November 2021

As the foundation of the body, the foot and ankle are complex, amazing structures made up of many ligaments, nerves, tendons, joints, and bones—including the largest bone in the foot, the heel. The heel helps form the arch and manages stress during walking and running. All of this use and stress can lead to painful conditions of the heel and its surrounding tendons and ligaments. Plantar fasciitis, the most common form of heel pain, is an inflammation of the connective tissue that spans the bottom of the foot (plantar fascia). Another common form of heel pain occurs with Achilles tendonitis, which causes inflammation and pain in the (Achilles) tendon that attaches the heel with the calf muscles. A loss of cushioning in the plantar fat pad can cause the heel to become bruised, and the heel bone can also fracture, causing intense pain. Retrocalcaneal Bursitis is an inflammation of the fluid-filled bursa sac that cushions the back of the heel bone. Any type of heel pain should be diagnosed by a podiatrist. who can assess the situation and create an appropriate treatment plan based on their findings.

Many people suffer from bouts of heel pain. For more information, contact Dr. Castillo of Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

Choosing a running shoe that fits properly is essential before you start your exercise.  However, it’s not as simple as it sounds. Size is the first factor to consider, as you’ll want about an inch between the toe and the tip of the shoe. Next, you’ll want a snug, but not tight, fit in the mid-foot and heel. It’s a good idea to wear the socks you’ll be running in to try on your new shoes. Signs that your running shoes fit poorly include tingling or numbness in the toes, blisters on top of the toes and the back of the heels, as well as bruised toes, which may indicate the shoe is too short. If you experience any of these or other painful symptoms, be sure to consult a podiatrist as soon as possible. 

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Dr. Castillo from Bronx Foot Care. 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 Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Athlete’s foot is a fungal infection of the skin on the feet. It is characterized by an itchy, red rash and dry, peeling skin on the feet. Athlete’s foot is highly contagious. Many people catch it by walking barefoot in public areas such as swimming pools, locker rooms, and showers. These environments are warm and moist making them the perfect breeding ground for fungi. You can also catch this fungal infection by sharing personal items like towels, socks, or shoes with an infected individual. Athlete’s foot can spread from your feet to other parts of the body as well, so it is best to treat the infection as soon as possible. If you have symptoms of athlete’s foot, please seek the care of a podiatrist.  

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. Castillo from Bronx Foot Care.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

• Hydrate your feet by using lotion
• Exfoliate
• Buff off nails
• Use of anti-fungal products
• Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

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.

There are many ways to break a bone. Acute fractures occur suddenly and are caused by direct trauma. Stress fractures are small and caused by repetitive damage from overuse. Fractures can be closed or open. In a closed or simple fracture, the skin remains intact. In an open or compound fracture, the bone breaks the surface of the skin. Fractures can further be categorized based on how the bone is broken. A transverse fracture means that the bone is broken in a straight line, while an oblique fracture means that the bone is broken diagonally. A spiral fracture circles around the bone. A comminuted fracture is when the bone breaks into more than one piece. An avulsion fracture is when a ligament or tendon tears and pulls a small piece of bone away with it. If you have broken a bone in your feet or ankles, please seek the care of a podiatrist. 

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Castillo of Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains 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 and ankle needs.

Vascular diseases affect the circulatory system and can involve blood disorders or abnormalities in the arteries, veins, or lymph vessels. Peripheral Artery Disease (PAD) is a type of vascular disease which causes a narrowing or blockage in the arteries that prevents their capacity to carry oxygen-rich blood away from the heart to the legs and feet. PAD can cause leg pain when walking (claudication), numbness, tingling, coldness, or an inability for wounds to heal in the legs or feet. Left untreated, PAD may also be a precursor to life-threatening issues such as a heart attack or stroke. If you are experiencing any of these symptoms in your legs or feet, schedule an appointment with a podiatrist who can help diagnose and treat PAD. They will perform a physical examination and may even suggest that tests be performed to help assess the presence and severity of vascular disease, such as a Computed Tomography Angiography (CTA) and Magnetic Resonance Angiography (MRA). CTA uses a type of X-ray scan, while MRA uses radio wave technology. Both tests produce 3D imaging and typically involve inserting a contrasting material (dye) in the blood vessels which makes them easier to visualize.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Dr. Castillo from Bronx Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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.