“I was a long-distance runner for thirty years,” says licensed physical therapist Elizabeth Thomas, RPT. “I’ve also been involved with triathlons, swimming, and weight lifting, and recently I have taken up golf.”

Because of her high level of activity, Elizabeth has sometimes experienced foot pain.

“I got orthotics for foot pain from a podiatrist in Miami in 1982,” she recalls. “I had them for about fifteen to twenty years, until I w ore them out.”

Customized orthotic arch supports for the feet can relieve a variety of problems, and when Elizabeth moved to Indian River County, she looked for someone to replace her old orthotics. Ultimately, she chose K eith J. Kalish, DPM.

“I was having very acute pain,” she explains, “and that's when it was decided that I needed new orthotics.”

Comprehensive care

Dr. Kalish is one of a select group of podiatric surgeons who hold dual certifications from the American Board of Podiatric Surgery and the American Board of Podiatric Orthopedics. He notes that in his practice, he offers comprehensive treatment for podiatric problems.

“We treat all painful conditions,” he says, “from plantar fasciitis to bunions, hammertoes, heel spurs, neuromas, diabetic wounds, and skin, bone, and muscle problems.”

Dr. Kalish explains that orthotics are often appropriate as a conservative treatment for certain conditions of the foot.

“One of the most common conditions we treat is plantar fasciitis. Orthotics are typically part of the treatment plan with that condition. The plantar fascial ligament runs along the bottom of the foot, and if you don't control the pull of the plantar fascia where it inserts into the bottom of the heel, it’s difficult to get long-term improvement.

“An orthotic addresses the underlying problem. It decreases the pull of the ligament off the heel, so that’s a great way to get control of the condition over a long period of time.”

Dr. Kalish adds that customized orthotics are not always required. A comprehensive examination and gait analysis enable the doctor to determine the best course of treatment.

“A simple over-the-counter insert is an appropriate treatment for certain problems,” he acknowledges. “However, if the patient pronates , or rolls out, when they walk, or if they have plantar fasciitis, then they may need a prescribed orthotic.”

Orthotics technology now enables podiatrists to have a state-of-the-art arch support created.

“When we make a custom orthotic, we do a 3D computer scan and have the orthotic made in a laboratory from the scan,” explains Dr. Kalish. “Custom orthotics are especially good for athletes, and because they are prescription they hold up well over a long period.”

Satisfied patient

As a result of her consultations with Dr. Kalish, Elizabeth obtained a new set of custom orthotics, and she reports that they have delivered excellent results.

“I wear my orthotics religiously, and I can't say enough about them,” she assures. “I don’t run anymore, because I have knee problems,” clarifies Elizabeth, “but I still wear orthotics in all my shoes. These orthotics last around twenty years, and I have no pain.”

She thanks Dr. Kalish and his staff, noting that she recommends the doctor to others.

“I find Dr. Kalish very easy to work with. He listened to my problems, and his staff are very efficient, very professional. I wouldn’t hesitate to recommend him.”  FHCN-Michael J. Sahno