Orthoses, commonly called orthotics, are inner soles that are placed in the shoes. Some types are prefabricated and available for purchase in retail stores, and others are custom-made by a podiatrist. Research has shown that custom orthotics are generally more helpful in reducing foot pain and correcting other foot issues. If you have tried store-bought orthotics and are not finding relief, it may be time to consult a podiatrist. A foot examination may include testing the range of motion, muscle strength, and bone structure. Your walking pattern, which is known as the gait, will be assessed, along with a discussion of what may be causing the pain you are experiencing. Other factors, such as the type of shoes that are worn, lifestyle choices, activities, and work conditions will be considered. A cast or scan is then taken, and the orthotic is crafted specifically for your foot. This may address toe and foot deformities, arch problems, gait abnormalities, and heel problems. For more information on custom orthoses, please consult a podiatrist. 

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Castillo from Bronx Foot Care. 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 offices located in Bronx, NY Yonkers, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle sprains are thought to be the most common sports injuries among student-athletes. A sprain occurs when a ligament is stretched beyond its normal range, resulting in a tear or rupture. The outer ligament in the ankle, which helps to stabilize the joint, is usually the one injured. This can happen when the side of the foot turns under, thereby putting excess stress on the ligament. Among the symptoms are pain, tenderness, swelling, inability to bear weight, restricted range of motion, and a popping sound at the time of injury. An ankle sprain, whether mild, moderate, or severe, must be taken seriously if the ankle joint is to heal thoroughly. However, if the ankle is not treated or allowed to fully heal before resuming activity, the student is at risk of developing chronic ankle instability. If your student-athlete has sprained an ankle, it is a good idea to consult a podiatrist for a complete exam and diagnosis.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Dr. Castillo from Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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

A pinched, or compressed, nerve can occur anywhere in your foot, such as in the heel, ball, or even on the bottom. A pinched nerve can produce pain or sensations of tingling, numbness, weakness, or the feeling that your foot has fallen asleep. The pain may radiate out to the toes or arches and become noticeable after exercising, walking, or standing for a while. What causes a nerve in your foot to become pinched? Injuries, medical conditions, tight ligaments, inflamed tendons, wearing tight shoes, obesity, or nerve entrapment conditions such as Morton’s neuroma. Switching footwear, resting, icing, immobilizing the area, or massaging it can sometimes provide temporary relief. However, if the symptoms persist or worsen, a podiatrist should examine your foot and run tests to determine the cause of your condition. Taking prompt, appropriate action will help reduce the risk of permanent nerve damage. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Castillo from Bronx Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Corns can cause severe pain and discomfort. They are defined as small patches of hardened skin that develop as a result of excess friction typically from wearing shoes and socks that are too tight. There are certain medical conditions that may lead to corns. Patients who have hammertoe and bunions may find that corns develop on top of the extended joints. There are three categories of corns consisting of hard, soft, and seed corns. If you notice a corn on the bottom of your foot, it most likely is a seed corn. The medical term for this type of corn is heloma milliare and they develop due to dry skin. Other characteristics of a seed corn can include multiple corns in one area, and they may appear circular and smaller than other types of corns. Soft corns are found between the toes and remain moist from the sweat that is found there. A hard corn can develop on the side of the pinky toe or on top of the other toes from excess friction. If you have corns on your feet, please seek the expert advice of a podiatrist who can offer you the correct treatment options.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Dr. Castillo of Bronx Foot Care. Our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

• Wearing properly fitting shoes that have been measured by a professional
• Wearing shoes that are not sharply pointed or have high heels
• Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

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

The foot condition known as athlete’s foot is a fungal infection of the skin. This type of fungus lives in damp areas such as public swimming pools, shower room floors, and locker rooms. The fungus enters the body through tiny cracks in the skin on the feet and can cause the feet to turn red and itch. In severe cases, small blisters may develop between the toes and generally require prompt medical attention. There are various reasons why athlete’s foot may develop consisting of family history, a weakened immune system, or existing medical conditions like eczema. This ailment is contagious, and it can be beneficial to wear appropriate shoes while in damp areas. Additional preventive methods can include alternating the shoes worn, refraining from sharing socks, shoes, or towels, and avoiding walking barefoot. Athlete’s foot can be uncomfortable and mild cases can heal in several weeks. If you notice your feet are not healing, it is strongly advised that you are under the care of a podiatrist who can effectively diagnose and treat athlete’s foot.

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 offices located in Bronx, NY Yonkers, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

If you feel pain or numbness near the ball of your foot, under your toes, you may have a Morton’s neuroma. People sometimes describe this as feeling like there is a pebble or rock under their toes. Others describe it as a burning sensation, a sharp pain, or numbness in this area of their foot. A Morton’s neuroma is a thickening of the tissue around the nerves leading to the toes. Pain is usually felt between the 3rd and 4th toe or the ball of the foot between the 2nd and 3rd toes. It is a benign condition. A Morton’s neuroma can happen from wearing tight or high-heeled shoes. In cycling, shoes are usually lower volume, and these could pinch the toes together for prolonged periods depending on the length of your ride. This puts cyclists at a higher risk for this problem. Other causes of Morton’s neuroma include foot abnormalities, such as bunions, hammertoes, or flat feet. It can also be caused by repeated trauma from the feet pounding on pavement like in running, and as related to cycling when the foot tilts as it connects with the pedal of the bike. Make sure your cycling shoes are well-fitted. The toe box should be wide enough to allow toes to move freely and with a proper tilt. A wedge can be used to reduce pressure under the first two toes and help to relieve discomfort. If you are a cyclist and are experiencing the kind of pain described above, consider seeing a podiatrist for proper diagnosis and treatment that best suits you.

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 offices located in Bronx, NY Yonkers, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

There are several different kinds of warts that an individual may develop on their body. Plantar warts and common warts are among the most familiar. Usually, children and young adults are more susceptible to developing these kinds of warts. Both plantar and common warts occur when an individual is exposed to a certain strain of human papillomavirus, or HPV. This can happen when an individual touches someone else’s wart. What makes these two kinds of warts different is where they are typically located. Common warts can develop on any part of the body, although they are most typically found on the hands and knees. They are small, oval-like, rough patches of skin. On the other hand, plantar warts are found primarily on the bottoms of the feet, also known as the soles. Plantar warts will manipulate the natural lines that are located on the soles of the feet. If you have plantar warts, you might even see clogged blood vessels in the plantar wart that are of a black color. Plantar warts also differ from common warts because there are different potential treatments for each kind of wart. If you suspect that you have plantar warts, you should consider seeing a podiatrist who can help you treat warts.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Castillo from Bronx Foot Care. 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 offices located in Bronx, NY Yonkers, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Clubfoot is considered to be a congenital foot condition. The medical name for it is known as congenital talipes equinovarus, and the abbreviation is CTEV.  A noticeable sign of this condition is that the infant's feet are rotated at the ankle. There are two categories of CTEV - postural and structural. The former involves tightness or muscle imbalance, and the bones and joints are generally not affected by this type of clubfoot. The latter is a deformity that affects the bones and joints, and reaching a full range of motion may be difficult to accomplish. The symptoms that are associated with CTEV can consist of tight calf muscles, and the feet will turn inward. Research has indicated that genetics and environment may contribute to developing structural CTEV. When walking begins, the child may have difficulty in maintaining a normal walking pattern, and they may have foot pain and limited mobility. Specific stretches can possibly help postural CTEV, and surgery may be necessary in structural CTEV, which may help to properly align the feet. If your child has been born with clubfoot, it is strongly advised that a podiatrist be contacted who can diagnose and manage this condition.

Congenital foot problems require immediate attention to avoid future complications. 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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