Mid-foot stress fractures in runners often involve the navicular bone, which lies between the ankle and the front of the foot. Repetitive impact from running can place excessive pressure on this bone. This often happens during foot strike, when the navicular becomes trapped between the talus and the cuneiform bones. The resulting pressure can eventually cause a small crack to form, which leads to pain on the top or inner side of the mid-foot. Because these mid-foot stress fractures are difficult to detect on standard X-rays, advanced imaging, such as a CT scan or MRI, is often needed to confirm the diagnosis. Without proper care, the fracture can become worse or heal improperly, resulting in long-term pain or weakness. A podiatrist can assess the injury, ensure accurate imaging, and recommend appropriate treatment or surgery if needed. If you have mid-foot pain while running, it is suggested that you make an appointment with a podiatrist for a diagnosis and suggested treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Luis Esquerdo Cruz, DPM from Dr. Esquerdo Podiatry and Laser Center . Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

Foot pain can develop from a variety of conditions that affect comfort and mobility. A bunion is a bony prominence at the base of the big toe, often caused by joint misalignment and pressure from footwear. Corns are thickened areas of skin that form due to repeated friction or pressure on the toes or soles. Gout is an inflammatory condition caused by a buildup of uric acid in the joints, leading to sudden swelling and severe pain, commonly in the big toe. Plantar warts are small growths on the bottom of the foot caused by a viral infection entering through tiny skin breaks. A podiatrist can accurately diagnose each condition, relieve pain, and provide targeted treatment and prevention strategies. If foot pain is affecting your daily life, it is suggested that you schedule a visit with a podiatrist who can provide effective relief and treatment solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Luis Esquerdo Cruz, DPM from Dr. Esquerdo Podiatry and Laser Center . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Ingrown toenails, medically known as onychocryptosis, occur when the edge of a toenail grows into the surrounding skin, causing pain, swelling, and sometimes infection. Common causes include improper nail trimming, wearing tight or poorly fitting shoes, repeated trauma, and genetic nail shape. Symptoms often include redness, tenderness, swelling, and, in severe cases, pus or drainage. Risk factors include diabetes, poor circulation, and participation in activities that place pressure on the toes. If left untreated, ingrown toenails can lead to chronic discomfort and infection. A podiatrist can provide safe nail care, remove problematic nail portions, recommend proper trimming techniques, and suggest protective footwear or orthotics to prevent recurrence. Ingrown toenails can be painful. If you have developed this condition, it is suggested that you promptly consult a podiatrist who can offer effective treatment solutions, which may include minor surgery for partial removal.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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.

High heels place the feet in a steep incline that shifts weight toward the toes. This posture forces the ball of the foot to carry more pressure than it should. The result is a change in balance that can strain muscles, ligaments, and joints, and can even cause small tears from repeated stress. When the heel is raised, the arch and heel are pulled upward, which keeps the Achilles tendon in a shortened position and can cause discomfort in that area. A narrow toe box coupled with a pointed design squeezes the toes together, which can lead to bunions or irritation across the joints. The altered position of the feet while wearing high heels affects posture and can increase fatigue in the ankles as they work harder to stay stable. A podiatrist can assess foot structure, advise on safer footwear choices, and provide treatment when pain persists. If you have foot pain related to wearing high heels, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and safe treatment.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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.