A bunion is a bony enlargement that forms at the base of the big toe when the joint becomes misaligned. This condition, also known as hallux valgus, develops gradually as the big toe shifts toward the second toe, creating a visible bump on the side of the foot. Bunions are a common source of foot pain and can interfere with daily activities such as walking or standing. Over time, the joint may become stiff and inflamed, leading to reduced mobility. Understanding bunions is important for maintaining proper foot structure and preventing long term complications.

Symptoms of bunions often begin with mild discomfort and progress as the deformity worsens. Individuals may notice swelling, redness, and tenderness surrounding the big toe joint. Pain may increase when wearing tight or narrow shoes, especially those with a pointed toe box. Some people experience callus formation due to friction between the toes, while others develop limited movement in the joint. In more advanced cases, the big toe may overlap or press against neighboring toes, causing additional irritation and imbalance.

Several risk factors contribute to the development of bunions. Genetics play a significant role, as inherited foot structure can predispose individuals to joint misalignment. Wearing ill-fitting or high-heeled shoes increases pressure on the forefoot and accelerates the condition. Flat feet, ligament laxity, and certain medical conditions, such as arthritis, also raise the risk. Occupations or activities that involve prolonged standing or repetitive stress on the feet may further contribute to bunion formation. Recognizing these factors can help guide prevention and early management.

The primary cause of bunions is an imbalance in the forces acting on the foot, which leads to joint instability over time. Poor footwear choices, structural abnormalities, and abnormal gait patterns all contribute to this imbalance. Early attention to symptoms can slow progression and reduce discomfort. Wearing supportive shoes, custom orthotics, and lifestyle adjustments may provide relief. If you have a bunion, it is suggested you consult a podiatrist for an accurate diagnosis and appropriate treatment.

If you are suffering from bunion pain, 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.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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.

Patients who have cracked heels often notice their feet can feel better when their feet are soaked in warm water, followed by applying a good moisturizer to them. Probable causes of this condition can include standing on hard surfaces for the majority of the day, or from wearing shoes that have an open back. Additionally, certain medical ailments may cause cracked heels to develop, including eczema, psoriasis, and other skin conditions. Older people may experience cracked heels.  This may be a result of thinning skin that has lost a portion of its elasticity and not drinking adequate amounts of water on a daily basis. If the cracks become deep and are left untreated, these are referred to as fissures, and infections may develop. If you notice the first signs of cracked heels, it is suggested that you consult with a podiatrist who can properly treat this condition.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.

Foot wounds in non-diabetic patients can develop from cuts, pressure, or trauma that damages the skin and underlying tissue. These wounds often appear as open sores that may be red, swollen, and painful to the touch. In some cases, there may be drainage or slow healing, especially if the area continues to be irritated by walking or footwear. Causes include accidental injuries, repetitive friction, poorly fitting shoes, and underlying circulation issues. Risk factors such as long periods of standing, active lifestyles, or untreated skin irritation can increase the chance of developing a wound. If not properly treated, the condition may worsen and lead to infection or delayed healing. A podiatrist can assess the wound, clean and dress it appropriately, and monitor healing progress to prevent complications. If you have a foot wound, it is strongly suggested that you promptly consult a podiatrist who can offer effective relief and treatment solutions.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Running can take many forms, including jogging, sprinting, and treadmill training, and each places different demands on the feet. Jogging is steady and lower impact, while sprinting involves powerful bursts that increase stress on muscles and joints. Treadmill running offers a controlled surface, but may alter natural movement patterns. One important factor in all forms of running is proper foot strike, which refers to how the foot meets the ground. Poor foot strike can lead to strain, discomfort, and overuse injuries. These issues may develop gradually and affect performance and comfort. A podiatrist can assess gait, identify imbalances, and recommend proper support or footwear to reduce stress on the feet and ankles. If you notice foot pain during or after running, it is strongly suggested that you visit a podiatrist for an evaluation and appropriate 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.