Items filtered by date: July 2024

The plantar fascia is a thick band of tissue that connects the heel to the toes. Plantar fasciitis, an inflammation of this tissue, can stem from various biomechanical factors. Problems like an abnormal lower leg structure, limited ankle movement, and inward or outward heel or foot angles can strain the plantar fascia. These abnormalities can alter foot mechanics, leading to excessive tension and micro-tears in the fascia. Symptoms include sharp heel pain, especially after prolonged periods of standing or walking, which tends to improve with rest but worsens upon resuming activity. Early morning stiffness and tenderness in the heel or arch are also common. Addressing these biomechanical issues through proper footwear, orthotics, stretching exercises, and avoiding excessive strain on the feet can help to  manage symptoms and prevent recurrence of this ailment. If you have been afflicted by plantar fasciitis, it is suggested that you confer with a podiatrist who can offer you various effective treatment methods.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. 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 one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best 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.

Foot stress fractures are small cracks in the bones of the foot that result from repetitive force or overuse. Unlike acute fractures caused by a sudden impact, stress fractures develop gradually, often due to the cumulative effect of repeated stress. Sports that frequently lead to foot stress fractures include running, basketball, and dance. In running, the constant pounding on hard surfaces places significant stress on the foot bones. Basketball involves frequent jumping and quick direction changes, which can strain the foot. Dance, particularly styles like ballet, requires repetitive movements and weight-bearing on the toes, increasing the risk of fractures. Athletes in these sports should be vigilant about wearing proper footwear, getting adequate rest, and gradually increasing training intensity to prevent stress fractures. Recognizing early signs, such as pain and swelling, is essential for prompt treatment and recovery. If you have a foot stress fracture, it is suggested that you consult a podiatrist who can effectively treat this condition.

Stress fractures occur when there is a tiny crack within a bone. 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 you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.

Clubfoot, medically known as talipes equinovarus, is a congenital condition where a baby's foot is twisted out of shape or position. This deformity affects the muscles, bones, and tendons, causing the foot to turn inward and downward. The exact cause of clubfoot is not fully understood, but it is believed to be a combination of genetic and environmental factors. This condition is more common in males and can affect one or both feet. Early treatment, often involving stretching and casting or splinting, is essential for correcting the foot's position. In severe cases, surgery may be necessary. Despite its challenging appearance, with proper medical care, most children with clubfoot can lead normal, active lives. If your child has been born with clubfoot, it is strongly suggested that you include a podiatrist on your healthcare team for optimal recovery.

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 tools and technology to treat your foot and ankle needs.

Gout is a type of arthritis characterized by sudden, severe attacks of pain, redness, and tenderness in joints, often the big toe. Recognizing the symptoms of gout can be straightforward when experiencing intense, painful swelling in a single joint that subsides and reappears, sometimes in different joints. However, pinpointing gout can be challenging if symptoms are less typical. A podiatrist can provide a definitive diagnosis through various tests. Lab tests for gout measure uric acid levels in the blood and joint fluid analysis to detect uric acid crystals. Imaging tests like X-rays, ultrasounds, and other types of scans can help rule out other conditions and identify joint damage or uric acid crystal deposits. Post-diagnosis, ongoing monitoring through blood tests ensures that uric acid levels remain controlled, preventing further attacks and complications. These tests, coupled with a podiatrist's expertise and certain pain relief medications, help manage and treat gout effectively. If you are experiencing symptoms of gout, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment options.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Luis Esquerdo Cruz, DPM from Dr. Esquerdo Podiatry and Laser Center . Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Excess weight does not just affect your waistline, it also can have a significant impact on the health of your feet. Studies have consistently shown a strong correlation between being overweight and various foot problems. Carrying extra pounds puts undue stress on the feet and can lead to plantar fasciitis, osteoarthritis, and even stress fractures. Research indicates that people with a higher body mass index, or BMI, are more likely to endure foot pain and disability that affects their ability to exercise and perform daily activities. Obesity alters the gait and increases the risk of joint injuries in the ankles, knees, and hips. Research reveals a stark increase in the likelihood of needing a knee replacement as the BMI rises. Managing weight through healthy diet choices and regular physical activity reduces the strain on your feet, thereby reducing the risk of developing debilitating foot conditions. Practicing good foot hygiene, wearing proper footwear, and seeking professional foot care from a podiatrist are methods to prevent and alleviate foot pain from obesity. If you are overweight and experiencing foot problems, it is suggested that you schedule an appointment with a podiatrist for treatment options. 

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned 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.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot. 

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.