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Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Common Types of Foot Pain

Foot pain can develop from a variety of conditions that affect comfort and mobility. A bunion is a bony prominence at the base of the big toe, often caused by joint misalignment and pressure from footwear. Corns are thickened areas of skin that form due to repeated friction or pressure on the toes or soles. Gout is an inflammatory condition caused by a buildup of uric acid in the joints, leading to sudden swelling and severe pain, commonly in the big toe. Plantar warts are small growths on the bottom of the foot caused by a viral infection entering through tiny skin breaks. A podiatrist can accurately diagnose each condition, relieve pain, and provide targeted treatment and prevention strategies. If foot pain is affecting your daily life, it is suggested that you schedule a visit with a podiatrist who can provide effective relief and 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.

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Causes and Risk Factors of Ingrown Toenails

Ingrown toenails, medically known as onychocryptosis, occur when the edge of a toenail grows into the surrounding skin, causing pain, swelling, and sometimes infection. Common causes include improper nail trimming, wearing tight or poorly fitting shoes, repeated trauma, and genetic nail shape. Symptoms often include redness, tenderness, swelling, and, in severe cases, pus or drainage. Risk factors include diabetes, poor circulation, and participation in activities that place pressure on the toes. If left untreated, ingrown toenails can lead to chronic discomfort and infection. A podiatrist can provide safe nail care, remove problematic nail portions, recommend proper trimming techniques, and suggest protective footwear or orthotics to prevent recurrence. Ingrown toenails can be painful. If you have developed this condition, it is suggested that you promptly consult a podiatrist who can offer effective treatment solutions, which may include minor surgery for partial removal.

Ingrown toenails can become painful if they are not treated properly. 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 occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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.

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Why Wearing High Heels Can Harm the Feet

High heels place the feet in a steep incline that shifts weight toward the toes. This posture forces the ball of the foot to carry more pressure than it should. The result is a change in balance that can strain muscles, ligaments, and joints, and can even cause small tears from repeated stress. When the heel is raised, the arch and heel are pulled upward, which keeps the Achilles tendon in a shortened position and can cause discomfort in that area. A narrow toe box coupled with a pointed design squeezes the toes together, which can lead to bunions or irritation across the joints. The altered position of the feet while wearing high heels affects posture and can increase fatigue in the ankles as they work harder to stay stable. A podiatrist can assess foot structure, advise on safer footwear choices, and provide treatment when pain persists. If you have foot pain related to wearing high heels, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and safe treatment.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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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All You Need to Know About Poor Circulation

Common symptoms that are linked to poor circulation can include cold feet, tingling or burning sensations, and swollen feet. There are several reasons why this condition may develop. These can include plaque buildup in the arteries, diabetes, or if there is an existing blood clot. Additionally, patients who smoke, stand for extended periods of time throughout the day, or who are obese may be at risk of developing poor circulation. A diagnosis may consist of testing the blood for elevated glucose levels which may indicate diabetes, as well as performing an ultrasound that can examine your blood vessels. Patients may find moderate relief when compression stockings are worn, which may help to provide a comfortable level of support. If you are suffering from poor circulation, it is advised that you speak to a podiatrist who can offer you proper treatment techniques.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. 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

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

  • Numbness
  • Tingling
  • Throbbing or stinging pain in limbs
  • Pain
  • Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

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.

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