Peripheral artery disease, or PAD, occurs when fatty deposits, called plaque, build up in the arteries, narrowing them and reducing blood flow to the legs and feet. This lack of blood flow can result in pain, sores, infections, and, in severe cases, gangrene, which can be serious enough to require amputation. Risk factors include smoking, diabetes, high blood pressure, and an age of 65 or older. A key screening tool for peripheral artery disease is the ankle-brachial index, or ABI test, which measures blood pressure at the ankle and compares it to blood pressure in the arm. This helps assess how well blood circulates in the lower limbs. Symptoms of PAD include leg pain or cramping during walking that eases with rest and wounds on the feet that heal slowly, or not at all. Additional tests include a Doppler ultrasound, which uses sound waves to visualize blood flow and detect blockages and a toe-brachial index, or TBI test, to measure blood pressure in the toes. If you experience symptoms of poor circulation to the feet, it is suggested that you schedule an appointment with a podiatrist for testing and treatment.

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.

Joint pain in the feet is a common symptom of rheumatoid arthritis, or RA, an autoimmune disease that causes inflammation in the joints. RA typically affects both feet and hands, often starting in the smaller joints. The pain is usually accompanied by swelling, stiffness, and redness, especially in the morning or after periods of inactivity. As the disease progresses, the inflammation can damage the cartilage and bones in the feet, leading to deformities and difficulty walking. In some cases, the pain can become chronic, limiting mobility and affecting daily activities. Early detection and treatment of RA are vital in managing symptoms and preventing further joint damage. Medications and lifestyle changes can help reduce inflammation and improve joint function. If you experience persistent foot pain, it is suggested that you consult a podiatrist to determine if RA or another condition may be the cause.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Luis Esquerdo Cruz, DPM of Dr. Esquerdo Podiatry and Laser Center . Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.

Ankle pain while running is an issue that many runners face. It can be caused by several factors, ranging from overuse to wearing improper footwear. Overuse, where repetitive impact from running leads to stress on the ankle joints and surrounding muscles, causes inflammation. Poor running form can put excessive strain on the ankles and lead to discomfort. Running on uneven surfaces or wearing shoes that do not provide adequate support can also contribute to ankle pain. In some cases, underlying conditions such as tendinitis, sprains, or stress fractures may be the source of pain. It is essential to listen to the body and take breaks when needed. Proper warm-ups, strength training, and wearing well-fitting shoes can help reduce the risk of ankle pain and improve overall running performance. If you enjoy running and are experiencing ankle pain, it is suggested that you consult a podiatrist who can offer you effective relief in addition to tips on preventing ankle pain.

Ankle pain can be caused by a number of problems and may be potentially 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 tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• 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.

Edema, or swelling, occurs when excess fluid builds up in the body’s tissues, often affecting the ankles, feet, and legs. Common causes include prolonged sitting or standing, high salt intake, hormonal changes, certain medications, and underlying medical conditions such as heart, kidney, or liver issues. Symptoms typically include noticeable swelling, tightness in the affected area, and discomfort when wearing shoes or socks. The skin may also appear stretched or shiny. Treatment for edema focuses on addressing the underlying cause. Lifestyle changes such as elevating the legs, reducing sodium intake, and staying active can help manage swelling. A podiatrist can provide specialized assessments to determine the cause of edema and recommend effective treatments, including compression therapy and exercises to improve circulation. If you are experiencing persistent swelling, it is suggested that you consult a podiatrist. They can help diagnose the issue and create a tailored treatment plan to restore your foot health.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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.