My Blog
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. 

By Keith J. Kalish, DPM, PA
April 16, 2015
Category: Foot Care
Tags: Osteoporosis  
Broken LegWhen people think of osteoporosis we may think of it in relation to the spine and hips—quite possibly the wrists and ribs, as well.  However, osteoporosis can also affect your feet.  In fact, seemingly unexplained foot fractures may be an early indication that you have osteoporosis.  
 
Osteoporosis means, “porous bones,” or that they are losing their density—making your bones thinner and easily breakable.  Foot fractures from osteoporosis can come in the form of stress fractures, which are tiny fractures that cause small cracks in your feet. Because of the lack of structure to the bones, they become weak, which can lead to fractures.  
 
In the advanced stages, fractures can happen from a simple thing like getting out of bed in the morning.  These fractures can occur anywhere, but most commonly occur in the neck, low back, hip, wrists and feet.  For the feet, these fractures often occur with repetitive small trauma due to wearing a unsupportive shoes, such as flip-flops.  With the loss of structure comes the collapse of joints in the feet, which can cause arthritis and pain.  Fractures in the feet from osteoporosis can range from small stresses in the bone to large displaced breaks that require surgery. However, surgery for osteoporotic patients can be a challenge.  
 
The sooner you deal with stress fractures the better.  If you have pain in your feet that seems beyond any normal kind of soreness, you should visit your podiatrist for further diagnosis and treatment.  

What do I do?

The general advice for aging people is to make sure you have enough calcium and vitamin D in your diet.  Exercise is also vital for increasing bone strength and to protect you against these painful fractures.  Any type of activities in which you move is good—walking, running, swimming, dancing and even bowling can be just what you need to strengthen your bones.  If you have foot issues and are unsure of how much your feet can take, talk to your podiatrist.  
 
Be sure to choose shoes that offer proper support to your feet and ankles, as well.  Your podiatrist might recommend orthotics to give you that extra support to your arches.  Even if your bones are not affected by osteoporosis, orthotics can still help you by providing extra stability that may save you from a fall that could break other bones.  
 
Your feet play an important role in making aging easy and less painful.  Avoid dangers of osteoporosis by taking care of your overall health and paying attention to your feet! If you have any foot problems or pain, contact either our Fort Pierce or Vero Beach offices for proper diagnosis and treatment. 
By Keith J. Kalish, DPM, PA
April 06, 2015
Category: Foot Care
Tags: Foot Injury  

Bare FeetSince your feet bare the brunt of your weight, it is important to take extra precautions while working to protect your feet from harm.  When your job requires you to stand on your feet for a long period of time, work in potentially hazardous areas, or with potentially hazardous materials, you have some risk of foot injury.  Productive workers depend on their ability to walk and move about safely, with ease and comfort.  According to the National Safety Council, there are about 120,000 job-related foot injuries in any given year, with one-third of them being toe injuries.

Follow Proper Guidelines

While you are off the job, there are a few steps you can take to protect your feet, including:
  • Wash your feet daily
  • Dry thoroughly
  • Check your feet for corns, calluses, and cracks
  • Keep your feet warm
  • Trim your toenails straight across
  • Wear protective footwear for each activity
 
On the other hand, when you are working it is important to follow the following:
  • Develop safe work habits and attitudes
  • Be aware of the hazards of your job
  • Practice proper measures 
  • Be alert and watch for hidden hazards
  • Watch out for other workers’ safety
  • Follow the rule and don’t cut corners

Wear Protective Footwear

Safety shoes were created to protect your feet, help prevent injuries to them, and to reduce the severity of your injuries should one occur while at work.  According to the National Safety Council, it is estimated that only one out of four victims of job-related foot injury wear any type of safety shoe or boot.  Your feet are the most valuable part of your body and are constantly subjected to injury in the work place.  With many potential work hazards, it is important that you discuss with your supervisor the safety shoe, boot, or other protective equipment that you need for your protection.
 
Your podiatrist is specially trained in the diagnosis and treatment of all manners of foot conditions.  Visit either our Fort Pierce or Vero Beach offices if you experience any work injury or if you have any further questions on how to properly care for your feet. 




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