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Items filtered by date: May 2024

Hypophosphatasia, or HPP, is a rare genetic disorder characterized by impaired bone mineralization, leading to skeletal abnormalities and increased susceptibility to fractures. While HPP primarily affects bones throughout the body, including the legs and spine, it can also manifest in the feet, causing a range of complications, including stress fractures. In individuals with HPP, the deficiency of alkaline phosphatase enzyme disrupts the normal bone mineralization process, resulting in weakened bones that are prone to fracture under stress or pressure. Foot stress fractures, particularly in the metatarsal bones or heel, can occur due to repetitive impact or weight-bearing activities, exacerbating the existing skeletal fragility associated with HPP. Recognizing the potential connection between HPP and foot stress fractures is critical for an accurate diagnosis and appropriate management strategies. Early intervention, including wearing supportive footwear, orthotic devices, and lifestyle modifications, can help mitigate the risk of fractures and improve the quality of life for individuals living with this rare genetic disease. If you believe you have a foot stress fracture, it is strongly suggested that you consult a podiatrist who can successfully treat these breaks, and determine if HPP is a contributing factor.

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 feel free to contact our office located in San Juan, PR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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If you're experiencing ankle pain, you may be suffering from an ankle injury. Sprains, fractures, Achilles tendonitis, and Achilles tendon ruptures are just some examples of potential ankle injuries. Don't wait for care for an ankle injury, as it may worsen over time. We can help!

Tuesday, 21 May 2024 00:00

Women’s Foot Health

As women enter their 40s, specific foot care becomes important to maintain overall health and mobility. Common foot issues like plantar fasciitis, bunions, and arthritis can affect women more significantly due to factors like hormonal changes, pregnancy, and footwear choices over the years. To avoid exacerbating these issues, it is beneficial for women to steer clear of high heels and narrow-toed shoes, which can lead to foot deformities and chronic pain. Additionally, prolonged wearing of flip-flops or flats without proper support can strain the arches and contribute to plantar fasciitis. Instead, opt for supportive footwear with cushioning and roomy toe boxes to accommodate natural foot shape and reduce pressure points. Regular foot exercises and stretches can also help alleviate discomfort and maintain flexibility. If you are a female and experiencing problems with your feet as you age, it is suggested that you consult a podiatrist for personalized care and treatment for long-term foot health.

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.

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Plantar fasciitis, an inflammation of the plantar fascia, often affects individuals between 40-60 years old. This is due to factors like excessive pronation, high arches, or prolonged standing that affect the broad band of tissue that runs along the bottom of the foot. One of the main symptoms of plantar fasciitis is sharp heel pain, particularly in the morning or after rest, which can radiate along the foot's arch. Initial management of plantar fasciitis may involve reducing inflammation and pain by moderating activity, taking certain pain relievers, and wearing properly fitting shoes. A podiatrist can assess factors like foot structure, gait abnormalities, and muscle imbalances that may contribute to the condition. Physiotherapy with stretching and strengthening exercises also may be implemented. A podiatrist may recommend advanced treatments like corticosteroid injections for persistent symptoms. In severe cases, podiatric surgical options, such as plantar fasciotomy, may be considered. It is suggested that you make an appointment with a podiatrist, who can conduct a thorough exam and suggest the best treatment options for plantar fasciitis discomfort. 

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 and ankle needs.

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Tuesday, 07 May 2024 00:00

Proper Foot Protection for Gardening

When it comes to gardening, ensuring proper foot protection is essential to prevent injuries and maintain comfort throughout the day. To minimize the risk of injury, it is helpful for gardeners to invest in sturdy, closed-toe footwear with slip-resistant soles that provide traction on various surfaces. Additionally, garden boots or shoes with reinforced toes and puncture-resistant soles can offer extra protection from hazards that may be found in the garden, such as thorny areas. Wearing properly fitting footwear is vital to prevent blisters, chafing, and discomfort during long hours of working in the garden. In hot weather, breathable materials can help keep the feet cool and dry, while waterproof footwear is essential for working in wet or muddy conditions. If you have incurred a foot injury while working outdoors, it is suggested that you consult a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Luis Esquerdo Cruz, DPM from Dr. Esquerdo Podiatry and Laser Center . Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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 and ankle needs.

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