Congenital foot problems are conditions affecting a baby’s feet that are present at birth. Some develop because of the baby’s position before birth, while others involve differences in how the bones, joints, or muscles formed. One example is clubfoot, which causes the foot to turn inward and downward. Another is metatarsus adductus, in which the front half of the foot curves inward. Some newborn foot deformities are flexible, while others are more rigid. The appearance of a baby’s feet does not always indicate the severity of a condition. A professional examination can help determine the type of foot problem and whether treatment is necessary.

Early evaluation is important because a baby’s feet continue to grow and develop quickly. Some congenital foot deformities may improve as the child grows, while others require medical treatment to guide the foot into a better position. The severity and flexibility of the deformity can help determine the appropriate approach. Certain conditions may affect one foot or both feet. Without proper care, more serious deformities may eventually influence standing, walking, or normal foot function. Identifying the condition early allows health care professionals to monitor development and determine whether additional treatment is needed as the child grows.

A podiatrist can evaluate congenital foot problems by examining the shape, position, and movement of a baby’s feet. The examination can help determine whether the foot is flexible or whether structural changes require closer attention. Depending on the diagnosis, podiatric care may involve monitoring development, specialized casting, or coordination with other medical specialists. Treatment decisions are based on the specific deformity and the child’s development. Early podiatric care can help support proper foot alignment and future mobility when treatment is needed. If you notice unusual positioning, shape, or movement in your baby’s feet, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Luis Esquerdo Cruz, DPM of Dr. Esquerdo Podiatry and Laser Center . Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions, please feel free to contact our office located in San Juan, PR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis is an inflammation of the thick band of tissue that runs along the bottom of the foot, called the plantar fascia. It can cause sharp, burning heel pain or pain under the foot that feels like walking on broken glass. Many patients notice the worst discomfort with their first steps in the morning or after sitting for a long time. The pain usually eases after several minutes of movement, but it can return after long hours of standing, running, or other demanding activities. One or both feet can be affected, making daily routines more difficult.

The plantar fascia supports the arch and helps absorb force with every step. Repeated strain can create tiny tears where the tissue attaches to the heel, leading to irritation and inflammation. Risk factors include running, standing for long periods of time, and shoes that lack proper support. Flat feet, high arches, and tight calf muscles also place extra stress on the tissue. Extra body weight and getting older increase the chance of developing this painful condition. People who return to sports after a long break also face higher risk because the tissue must handle sudden stress. Hard running surfaces and jobs that require many hours on the feet can further increase strain on the heel and arch with every step.

A podiatrist diagnoses plantar fasciitis by discussing symptoms, examining the foot, and checking how you walk. Imaging tests are only used when another problem is suspected. Treatment includes custom orthotics, injections, and target exercises. Surgery may be needed for severe cases that do not improve with other care. A podiatrist also identifies factors that cause repeated strain and recommends changes that protect the foot while supporting healing. If you have heel pain or other pain under the foot, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat plantar fasciitis.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Luis Esquerdo Cruz, DPM  from Dr. Esquerdo Podiatry and Laser Center . Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our office located in San Juan, PR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Walking irregularities in children, such as in-toeing, out-toeing, limping, and toe-walking, are fairly common and can result from various developmental factors. These patterns may develop due to natural variations in bone structure as a child grows, such as hip rotation or curved shin bones. Some children may have flat feet, loose ligaments, or muscle imbalances that contribute to unusual walking styles. Genetics, birth conditions, and early habits, like prolonged toe-walking, can also play a role. Many of these irregular walking patterns resolve as children grow and their bones and muscles strengthen. However, if your child experiences pain, frequent tripping, or if the issue persists beyond early childhood, it is suggested that a podiatrist be contacted for an evaluation. Treatment may include stretching exercises or custom orthotics to encourage normal walking patterns, and prevent long-term issues with balance and mobility.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Luis Esquerdo Cruz, DPM of Dr. Esquerdo Podiatry and Laser Center . Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions, please feel free to contact our office located in San Juan, PR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetic foot ulcers are open sores or wounds that develop on the feet due to complications from diabetes. These ulcers often occur when high blood sugar levels affect circulation and nerve function, leading to reduced healing ability and loss of sensation. When a person cannot feel minor injuries, such as cuts or pressure points, these issues can worsen without notice. Diabetic foot ulcers are a serious condition that requires early attention to prevent infection and long-term complications.

Common symptoms include redness, swelling, drainage, and areas of skin breakdown that do not heal properly. Some individuals may notice warmth or a foul odor around the affected area. Risk factors include poor blood flow, nerve damage, high blood sugar levels, and wearing improper footwear. Individuals who smoke, have a history of foot injuries, or struggle with foot hygiene are at higher risk. Regular foot checks are important to identify early signs before they progress into more severe wounds.

Lifestyle plays a significant role in the development and management of diabetic foot ulcers. Sedentary behavior is not beneficial, as limited movement can reduce circulation and increase pressure on certain areas of the feet. A balanced routine that includes safe physical activity, proper footwear, and consistent blood sugar management can help reduce risk. Maintaining a healthy weight and avoiding prolonged pressure on the same areas of the foot are also important preventive measures.

The benefits of early prevention include reduced risk of infection, faster healing, and improved overall foot health. Addressing symptoms early can help avoid complications such as deep tissue damage or loss of limb. Proper care, including routine foot inspections and supportive footwear, is essential for individuals with diabetes. If you have signs of a diabetic foot ulcer, it is suggested that you are under the care of a podiatrist who can help you manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Luis Esquerdo Cruz, DPM from Dr. Esquerdo Podiatry and Laser Center . Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions, please feel free to contact our office located in San Juan, PR . We offer the newest diagnostic and treatment technologies for all your foot care needs.