Do you think your feet are getting flatter?

Well, they probably are to some degree. Not all flat feet are painful or cause symptoms. Painful flat feet can be treated.

With Flat Feet, the arch flattens and the entire sole of the foot has contact with the floor when standing. Some people are genetically predisposed to having flat feet. Flat feet can also develop later in life and can be debilitating.

So why do some people develop the painful kind of flatfoot:

The most common cause of painful flatfoot in adults is a problem with the posterior tibial tendon. (That’s a tendon that goes behind your ankle and attaches to the bones on the inside of your foot. It holds your arch up and provides support when your foot pushes off the ground.)

Normal use can cause the tendon to stretch out over time and develop pathology like tears, inflammation or significant enlargement to just name a few.

Don’t just live with the pain:

You shouldn’t just accept the pain that can accompany flatfoot. Treatment starts with supporting the tendon with Orthotics devices worn inside sturdy shoes. You can also try nonsteroidal anti-inflammatory drugs (NSAIDs), low-impact aerobic activity (like pool exercises) and weight loss, if needed. More advanced treatment modalities include custom braces including an Arizona Brace or Richie Brace.

Still no relief? Surgery is an option if these conservative measures don’t provide you with enough relief. . The outpatient procedure is unique to each individual and is based off of each patient’s clinical exam and radiological findings. The bones and tendons take about three months to heal, but full recovery can take up to a year.

Contact your favorite podiatrist at Kalmar Family Podiatry to learn more

Know the Early Symptoms of Diabetes

The following symptoms of diabetes are typical. However, some people with type 2 diabetes have symptoms so mild that they go unnoticed.

Common symptoms of diabetes:

  • Urinating often
  • Feeling very thirsty
  • Feeling very hungry - even though you are eating
  • Extreme fatigue
  • Blurry vision
  • Cuts/bruises that are slow to heal
  • Weight loss - even though you are eating more (type 1)
  • Tingling, pain, or numbness in the hands/feet (type 2)

Did you know?

Early detection and treatment of diabetes can decrease the risk of developing the complications of diabetes.

Learn about how your doctor can make a diabetes diagnosis or take our Risk Test to find out if you are at increased risk for having type 2 diabetes.

Unexplained foot fractures may be the first sign of osteoporosis, a bone thinning disease which affects over 28 million Americans and accounts for 1.5 million bone fractures a year.

Osteoporosis is frequently referred to as the “silent crippler” since it often progresses without any symptoms or isn’t diagnosed until a person experiences pain from a bone fracture. Dr. Kalmar, a member of the American College of Foot and Ankle Surgeons, explains that the porous nature of bones in people with osteoporosis makes them more susceptible to bone fractures, especially in the feet. “Because the bones are in a weakened state, normal weight-bearing actions like walking can cause the bones in the foot to break,” says Dr. Kalmar. “In fact, many patients visit their foot and ankle surgeon suffering from foot pain only to find out they actually have a stress fracture, without having experienced an injury.”

While osteoporosis is most commonly seen in women over age 50, younger people and men are also affected. Early symptoms can include increased pain with walking accompanied by redness and swelling on the top of the foot. “Oftentimes patients don’t seek treatment for their symptoms for weeks or even months, thinking the pain will pass,” says Dr. Kalmar. “The best advice is, don’t ignore foot pain of any type. Early intervention can make all the difference in your treatment and recovery.”

If you are diagnosed with osteoporosis, it’s important to protect your feet from Stress Fractures. Wear shoes that provide support and cushioning, such as athletic running shoes, to provide extra shock absorption and protection. Custom orthotics may also be recommended to protect the foot from pressure and provide shock absorption, particularly during exercise. 

No matter what your age, you can take steps now to strengthen your bones and prevent osteoporosis—a disease that decreases bone density and results in frequent fractures. Here are some tips to improve bone health:

1.       Eat more yogurt—let’s start with the obvious one, getting more dairy into your diet. Milk, cheese and yogurt are all excellent sources of calcium and vitamin D—a vitamin that helps your body absorb calcium.

2.       Go for the greens—if you’re not a milk fan or are lactose intolerant, there are other foods that are good sources of calcium. These include leafy green vegetables like bok choy and kale, sardines, white and kidney beans, edamame and almonds. You can also use milk substitutes like soy or almond milk and certain cereals and juices that are fortified with extra calcium.

3.       Do more jumping jacks. If you’re able to do weight-bearing exercise (always check with your physician before starting a new exercise program), this is a great way to keep bones strong.

4.       Keep an eye on the scale. A lower weight means less stress on your bones—particularly those in the lower extremities. Maintaining a healthy weight through a nutritious diet and regular exercise is win-win for your bones and your body.

5.       Sit in the sun. Sunshine increases the amount of vitamin D in your body which helps your body use the calcium it takes in more efficiently. Of course, don’t forget sunscreen to protect your skin!

6.       Be in the know. Discuss your risk of osteoporosis with your foot doctor. Family history, medications, body shape and other factors all come into play when assessing risk for this disease.

If you are suffering from foot pain or suspect you may have osteoporosis, call the office at 631-549-0955 for an evaluation. 

Skiing of Skating this Winter Break? 

Skiing at a resort or gliding across an indoor ice rink makes for great winter recreation. But to make sure you finish your day with a mug of hot cocoa instead of a cast and crutches, follow these handy tips:

1. Make sure skates, ski boots or snowboard boots fit properly. Lace up ice skates tightly enough to give your ankle proper support.

2. If you have not skated, skied or snowboarded since last winter, do specific exercises two weeks ahead of time to condition the muscles used in each particular sport. A foot and ankle surgeon can recommend stretching and strengthening exercises to get you back in shape.

3. Never engage in winter sports alone. Always have someone with you so s/he can seek help immediately if you are injured.

If you suffer an injury, call us at 631-549-0955 for an appointment. Same day appointments are available. Your injury could be due to a foot/ankle sprain, fracture or stretched/torn tendon or ligament. Without prompt treatment, these conditions could lead to chronic ankle stability, arthritis, tissue damage or problems with foot alignment. 

Snowboarders Be Sensible on the Slopes: 

Before hitting the slopes this winter, snowboarders should know they are more susceptible to foot and ankle injuries than skiers.

Snowboard boots are more flexible than ski boots, which means midfoot and ankle sprains are more likely to occur because the boot’s flexibility allows for more impact at the tip of the toes.

Our office recommends that snowboarders wear stiffer boots to better protect the ankle and more firmly hold the foot in position.

Should you suffer a foot or ankle injury while playing a winter sport, call our office immediately. We would rather have you in our office first then going to an urgent care. We always have same day and next day appointments available. Call us at 631-549-0955 or  Contact Us


If you are living with diabetes, the onset of winter can be dangerous for your feet. Colder temperatures combined with poor blood circulation and possible nerve damage in your extremities can make your feet vulnerable to infection, serious complications or possible amputation.

1.Keep feet dry. Take these precautions to keep your feet healthy throughout the season: Moisture that collects between your socks and your feet and toes can form bacteria, which can cause an infection. If heavy snow and slush have soaked your shoes or boots, change out of your wet socks as soon as possible and towel dry your feet, paying close attention to the area between your toes.

2. Moisturize your feet. Use a moisturizer daily to keep dry skin from itching or cracking. Do not moisturize between your toes as this could lead to a fungal infection. Please view Our Products to see what moisturizers we have available for in store purchase.

3. Avoid direct heat to your feet. Everyday activities during winter weather, such as warming your feet by the fire or adjusting the heat on your feet in a car, can pose problems. With numbness caused by nerve damage, you may not be able to feel when your feet get too hot, which can result in second- or third-degree burns on your feet.

The best way to avoid burning your feet is to keep them away from direct heat. Do not use warming aids, such as electric blankets, heated shoe inserts or heating pads, and do not put your feet in hot water. Test bath water with your hands or a thermometer first. A foot and ankle surgeon can also recommend moisture-wicking socks to keep your feet dry and warm.

4. Get the right shoes. Wear well-fitting shoes with supportive soles and a wide toe box to reduce cramping. During the colder seasons, considerhowsocktextureandtheweatherwillaffectwalking conditions.

5. See your local foot and ankle surgeon for regular foot exams.

Foot and ankle surgeons can help detect any diabetes-related foot issues early on so they do not become problematic. 

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