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.

Choosing the right walking shoes is essential for maintaining foot health and overall comfort during daily activities. A good walking shoe should have a low heel to promote stability and reduce strain on the feet. It is important to ensure there is enough wiggle room in the toe box so that toes can move freely without feeling cramped. Taking a test walk around the store can help determine if the shoes provide adequate support, cushioning, and fit. It is also helpful to shop later in the day when feet are slightly swollen, as this reflects their true size during regular use. If you enjoy walking, it is important to wear the right type of shoes, or foot pain may develop. If this has happened to you, it is suggested that you contact a podiatrist who can treat various foot conditions.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Luis Esquerdo Cruz, DPM from Dr. Esquerdo Podiatry and Laser Center . Our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without 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.

A ruptured, or torn Achilles tendon is a serious injury that can significantly affect movement of the foot and ankle. The Achilles tendon connects the calf muscles to the heel bone, which make walking, running, jumping, and standing on the toes possible. Achilles tendon ruptures often occur during sports that require sudden changes in direction or explosive leg movements, such as basketball, tennis, or soccer. A complete rupture typically causes a sharp pain in the back of the ankle, sometimes with a popping sound. This is followed by difficulty pointing the toes downward or bearing weight. A podiatrist can evaluate the injury through a physical exam and imaging tests to determine the extent of the tear. Surgery is often recommended for a full rupture to reattach the torn tendon, especially in younger or more active patients. After surgery, a podiatrist may use a cast or boot to immobilize the foot during healing. Prompt treatment is important to reduce the risk of long-term weakness or re-injury. If you have torn or injured your Achilles tendon, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. 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.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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.