Items filtered by date: May 2025

A broken ankle can occur when one or more of the bones in the ankle joint, which include the tibia, fibula, or talus, cracks or breaks due to a fall, collision, or twisting injury. Symptoms of a broken ankle include sudden and intense pain, swelling, bruising, and difficulty in moving the ankle. In many cases, walking becomes impossible, although some people may still bear weight, despite a fracture. A loud snapping sound may be heard at the time of injury. In more severe cases, the ankle may appear misshapen or the broken bone may pierce the skin. A podiatrist can examine the ankle for signs of damage and order imaging tests, such as X-rays, to confirm a fracture. Treatment depends on the location and severity of the break and may involve immobilization with a cast or surgery to realign the bones. Early diagnosis and treatment are important to reduce long-term complications. If you believe you may have fractured an ankle bone, it is suggested that you make an emergency appointment with a podiatrist for an exam and appropriate treatment.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

Chronic plantar fasciitis is a common cause of heel pain, especially in active individuals. It occurs when the plantar fascia, a thick band of tissue that runs along the bottom of the foot, becomes inflamed due to repetitive stress or strain. Common causes include overuse, wearing improper footwear, high-impact activities, or an abnormal gait. Symptoms typically include sharp or stabbing pain in the heel, particularly with the first steps in the morning or after prolonged rest. The pain may subside during the day, but can return after standing or walking for long periods. A podiatrist can diagnose chronic plantar fasciitis through physical exams and imaging tests. Treatment options include custom orthotics to support the arch, targeted exercises to stretch and strengthen the foot, and anti-inflammatory medication. In more severe cases, injections or even surgery may be necessary. If you have developed plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

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.

Poor circulation can cause significant issues for hikers, especially in the feet and ankles where blood flow is already challenged by prolonged standing and walking. Peripheral vascular disease and venous insufficiency can reduce the ability of blood to travel efficiently. This may cause cold feet, numbness, tingling, swelling, and muscle fatigue during or after a hike. These symptoms can make hiking uncomfortable and may increase the risk of injury or delayed healing. Poor circulation also increases vulnerability to cold-related foot problems, as inadequate blood flow prevents proper warmth from reaching the extremities. A podiatrist can evaluate circulation problems in the feet and ankles and recommend appropriate medical treatment to manage symptoms and help improve blood flow. Paying attention to persistent numbness, swelling, or pain is important when hiking. If you are experiencing foot, toe, or ankle problems from hiking, it is suggested that you schedule an appointment with a podiatrist for appropriate  treatment.

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.

Diabetic foot blisters, or diabetic bullae, are a rare, but important concern for people with diabetes. These fluid-filled blisters usually appear on the feet and can form without injury, often overnight.  Although typically painless, they can become large and increase the risk of serious infection if not properly cared for. The exact cause is still unknown, but high blood sugar levels and diabetic neuropathy are thought to contribute. Blisters may heal on their own in a few weeks, but self-treatment can lead to complications. Infection, skin breakdown, and poor healing are real risks for diabetic patients. A podiatrist plays a key role in managing diabetic foot blisters. They can clean and protect the affected area, monitor for signs of infection, and provide foot care to prevent recurrence. Early treatment is key to avoiding more serious issues. If you have diabetic foot blisters, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, 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.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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.