When a Total Contact Cast Is Needed

For people battling diabetic foot ulcers, a total contact cast can be a game-changer in the healing process. These casts, meticulously crafted to fit snugly around the foot and lower leg, help to distribute weight evenly across the sole, allowing for effective ulcer management and healing. Diabetes often leads to foot problems, like neuropathy, where individuals lose sensation in their feet. This lack of feeling makes it challenging to detect blisters, cuts, or sores, which can quickly escalate into ulcers if left untreated. Total contact casts are primarily recommended for individuals with diabetic foot ulcers that resist conventional treatment methods. A total contact cast provides a protective shield for the ulcer, allowing it to heal efficiently. By reducing pressure on the affected area, these casts promote faster recovery. Typically, most ulcers show significant improvement within six to eight weeks with the consistent use of total contact casts. While wearing a total contact cast, it is important to prioritize its care and adhere to certain precautions, such as keeping it dry, minimizing walking, watching for complications, and managing itching and discomfort. To find out if a total contact cast is an option for treating your diabetic foot ulcer, it is suggested that you schedule an appointment with a podiatrist for an evaluation. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Castillo from Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our office located in Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Combatting Morton's Neuroma Pain for Peak Athletic Performance

Morton's neuroma can have a significant impact on athletes, affecting their performance and overall foot comfort. Morton’s neuroma occurs when the tissue around one of the nerves connected to the toes thickens and becomes inflamed. Symptoms of Morton’s neuroma, including pain and discomfort in the ball of the foot, can be exacerbated during activities that involve repetitive stress on the front of the foot, like running or jumping. This is why forefoot pain and Morton’s neuroma are more common in athletes who use those repetitive motions. Athletes experiencing Morton's neuroma may find their agility and endurance compromised. However, there are strategies to manage pain so athletes can continue to exercise. Choosing appropriate footwear with ample cushioning and room for the toes is crucial. Additionally, incorporating orthotic inserts can provide extra support and alleviate pressure on the affected area. Athletes should also consider modifying their training routines to include low-impact exercises and activities that reduce stress on the forefoot. If you have pain in the ball of your foot, it is suggested that you consult with a podiatrist who can locate the source of the pain and provide treatment options for conditions such as Morton’s neuroma. 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Castillo of Bronx Foot Care. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our office located in Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Definition and Common Symptoms of Gout

Gout, a form of inflammatory arthritis, occurs when uric acid accumulates in the joints, leading to the formation of needle-like crystals. This condition, often characterized by sudden, intense pain, typically targets the big toe but can affect any joint. The primary culprit is an excess of uric acid, a byproduct of purine metabolism, causing inflammation and debilitating discomfort. Individuals grappling with gout frequently experience swelling, redness, and extreme tenderness in the affected joint, making movement excruciating. While the big toe is a common target, gout can also strike joints in the ankles, knees, wrists, and fingers. The pain, often reaching its peak within hours, can be relentless and accompanied by lingering discomfort. Recognizing the definition and symptoms of gout is pivotal for prompt diagnosis and effective management. If you have pain in your big toe, it is strongly suggested that you visit a podiatrist who can properly diagnose, treat, and manage gout or any other condition it might be.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Castillo from Bronx Foot Care. 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 Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Common Foot and Ankle Injuries in Soccer

Soccer, a dynamic sport demanding agility and skill, often comes with its share of foot and ankle injuries, falling into acute and cumulative categories. Acute injuries, stemming from falls or player collisions, can be traumatic. Conversely, cumulative injuries result from repetitive stress, causing progressive aches and impairments. Soccer players frequently encounter lateral ankle sprains, occurring when kicking with the top of the foot, and medial ankle sprains from toe-out movements with the foot flexed upward. The chronic Achilles tendonitis, felt as pain in the back of the ankle, is a consequence of soccer's repetitive and sudden movements. A more severe injury, an Achilles tendon rupture, involves a partial or complete tear with an audible popping sound, often happening during fast, explosive actions on the field. Stress fractures, prevalent among soccer players, arise from overuse or repeated impacts, leading to bone bruising or slight cracking. These injuries often trace back to overuse, poor conditioning, or insufficient warm-ups. It is suggested that if you or your child incur foot and ankle injuries from playing soccer, you schedule an appointment with a podiatrist. 

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dr. Castillo from Bronx Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact our office located in Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Types of Ankle Fractures

Ankle fractures are common in injuries, making up approximately 10 percent of all fractures in trauma cases. They usually occur more in young men and older women. When there is a bigger accident with multiple injuries, ankle problems can greatly interfere with movement. There are different ways to classify ankle fractures. One way was introduced by Percival Pott, who looked at how many parts of the ankle bones got broken. There are two other systems called Lauge-Hansen and Danis-Weber that also offer ways to think about how the injury happened and how stable the break is. Each system offers good information. When doctors look at X-rays of ankle fractures, they have a certain way to approach repair. Fixing a displaced ankle fracture and making it line up right usually gives good results. But sometimes, even with the bones in the right place, the ankle can still have problems later because the cartilage is involved. About 15 percent of people may have arthritis in their ankle after this kind of fracture. If you have sustained an ankle fracture, it is suggested that you schedule an appointment with a podiatrist to have appropriate tests taken, a diagnosis made, and appropriate treatment offered.

Broken ankles need immediate treatment. If you are seeking treatment, contact Dr. Castillo from Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our office located in Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Do You Suffer From Painful Feet?

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Causes of Big Toe Joint Pain

One of the most important components of your foot is the big toe joint, scientifically known as the first metatarsophalangeal joint, or first MPJ. When issues arise within this joint, they can significantly impact your daily life, ranging from walking to overall body posture. Hallux limitus is a condition that pertains to the limited range of motion in the big toe joint. One of the main causes of this condition is inflammatory arthritis. Your big toe joint plays a critical role in walking and maintaining proper balance. When this joint loses its range of motion it can lead to significant difficulties in walking and cause pain during each step. This can alter the gait and in turn affect the knee, hip, and back. If arthritis is a contributing factor, disease specific medications can be prescribed. In severe cases, surgical intervention may be needed. Procedures can range from cleaning out the joint to more advanced surgeries, such as joint fusion or joint replacement. For an accurate appraisal of the problems involving your big toe pain, it is suggested that you make an appointment with a podiatrist. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Castillo of Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Bronx, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Podiatry and Rheumatoid Arthritis

Podiatry is a specialized medical field dedicated to evaluating, diagnosing, and addressing issues related to the feet and ankles. Practitioners who hold specialized or extended roles in podiatry are well-equipped to provide expert assessment, guidance, and treatment for individuals dealing with all types of foot and ankle problems, including rheumatoid arthritis, or RA. Among patients affected by RA, podiatric care is a highly sought-after service. Podiatrists possess the knowledge and skills required to understand the unique challenges posed by rheumatic diseases on the feet and ankles. These doctors play a critical role in managing the foot-related aspects of RA, offering patients comprehensive care to alleviate pain, improve mobility, and enhance their overall quality of life. If you suffer from rheumatoid arthritis that is impacting your feet and ankles, it is suggested that you schedule an appointment with a podiatrist for treatment.

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 Dr. Castillo of Bronx Foot Care. 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 Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Risk Factors for Toenail Fungus

Toenail fungus, a common ailment that affects countless individuals, often finds its way into the lives of those with specific vulnerabilities. One prominent risk factor is compromised nail integrity, often stemming from injuries, cuts, or conditions like athlete's foot. Individuals with a weakened immune system, be it due to medical treatments or underlying health issues, are more susceptible to fungal infections. Poor circulation, a consequence of conditions like diabetes, can also contribute to the onset of toenail fungus. Additionally, lifestyle factors, such as wearing tight or ill-fitting shoes, create an environment conducive to fungal growth. Frequent exposure to warm and damp environments, such as communal showers or swimming pools, heightens the risk. If you have developed toenail fungus, it is suggested that you visit a podiatrist who can offer correct treatment remedies, in addition to providing you with effective prevention methods.

For more information about treatment, contact Dr. Castillo of Bronx Foot Care. 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 Bronx, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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