Items filtered by date: March 2025

Ingrown toenail surgery is a procedure performed to relieve pain and prevent infection caused by a toenail growing into the surrounding skin. The procedure involves numbing the toe with a local anesthetic before carefully removing the affected portion of the nail. In some cases, the nail matrix is treated to prevent regrowth in the problematic area. Surgery is recommended when conservative treatments fail or when there is recurring pain, swelling, or infection. Common reasons for this condition include improper nail trimming, wearing tight footwear, and genetic predisposition. The benefits of surgery include long-term relief from pain, reduced risk of infection, and improved nail appearance. Healing typically occurs within a few weeks with proper care. If you have an ingrown toenail, it is suggested that you consult a podiatrist who can determine if this type of foot surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Luis Esquerdo Cruz, DPM of Dr. Esquerdo Podiatry and Laser Center . Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Plantar warts are small, rough growths that develop on the soles of the feet due to a viral infection. They are caused by the human papillomavirus, or HPV, which enters the skin through tiny cuts or abrasions. These warts often appear on weight-bearing areas, such as the heels or the balls of the feet, where pressure can cause them to grow inward, creating discomfort or pain while walking. The virus thrives in warm, moist environments, making public showers, around swimming pools, and locker rooms common places for exposure. People with weakened immune systems or frequent barefoot exposure to contaminated surfaces are at higher risk. Plantar warts can cause significant discomfort, and it may be difficult to complete daily activities. If you have developed this condition, it is suggested that you consult a podiatrist who can offer effective treatment solutions.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Luis Esquerdo Cruz, DPM from Dr. Esquerdo Podiatry and Laser Center . Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

Toenail fungus is a condition that causes nails to become discolored, thickened, or even crumble. The infection typically starts as a small white or yellow spot under the tip of the nail and can spread, leading to a more severe appearance. As the fungus progresses, nails may become brittle, cracked, or distorted, often causing discomfort or pain. The affected area might also have a foul odor. The primary cause of toenail fungus is exposure to warm, moist environments, such as public showers or tight-fitting shoes. Poor circulation, a weakened immune system, and injury to the nail can increase the risk. A podiatrist can diagnose toenail fungus and recommend antifungal medications, laser therapy, or specialized topical treatments to eliminate the infection. In severe cases, they may suggest nail removal. If you have developed toenail fungus, it is suggested that you schedule an appointment with a podiatrist for proper diagnosis and effective treatment.

For more information about treatment, 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.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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.

Plantar fasciitis, a common cause of heel pain, often improves with rest, stretching, and wearing supportive footwear. However, when these approaches fail to provide relief, custom orthotics can play a critical role. These specially designed shoe inserts support the arch, distribute pressure evenly, and reduce strain on the plantar fascia. In addition to orthotics, advanced treatments such as targeted stretching exercises, corticosteroid injections, or shockwave therapy may be recommended. These options address chronic inflammation, improve flexibility, and promote healing. In severe cases, minimally invasive procedures might be necessary. Every case of plantar fasciitis is unique and treatment success depends on identifying and addressing the root cause. If you suffer from plantar fasciitis and traditional methods have not worked for you, it is suggested that you see a podiatrist for a personalized treatment plan tailored to your needs.

If you are having discomfort in your feet and would like to try orthotics, 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 Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our office located in San Juan, PR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.