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Newtown Podiatrist | Newtown Blog Archive 4 | PA | Kalker Podiatry |

Lawrence C. Kalker M.S., D.P.M., P.C.

6 South Sycamore Street, Newtown, PA  18940

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Kalker Podiatry


Blog Archive 4

Wednesday,  January 23, 2013

Heel Pads

If you suffer from heel pain, heel pads may be helpful. Heel pads will be comfortable and durable and they will provide shock absorption to the heel, making each step less painful. These pads help treat heal spurs, plantar fasciitis, short leg syndrome, and Achilles tendon.

Heel pads will also protect tender and painful calluses, bony prominences and tender skin as well as reduce friction and skin irritations.

If you are having heel pain or any other podiatry issues, please call Kalker Podiatry at 215-968-4048 for an appointment. Disclaimer: This is not meant as advice for your particular foot problem which must be diagnosed by a medical professional.


Tuesday, January 22, 2013

Diabetic Foot Ulcer

A diabetic foot ulcer is an open sore or wound typically found on the bottom of the foot. This condition occurs in approximately 15% of patients with diabetes.

Ulcers develop due to a combinations of factors such as a lack of feeling in the foot, poor circulation, foot deformities, irritation, trauma and duration of diabetes.

Symptoms may include drainage in the socks, redness, swelling and odor.  Pain is not a common symptom since many diabetics who develop foot ulcers have lost the ability to feel pain due to nerve damage caused by elevated blood glucose levels over a period of time.

Once you have developed an ulcer, you should seek medical attention immediately to help prevent infection. Please call Kalker Podiatry at 215-968-4048 for appointment so your foot condition can be evaluated and treated. Disclaimer: This is not meant as advice for your particular foot problem which must be diagnosed by a medical professional.


Monday, January 21, 2013

Heel Pain/Plantar Fasciitis

Heel Pain is very common and can have various causes such as stress fractures, arthritis, nerve irritation, cysts, tendonitis and plantar fasciitis. Plantar fasciitis occurs when the tissue that connects the heel to the toes becomes inflamed. The inflammation causes pain in the heel and will worsen over time.

A person may be prone to developing this condition if they have flat feet, very high arches, or poor alignment of the feet. You are also more likely to develop plantar fasciitis if you are overweight or if you spend a great deal of time on your feet wearing shoes that offer little or no support.

There are various treatment options for this condition.  If you are suffering from heel pain, please call Kalker Podiatry at 215-968-4048 for an appointment to discuss treatment for your condition. Disclaimer: This is not meant as advice for your particular foot problem which must be diagnosed by a medical professional.


Friday, January 18, 2013

Pumice Sponge

Using a pumice sponge for your feet is the hygienic way to soften and exfoliate skin. This kind of sponge can smooth away hard skin on feet, heels and toes. The warmer the water, the gentler the sponge so it can be used on delicate areas.

A pumice sponge can safely remove dry, thick and callused skin without using sharp blades or chemicals.  This product can leave your feet and hands smooth and help remove dry cracked skin safely and comfortably.

Please call Kalker Podiatry at 215-968-4048 to make an appointment to discuss any of your podiatry needs.


Wednesday, January 16, 2013

Allergic Contact Dermatitis

Allergic Contact Dermatitis is an allergic condition occurring when your skin is contacted by an allergen that you are sensitive to. When this happens an allergic reaction occurs, which may be in the form of a rash, dry or scaly skin.

Common causes of allergic contact dermatitis to the foot are poison ivy, oak or sumac as well as certain dyes and chemicals that may be found in footwear. In treating allergies of any kind, the allergen needs to be identified. If you are experiencing new symptoms, take the time to evaluate new substances or plants you have come in contact with.

If you are experiencing allergic contact dermatitis, please call Kalker Podiatry at 215-968-4048 for an appointment to discuss you symptoms and treatments available.



Tuesday, January 15, 2013


Flatfoot (Fallen Arches)

It is very unusual to find a person who walks with both feet in perfect alignment. Often we walk on the inside or outside of our feet, or with our toes or heels rotated inward. These kind of walking patterns can cause not only problems with your feet but also your entire body.   The alignment of your feet sets the foundation for the entire body's alignment. One of the most common effects of improper alignment is called flatfoot or fallen arches.

This condition is characterized by a lack of an arch in the inner foot. This can be a genetic condition or the results of improper body mechanics. A healthy foot will be structurally able to support  the weight of the body but a flat foot is often unable to give the body the same support. Flatfoot can cause extreme pressure in the ankles, knees and hips.

If you are suffering from flatfoot, please call Kalker Podiatry at 215-968-4048 to discuss your condition and possible treatment plans.


Monday, January 14, 2013


Onychomycosis is a fungal infection of either the toenails or fingernails.  This ailment causes the nails to thicken, discolor, disfigure and split. When first looking at onychomycosis, you may think it is just a cosmetic issue. But without treatment, the toenails can become abnormally thick forcing the toe to press against the shoes, which can cause pressure, irritation and pain. If this disease progresses without treatment, onychomycosis may interfere with standing, walking and exercising.

Risks factors for developing onychomycosis include family history, advancing age, poor health, trauma, showering in communal showers and wearing shoes that don't allow proper airflow on a regular basis.

Treatment options vary, depending on the individual and the severity of the ailment.  Please call Kalker Podiatry at 215-968-4048 to discuss your condition.



Wednesday, January 2, 2013


Morton's Neuroma

A neuroma is a thickening of the nerve tissue that may develop in various parts of the body creating nerve damage. Morton's Neuroma is the most common neuroma in the foot. It occurs at the base of the third and fourth toes.

Symptoms for this ailment include tingling, burning, numbness, pain, and a feeling that something is inside the ball of the foot.

The symptoms tend to begin gradually and occur occasionally at first. This can happen when you wear narrow-toed shoes or perform certain activities. Overtime, the symptoms tend to get worse and may persist for several days or weeks at a time. The symptoms may become more intense as the neuroma grows in size and the nerve damage becomes more permanent.

If you are concerned that you may suffer from Morton's Neuroma, please call Dr. Lawrence Kalker at 215-968-4048 for an appointment to discuss possible treatment options.


Wednesday, December 26, 2012


Posterior Tibial Dysfunction

Posterior tibial tendon dysfunction (PTTD) is the inflammation or overstretching of the posterior tibial tendon in the foot. The function of the posterior tibial tendon is to support the arch of the foot. This tendon serves as a supporting structure to assist the foot while walking but if PTTD is present the result is sometimes "adult-acquired flatfoot."

Symptoms for PTTD include pain, swelling, flattening of the arch and an inward roll of the ankle. When PTTD first develops, it starts with pain on the inside of the foot and ankle.

If you are suffering from PTTD, please call Kalker Podiatry at 215-968-4048 to discuss your treatment options


Monday, December 24, 2012


Osteoarthritis, also known as degenerative joint disease, is the most common type of arthritis. It typically occurs in the weight-bearing joints of the hips, knees, and spine. It can also be found in the fingers, thumb, neck and large toe.

This ailment tends to affect more women than men. Many people who are 60 years or older have some degree of osteoarthritis though it can be diagnosed in people in their 20s and 30s.

Symptoms tend to develop gradually and include joint aching and soreness and pain after overuse or after long periods of inactivity. Bony enlargements in the middle and end joints of fingers, which can be painful and joint swelling and fluid accumulation are also symptoms of osteoarthritis.

A person's chances of developing osteoarthritis are based on several factors including heredity, obesity, injury and joint overuse.

If you care concerned that you may have osteoarthritis, please call Dr. Lawrence Kalker at 215-968-4048for an appointment to discuss your symptoms.




Tuesday, December 11, 2012


 What is Tarsal Tunnel Syndrome?

Tarsal Tunnel Syndrome is a painful foot condition in which the tibial nerve is compressed as it travels through the tarsal tunnel. This tunnel is in the inner leg behind the medial malleolous, the bump on the inside of the ankle.

Symptoms of this condition include pain and tingling in and around the ankles, swelling feet, electric shock sensations, and pain radiating up the leg and down into the arch, heel and toes. Other symptoms include hot and cold sensations in the feet, a burning sensation on the bottom of the foot that radiates upward and a feeling that the foot does not have enough padding.

Tarsal Tunnel Syndrome tends to be more common in athletes and those who stand a great deal since these individuals commonly put an excessive amount of stress on the tarsal tunnel area.

If you think you suffer from this ailment, please call Kalker Podiatry at 215-968-4048 for an appointment to assess your condition.


Monday, December 10, 2012



Metatarsalgia is when you experience pain or inflammation in the ball of your foot. Symptoms you may experience from this condition include a sharp pain or dull ache behind the toes on the ball of the foot and pain that worsens while you are walking, running, or jumping and improves with rest. Numbness or pain in the toes or pain in the feet that worsens when barefoot are also symptoms of metatarsalgia.

Typically there are several factors that cause this condition which include hammertoes, bunions, tight shoes, excess weight, stress fractures, and Morton's Neuroma. Improper foot alignment, improper walking mechanics, unusual foot shape, and intense training are also factors that cause this ailment.

If you think you may have this metatarsalgia, please call Dr. Lawrence Kalker at 215-968-4048 for an appointment to discuss your treatment options.



Friday, December 7, 2012

Running Injuries

If you are an avid runner, there are a variety of injuries that can occur during training. They range from mildly annoying to something that can require physical therapy or surgery. It is important to take proper care of your body by stretching properly before a run, wearing appropriate footwear and listening to your body telling you to rest.

Common running injuries include a pulled hamstring, hip stress fractures, shin splints, achilles tendonitis, plantar faciitis, and arch pain.

If you are concerned that you have a running injury, please call Kalker Podiatry at 215-968-4048 for an appointment to discuss you injury and various treatment plans available.



Wednesday, December 5, 2012


Hallux Rigidus 

Hallux Rigidus is a condition affecting the joint at the base of the big toe. You will notice pain and stiffness in the big toe if you suffer from this ailment. Symptoms may worsen while walking, running or performing other exercises or when the weather is cold or damp. You may also notice swelling and inflammation around the joint. If the condition worsens, the big toe joint may be painful at rest and bones spurs could develop.

Hallux Rigidus, a form of degenerative arthritis, can wear out the cartilage in the joint that it affects. It can be caused by improper alignment of the feet and genetic abnormalities to the foot structure.

Possible treatments available for this condition include shoe modification, anti-inflammatory medication, orthotics, physical therapy and surgery.

Please call Dr. Lawrence Kalker at 215-968-4048 for an appointment to discuss your issues with Hallux Rigidus.


Tuesday, December 4, 2012


Tendonitis is overuse and inflammation of the tendon. This term is often connected to athletes and runners. The tendon is the area of your body that is connected to the muscle which causes your body to move.

This condition occurs when the tendon is irritated from being moved outside of its regular motion. It can become inflamed and the movement becomes painful.

There are several reasons for tendonitis which include overuse of the area, an increased level of exercise, your age, and anatomical alignment.

If you feel you might be suffering from tendonitis, please call Dr. Lawrence Kalker at 215-968-4048 for an appointment to talk about your condition and find an appropriate treatment plan.


Tuesday, November 27, 2012

 Haglund's Deformity

Haglund's Deformity, sometimes known as the "pump bump" because it is prevalent among women who wear pump-style shoes. It may occur in one or both feet. This ailment can be caused by a combination of genetic and external factors and can lead to discomfort and sometimes pain in the back of the heel.

If you are suffering from this condition, you may have noticed a bony enlargement at the back of your heel. This inflammation is caused when soft tissue around the Achilles tendon becomes irritated. Irritation at this spot is often a result of pressure caused by the back of pump-style shoes. Other signs of Haglund's Deformity include swelling in the back of the heel and redness or inflamed tissue at the swelling site.

Though surgery is an option to correct this condition, there are also many nonsurgical treatments available.

Please call Kalker Podiatry at 215-948-4048 for an appointment to discuss your treatment options for Haglund's Deformity.



 Monday, November 26, 2012


The Difference Between Sprains and Strains


Sometimes when you experience pain when working out, you may wonder what kind of injury you may have. Most often, you'll have a sprain or strain of your muscle. How do you know the difference and how would you treat them?

A sprain is a stretch and/or tear of a ligament. A ligament is the fibrous band of connective tissue that joins the ends of two bones together. Ligaments help to stabilize and support the body's joints.

A sprain is caused by direct or indirect trauma that dislocates a joint out of position or overstretches it. In more severe cases the supporting ligaments can rupture. Usually this kind of injury happens when a person falls and lands on an outstretched arm, the side of the foot or runs on an uneven surface. Symptoms of a sprain include pain, bruising, swelling, and inflammation.

A strain is an injury to a muscle or tendon. Tendons are fibrous cords of tissue that attach muscles to bone. Chronic strains are the result of prolonged, repetitive movements of muscles and tendons. Insufficient breaks during intensive training can sometimes lead to a strain. Symptoms of a strain include pain muscle spasm, muscle weakness, swelling inflammation and cramping.

If you are concerned you may have a sprain or strain, please call Kalker Podiatry at 215-968-4048 for an appointment to discuss your symptoms.



Friday, November 23, 2012


Ganglions are small fluid-filled swellings of the joint or tendon. They are usually located on the ankle or the top of the foot but sometimes they form elsewhere on the foot. The typically grow slowly, but can cause severe irritation when the size becomes too large.

Ganglions are usually caused by severe repeated irritation that weakens the joints or tendon lining. If you are wearing restrictive footwear you may be more susceptible to this condition. Those with bone spurs may find the pressure of these bony growths can cause ganglions as well.

Symptoms of this condition can range from tingling to numbness and their appearance can be similar to a tumor.

If you feel you have ganglions please contact Dr. Lawrence Kalker at 215-968-4048 for an appointment to discuss you symptoms and find a treatment plan that is right for you


Tuesday, November 20, 2012



This condition is characterized by a short metatarsal. The foot had five metatarsals and this condition results in one shortened toe. This causes of brachymetatarsia is either genetic or situational meaning that you are born with this condition or it can be induced by premature closure in the metatarsal growth plate due to trauma.

If you suffer from this condition, you may find it hard to properly balance or smoothly transfer weight across the toes when walking or running. Extra padding can be used in the shoe to protect the shorter toe from excessive friction or pressure.

Please call us at Kalker Podiatry at 215-968-4048 to make an appointment to discuss this foot issue.



Friday, November 16, 2012


Ingrown Toenails

Though they can begin as a small nuisance, ingrown toenails can become a significant issue if left untreated. Caused by a segment of the toenail that embeds in the skin around the nail, an ingrown toenail is characterized by pain, swelling, redness and a feeling of warmth in the affected toe. If the nail digs into the flesh around the nail and causes the skin to break, bacteria may enter, which can cause an infection. Some people are prone to ingrown toenails while others may be caused by improper nail trimming.

If you are suffering from an ingrown toenail, please contact Dr. Lawrence Kalker at 215-968-4048 so you can receive treatment.


 Wednesday, November 14, 2012

What are Plantar Warts?

Plantar Warts are noncancerous growths that appear on the sole, heel, or ball of the foot. Many plantar warts are diagnosed on their appearance. They tend to be rough and spongy and many are gray, brown or yellow with dark pinpoints.

Plantar Warts can occur when the human papilloma virus (HPV) enters the body through the skin on bottom of feet, usually through cuts and breaks. This virus is often present on surfaces such as tile floors or public locker rooms, showers or swimming pools.

Some people are more prone to the virus that causes plantar warts than others. Risk factors include repeated HPV exposure. For example, walking barefoot in common public areas. Having a weakened immune system may make you more susceptible to plantar warts.

Individuals often feel a "lump" on the bottom of the foot when standing. If left untreated, plantar warts can grow and may spread into clusters called mosaic warts. In severe cases, this can cause a change in gait or posture that results in leg or back pain.

If you are suffering from plantar warts, please contact Kalker Podiatry at 215-968-4048 so we can prescribe an appropriate treatment plan for you.



Monday, November 12, 2012

PPT Metatarsal Pads for Calluses

PPT metatarsal pads are very comfortable, flexible, and durable and protects tender and painful calluses, bony prominences, and tender skin on the balls of the feet. These pads also reduce friction and skin irritations.

What makes these types of pads so effective is the PPT material. This material mimics the soft tissues of the foot, and is considered to be the best material available for cushing, supporting, shock absorption, and friction reduction of the foot. These pads are resilient, long lasting, and very comfortable. These pads are adhesive backed and are easily applied to the innersole of all styles of footwear or orthotics. Looking for other solutions to bothersome calluses?  Call Dr. Lawrence Kalker today at 215-968-4048 for an appointment.



Wednesday, November 7, 2012

Hammertoe Splints

Hammertoe splints are constructed of comfortable, but sturdy material which gently extend the hammertoe, allowing it to lie straight and therefore the pain is alleviated in the top and tip of the toe. The splint will help prevent the toe from becoming worse, allows it to bear weight normally, and prevents bulges in footwear that hammertoes can cause. The well padded bottom part of the splint will cushion the ball of the foot, giving the wearer extra comfort. Hammertoe splints will easily fit in any style footwear. Make an appointment today with Dr. Lawrence Kalker at 215-968-4048 to discuss your hammertoe issues.



 Tuesday, November 6, 2012

What are Hammertoes?

Hammertoe is a common podiatric issue which is characterized by a bending of one or both joints of any toes except the big toe. This condition can cause problems with wearing shoes, which tends to worsen the problem. Those who suffer from this condition may notice some of the following symptoms:

Corns either between the toes or on top, side or end of the toes. Corns are a buildup of skin caused by the friction at the contact point between the toe and shoe.

Calluses may form on the bottom of the toes or on the ball of the foot. Calluses are rough, dry patches of dead skin that has built up.

Pain or irriation when the toes come into contact with the shoe.

Treatment options include changing footwear, padding the corns and calluses, trimming the corns and calluses, custom orthotic footwear and devices, anti-inflammatory medications and splinting the affected toe. In some extreme cases, surgery may be recommended.

Contact Kalker Podiatry today at 215-968-4048 so we can discuss your hammertoe problem and find the right treatment option for you.



 Monday, November 5, 2012

Athlete's Foot

Athlete’s foot is a fungal infection of the skin that causes scaling, flaking and itching of the affected areas. It often begins between the fourth and fifth toe. If left untreated, the skin may become highly sensitive to the touch. If Athlete's foot progresses without treatment, the condition can result in white, peeling skin and a milky discharge. Athlete's foot, which can be highly contagious, is typically contracted in damp places such as public pools, locker rooms and showers.

It is important to treat Athlete’s foot at the first sign of infection as the body can become vulnerable to other bacterial infections. The infection can also be transmitted to other parts of the body through bedding and clothes. Patients with serious cases of athlete’s foot may develop a rash that covers the sole of the foot. Known as “moccasin foot,” this manifestation of Athlete’s foot creates extremely scaly, thick and rough skin on the bottom of the foot.

If you are experiencing the symptoms of Athlete’s foot, contact Kalker Podiatry today at 215-968-4048 for effective treatment options. Early treatment will lessen the risk of exposure to others and alleviate the painful symptoms associated with this condition.


Wednesday, September 19, 2012

Medicare Therapeutic Shoe Bill

Diabetic patients are eligible, under Medicare, to receive one pair of therapeutic shoes and 3 pair of inserts if there is a medical need. To receive payment from Medicare, it must be shown the patient needs the shoes for protection of insensitive feet known as neuropathy, poor circulation or foot deformity.

The following steps need to be taken for Medicare to cover your shoes:

The physician treating your diabetes needs to complete a certificate of medical necessity for diabetic shoes and documentation should be noted in your medical files.

The shoe supplier must have the order before Medicare is billed.

The shoes and inserts need to be prescribed by a podiatrist or other qualified doctor.

If you have Medicare Advantage Plan (such as a HMO or PPO), be sure to follow the plan's instructions for approval and purchase.

Each calendar year, Medicare will cover one of the following:

One pair of depth-inlay shoes and three pairs of inserts or;

One pair of custom molded shoes including inserts as well as two additional inserts.

Separate inserts or shoe modifications instead of inserts may be covered in some cases.

Keep in mind that Medicare does not cover deluxe features such as custom style, color or material.

To qualify for diabetic shoes you need to be covered under Medicare Part B. Besides being diabetic, you need to have one or more of the following conditions:

Partial or complete foot amputation
Past foot ulcers
Calluses that could lead to ulcers
Foot deformity
Poor circulation

The cost of your diabetic shoes will depend on if you have Medicare Part B and where you purchase your shoes. After you meet your deductible, you may be responsible for 20% of  the approved amount. Under the Medicare Advantage Plan, you may pay little or nothing, depending on the plan.



Friday, September 14, 2012

Do's and Don'ts of Diabetic Foot Care

 If you suffer from diabetes, you already know that your healthcare requires special attention. When it comes to diabetes and your feet, many patients lose some sensation and therefore cannot detect an injury to their feet. Diabetics may also suffer from poor circulation which can slow healing and increase infection. There are many things you should know about the do and don'ts of keeping your feet in good condition.

Important Do's

  • Exam your feet daily. Look for any changes or broken skin.
  • Keep your feet clean.  Wash them with soap and warm water every day and towel dry them completely.
  • Wear shoes that fit properly and that protect your feet. Make sure you wear socks or stockings with your shoes.  See a foot care specialist to be fitted for comfortable shoes.
  • Wear loose fitting clothing. No garters or girdles that might restrict circulation.
  • Apply moisturizer to dry and cracked feet.
  • Check your shoes and socks before you put them on.  Look for any rough spots in shoes and rough seams in socks.
  • Make sure you are at a healthy weight. Lose weight if you need to.


Important Don'ts

  • No smoking. Quit if you haven't already.
  • Don't cut your own corns and calluses; see your podiatrist.
  • Don't apply heat to your feet or walk on hot surfaces.
  • Wear socks on cold feet and don't walk around barefoot.
  • Don't cross your legs while sitting.


By following these guidelines and visiting your physician regularly, you can avoid serious diabetic foot problems and have healthier feet.



Wednesday, September 12, 2012

What is a Night Splint and when does a patient need one?

A night splint is a brace that is worn at night when you go to sleep and it attaches to the foot as well as the ankle and lower leg. While you are sleeping, this device will stretch the plantar fascia ligament. It should be used when a patient suffers from plantar fasciitis, heel spurs , Achilles tendonitis, or drop foot. This kind of device is adjustable and comfortable for the foot. A night splint can provide nighttime and morning pain relief when worn properly and on a consistent basis. A night splint can be obtained from many local pharmacies but should be prescribed by your podiatrist.

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Newtown Podiatrist Kalker Podiatry is a poidiatry office providing Blog Archive 4, orthopedic, pain, diabetes, bunions and much more in Newtown, PA. We also do Achilles Tendonitis, Allergic Contact Dermatitis , Athlete's Foot, Brachymetatarsia, Bunions, Calluses, Diabetic Foot Care, Flatfoot (Fallen Arches), Ganglions, Haglund's Deformity, Hallux Rigidus, Hammertoes, Heel Pain/Fasciitis, Infections, Injuries, Ingrown Toenails, Metatarsalgia, Morton's Neuroma, Onychomycosis, Osteoarthritis, Pediatric Foot Care, Plantar Warts, Plantar Fasciitis, Posterior Tibial Dysfunction, Rheumatoid Arthritis, Running Injuries, Sesamoiditis, Sprains/Strains, Tarsal Tunnel Syndrome, Tailor's Bunion, Tendonitis, Toe Deformities, Xerosis and all work related in the 18940 area and surrounding areas in Newtown