Neuropathy is a condition where the nerves are damaged or not functioning properly, often affecting the feet. This can lead to neuralgia, which is sharp, burning nerve pain, or cause numbness, tingling, and loss of sensation. Feet may feel weak or overly sensitive. Risk factors of neuropathy include diabetes, alcohol use, infections, and certain medications. These symptoms can increase the risk of injury, infection, and balance issues. A podiatrist can help by identifying the type and cause of neuropathy and offering treatment to manage symptoms, protect the feet, and improve quality of life. If you notice unusual sensations or pain in your feet, it is suggested that you contact a podiatrist to begin proper care and prevent further complications.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then 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.

Ingrown toenails can range from mildly uncomfortable to severely painful and infected. For more advanced cases, a podiatrist may lift and trim the ingrown portion of the nail or perform a partial nail removal to relieve pressure and allow proper healing. If the problem is recurrent, a procedure can be done to remove part of the nail root using a chemical or laser to prevent regrowth in that area. In cases of severe infection or persistent ingrowth, full nail removal may be recommended. These treatments aim to reduce pain, prevent infection, and correct nail growth. If left untreated, an ingrown toenail can lead to deeper infection and more serious complications. If you have a persistent ingrown toenail, it is suggested that you see a podiatrist for a diagnosis and treatment that best suits your condition.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. 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 are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

Good blood flow is essential for healthy feet, yet circulation can slow with age, certain medical conditions, or a sedentary lifestyle. Reduced circulation may cause cold feet, numbness, swelling, or slow-healing wounds. Gentle daily movement helps keep blood flowing. Walking, ankle rotations, and rising onto your toes several times a day can stimulate circulation. Elevating your feet when resting encourages blood to return to the heart. Wearing supportive, non-restrictive shoes and socks can also make a difference. Staying hydrated, avoiding smoking, and managing conditions such as diabetes or high blood pressure support overall vascular health. Consistent care helps maintain foot comfort and reduces the risk of complications. If you have ongoing symptoms of poor circulation, it is suggested that you see a podiatrist for a diagnosis and appropriate treatment.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Luis Esquerdo Cruz, DPM of Dr. Esquerdo Podiatry and Laser Center . Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness 
• Numbness or cramping in the legs
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.

As the body ages, the feet often experience changes that can lead to chronic pain, limited mobility, balance problems, and abnormal gait. Common foot issues in older adults include plantar fasciitis, heel pain, and osteoarthritis, all of which may affect daily activities and independence. Thinning fat pads, reduced circulation, and stiff joints can increase discomfort and the risk of falls. A podiatrist can provide regular foot evaluations, recommend supportive footwear, manage pain, and treat underlying conditions to help maintain mobility and safety. If you or a loved one is experiencing foot discomfort or difficulty walking, it is suggested that you consult a podiatrist who can treat various foot conditions, ensuring continued comfort, stability, and quality of life.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.