A hammertoe occurs when one of the smaller toes bends abnormally at the middle joint, but the effects often extend beyond the toe itself. This change in position can alter how weight is distributed across the foot, placing added pressure on the ball of the foot and surrounding structures. As the body adjusts to this imbalance, the way you walk may shift, leading to strain in the arch and increased tension along the plantar fascia, the band of tissue that supports the bottom of the foot. Over time, this added stress can contribute to discomfort in the heel, arch, or even the ankle and lower leg. A proper evaluation looks at both the toe deformity and overall foot function to identify the source of strain. Treatment may include padding, footwear changes, orthotics, or procedures to correct alignment. If symptoms persist, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Hammertoes can be a painful condition to live with. For more information, contact Luis Esquerdo Cruz, DPM of Dr. Esquerdo Podiatry and Laser Center . Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work 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.

A bunion is a bony bump that forms at the base of the big toe joint. It develops when the big toe gradually shifts toward the second toe, causing the joint to stick outward. This change can lead to swelling, redness, and pain, especially when wearing tight or narrow shoes. Bunions often develop due to inherited foot structure, arthritis, or repeated pressure on the toes from footwear. As the joint becomes more misaligned, walking and standing may become uncomfortable. Early treatment often focuses on reducing pressure and irritation. Wearing shoes with a wide toe box, using protective padding, and adding custom orthotics can help support the foot and ease discomfort. Anti-inflammatory care may also reduce swelling. When bunions become severe and interfere with daily activities, surgical correction may be considered to realign the joint. If you notice a painful bump forming near your big toe, it is suggested that you see a podiatrist who can evaluate the problem and recommend appropriate treatment.

If you are suffering from bunions, 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?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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.

A foot stress fracture is a small crack in a bone caused by repetitive force rather than a single injury. It commonly occurs in the metatarsal bones of the forefoot, although it can also affect the heel or midfoot. Symptoms include localized pain that worsens with walking or activity, swelling, and tenderness. Causes include overuse, high-impact activities, or a sudden change in running surface or intensity. Abnormal foot structure can increase strain on specific bones. Risk factors include inadequate footwear, low bone density, and rapid increases in activity levels. A podiatrist can diagnose the injury, order imaging to confirm the diagnosis, and provide treatment and recovery guidance. If you have symptoms of a foot stress fracture, it is suggested that you consult a podiatrist who can offer effective relief and treatment solutions. 

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

Top of foot pain can result from several conditions that affect bones, nerves, and joints. Arthritis is joint inflammation that causes stiffness and aching. Bone spurs are bony growths that develop from long-term pressure or joint stress. Peripheral neuropathy is nerve damage that leads to burning, tingling, or numbness in the foot. A stress fracture is a small bone crack caused by repetitive impact or overuse. Each of these conditions can limit mobility and worsen without proper treatment. Risk factors include repetitive activity, wearing improper footwear, aging, and underlying health conditions. A podiatrist can diagnose the exact cause through examination and imaging, then provide treatments such as orthotics, medication guidance, or activity modification. If you have foot pain, it is suggested that you consult a podiatrist who can determine what the cause is, and offer 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.