Items filtered by date: June 2025

Ankle pain can result from a variety of causes, ranging from sudden injury to long-term wear and tear. Sprains are among the most common sources, often caused by twisting the ankle beyond its normal range. Overuse injuries, such as tendonitis or stress on the joint, can also lead to discomfort. Arthritis, gout, and underlying structural issues like flat feet may contribute to ongoing pain or stiffness. Immediate care for ankle pain often includes rest, elevation, and avoiding activities that increase discomfort. Wearing supportive footwear and gentle stretching can help reduce stress on the joint. When pain persists, swelling increases, or walking becomes difficult, a medical evaluation is needed to rule out more serious conditions. If ankle pain is affecting your mobility or quality of life, it is suggested that you see a podiatrist for a diagnosis and care plan tailored to your needs.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and 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.

Wound healing in diabetics is often slower and more complex due to several factors. High blood sugar levels can impair circulation, limiting the delivery of oxygen and nutrients needed for tissue repair. Diabetes also affects the immune system, reducing the body’s ability to fight infection and respond to injury. Even small wounds, especially on the feet, can become serious if not treated promptly. Complications such as ulcers, infections, and in severe cases, tissue death may occur. A podiatrist plays a vital role in monitoring foot health, managing wounds, and preventing complications. They provide regular assessments, specialized care, and education on proper foot hygiene, footwear, and lifestyle habits. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you with proper wound care, in addition to managing this serious condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Tarsal tunnel syndrome is caused by compression of the posterior tibial nerve as it passes through the tarsal tunnel, a narrow space on the inside of the ankle. This nerve supplies sensation and movement to parts of the foot. Symptoms include burning, tingling, numbness, or shooting pain along the bottom of the foot or into the toes. Diagnosis involves a physical exam, medical history, and possibly nerve conduction studies or imaging. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can identify the condition early, and guide treatment to relieve nerve pressure and reduce symptoms, improving mobility and comfort.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require 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 and ankle needs.