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.

Foot puncture wounds are injuries where a sharp object pierces the skin and underlying tissues of the foot. These wounds can occur from stepping on nails, glass, or other sharp objects. Proper diagnosis involves a physical examination by a podiatrist, often accompanied by imaging tests like X-rays to assess the depth and presence of foreign objects. Symptoms of a foot puncture wound include pain, swelling, redness, and bleeding at the site of injury. If the wound becomes infected, additional symptoms such as warmth, pus, and increased pain may develop. Timely medical attention is vital to clean the wound thoroughly, prevent infection, and ensure proper healing. If you have stepped on a sharp object and have developed a foot wound, it is suggested that you seek prompt medical treatment from a podiatrist who can effectively manage this 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.

Peripheral artery disease, or PAD, poses significant challenges for foot health, stemming from restricted blood flow to the lower extremities. This condition, often caused by atherosclerosis, involves the buildup of fatty deposits in the arteries, leading to narrowed or blocked blood vessels. The diminished blood supply to the feet can result in various symptoms, including pain, cramping, numbness, and weakness, particularly during physical activity. Left untreated, PAD can contribute to serious complications such as foot ulcers, infections, and delayed wound healing. Diagnosing PAD typically involves a comprehensive evaluation by a podiatrist. This process includes a thorough medical history review, assessment of risk factors such as smoking and diabetes, and a physical examination focused on evaluating circulation in the legs and feet. Specialized diagnostic tests, such as ankle-brachial index, or ABI measurement, Doppler ultrasound, and angiography, may also be employed to confirm the diagnosis and determine the extent of arterial blockages. If you are experiencing any of the foot symptoms mentioned above, it is suggested that you consult a podiatrist who can accurately diagnose and offer relief solutions for PAD.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, 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.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

Krabbe disease is a rare, inherited disorder that affects the nervous system, including the feet. It is caused by a deficiency of a specific enzyme that leads to the accumulation of harmful substances in the brain and other tissues. This disease often manifests in infancy but can also appear later in life. Symptoms affecting the feet include muscle weakness, stiffness, and spasticity, which can result in difficulty walking or maintaining balance. Sensory loss and neuropathy, characterized by numbness or tingling, may also occur. Treatment primarily focuses on managing symptoms and slowing disease progression. Supportive care is important for maintaining mobility and comfort. Given the complexity and potential impact on foot health, if you have Krabbe disease, it is strongly suggested that you are under the care of a podiatrist who can help manage symptoms and improve your quality of life.

Some foot conditions may require additional professional care. 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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.