problems.

When you first notice any joint pain in your foot and ankle, your podiatrist may initially treat your pain with the conservative treatment, RICE, which stands for:

  • Rest
  • Ice
  • Compression
  • Elevation

Your podiatrist will also recommend a limitation of walking and weight bearing on the painful foot to ensure further damage does not develop.  Use of steroidal anti-inflammatory drugs, such as ibuprofen, and ice can also help to reduce local inflammation and pain.  Custom orthotics may also be prescribed to support the foot and reduce the pain. 

Your podiatrist can best determine the cause of joint pain and recommend the appropriate treatment.  If you are experiencing joint pain in your foot or ankle, schedule an appointment today to ensure a speedy recovery. 

By Keith J. Kalish, DPM, PA
May 15, 2015
Category: Foot Care
Tags: Foot Care   Podiatrist   foot doctor  

Sprained AnkleHave you ever twisted your ankle while participating in a sport?  Or maybe you simply slipped while walking?  Either way, ankle sprains and fractures should not be ignored.  Ankle sprains are common injuries that occur when ligaments are stretched or torn, with nearly 85% occurring laterally, or on the outside of the ankle joints. By visiting your podiatrist, you can receive the care you need to get back on your feet.

Symptoms of a Sprained or Fractured Ankle

Your symptoms upon spraining your ankle may vary depending on the severity of your pain and how it occurred. The symptoms of an ankle sprain may include:

  • Pain or soreness
  • Swelling
  • Bruising
  • Difficulty walking
  • Stiffness in the joint

All ankle sprains will produce some level of pain at the time of your injury and the joint will also feel tender, beginning to swell.  If your sprain is mild, you may experience a slight loss in the function of your joint.

With a more serious sprain, you will most likely fall during the initial impact of the injury.  It will often be difficult to move or put weight on your injured ankle, producing bruising and swelling from the ankle to the foot.  Once you have had ankle sprains or other ankle injuries before, you may have a weakened joint that creates more of a chance for future injuries to take place.

Common symptoms of an ankle fracture are similar to ankle sprains, and include:

  • Pain to touch
  • Swelling
  • Bruising
  • Inability to walk on the leg
  • Deformity around the ankle

Treatment and Prevention

Treatment for your ankle sprain begins with self-care.  The RICE evaluation is highly recommended upon the initial onset of your injury:

  • Rest
  • Ice
  • Compression
  • Elevation

When your podiatrist feels you are ready to begin participating in sports and exercising, you can help prevent further sprains and fractures by wearing an ankle brace during the first initial months of being back on your ankle.  Special wraps are also available to protect your ankle. 

If your symptoms still persist after taking the initial step of at-home-care, or if you suspect you might have a fracture, a visit to your podiatrist may be in order.  Your ankle sprain or fracture can be treated and further prevented.  There is no need to put an end to your athletic lifestyle with recurring ankle injuries.

By Keith J. Kalish, DPM, PA
May 04, 2015
Category: Foot Care
Tags: Gout  


Foot Pains“Oh, my aching feet!” How many times have you found yourself yelling, “Oh, my aching feet,” but then shrugged it off, figuring that aching feet are a natural part of life? You don’t have to put up with aching feet.  Your podiatrist urges you to not ignore that ache in your feet.  When pain occurs, it is the first sign that something isn’t right, so a trip to one of our offices in Vero Beach and Fort Pierce is in order.

Gout is a form of arthritis, and it can often cause extreme pain to your feet.  Approximately one million Americans suffer from gout, and although its source is a systemic problem within the body, there are some suggestions for how to treat gout that may help reduce your chance of having a gout flare-up. 

Diagnosis and Treatment

Because the joint inflammation of gout can resemble that of a joint infection or other form of arthritis, diagnosing gout requires removing a small amount of fluid from the joint and examining it for uric acid crystals.  Once diagnosis is made, your podiatrist can recommend a gout treatment plan to help:

  • Stop acute attacks
  • Rapidly relieve pain and inflammation
  • Avert future attacks
  • Prevent the development of tophi, kidney stones and kidney disease   

Gout treatment will most likely involve anti-inflammatory medications to relieve acute pain and inflammation, as well as urate-lowering drugs to control urate levels and prevent future attacks.

Other gout treatment strategies might include the following:

  • Avoid foods with high purines, such as organ meats, anchovies, shellfish, bacon and gravies, and increasing intake of dairy foods.
  • Avoid alcohol, which increases the production of urate and impairs excretion
  • Lose weight to reduce blood urate levels
  • Avoid medications that contribute to hyperuricema, including diuretics

With proper treatment by your podiatrist, gout is one of the most controllable forms of arthritis.  So when pain occurs, don’t just deal with it, seek treatment immediately. 



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