My Blog
By Raymond A. DiPretoro, Jr. D.P.M.
November 22, 2017
Category: Foot Care
Tags: Heel Pain  

Does heel pain make walking uncomfortable? Podiatrists Dr. Raymond DiPretoro Jr. and Dr. Anthony Caristo of Advanced Foot and Ankle heel painCenter in Glasgow, Wilmington, and Newark, DE, share common causes of the pain and explain what can be done to relieve it.

Haglund's deformity

Haglund's deformity, also known as retrocalcaneal bursitis, causes a swollen red bump to develop on the back of your heel. The bursa, a small, fluid-filled sac, helps your Achilles tendon glide over the bones in your ankle joint easily. You can develop Haglund's deformity if you wear shoes that rub against your heel or exercise more intensely or longer than normal. The condition often goes away if you choose shoes that don't irritate your heel.

Soaking your heel in warm water, applying ice packs and taking over-the-counter pain medication can help reduce pain. If your symptoms continue, you may benefit from physical therapy, ultrasound treatment, corticosteroid injections or orthotics.


Painful calluses can develop on your heel if you wear shoes that don't fit well or if one of the metatarsal bones in your foot is longer than the other. Although you can remove shallow calluses with a pumice stone, it's a good idea to schedule an appointment with our Glasgow, Wilmington, or Newark, DE office if your callus is thick or you have diabetes. If a difference in the length of your bones causes frequent calluses, you may benefit from surgery to lift and realign the longer bone.

Plantar fasciitis

An inflammation of the plantar fascia, a thick band of connective tissue you can feel if you press on the sole of your foot, is a common cause of heel pain. The condition is more likely to occur if you run or on your feet for long periods of time, are overweight or have an arch problem. If your pain is mild, you may notice some improvement if you stay off your feet, apply ice packs and perform a few stretching exercises. Corticosteroid injections, night splints, and heel inserts are often recommended by foot doctors to treat plantar fasciitis symptoms. In severe cases, surgery may be needed.

Are you concerned about your heel pain? Schedule an appointment with Dr. Raymond DiPretoro Jr. and Dr. Anthony Caristo of Advanced Foot & Ankle Center in Glasgow, Wilmington, and Newark, DE, by calling (302) 355-0056.

By Raymond A. DiPretoro, Jr. D.P.M.
October 06, 2017
Category: Foot Care
Tags: Foot Fungus  

Have foot fungus? Fungal infections are very common. Studies show that foot infections like toenail fungus and athlete's foot do spread foot fungusfrom person to person. Dr. Raymond DiPretoro Jr. and Dr. Anthony Caristo of Advanced Foot and Ankle Center in Newark and Wilmington, DE, offer treatments for fungal infections. Here's how to keep your foot fungus from spreading to your partner.

1. See a podiatrist for treatment. If you think you may have foot fungus, book an appointment with your Newark and Wilmington podiatrist right away. A podiatrist can figure out if you have foot fungus. The doctor will be able to tell looking at the skin on your feet. The doctor may scrape off a skin sample to test for fungus. Your podiatrist may suggest using an antifungal ointment, powder, lotion, or spray.

2. Cover up your fungal infection. If you live with your partner, do this every day. Fungal infections can be spread from person to person by touching. Keep the fungal infection covered until it has been treated. Don't cover the area too tightly. It's important to keep the area dry and cool as you treat the foot fungus.

3. Practice good hygiene. By practicing good hygiene, you may be able to keep your foot fungus from spreading to your partner. Wash and dry your feet regularly. Make sure that you wash your hands any time that you may have touched your own fungal infection. Keeping your feet dry and clean is a simple way to prevent foot fungus from spreading to your partner.

4. Avoid walking barefoot. Wearing shoes is a simple way to prevent foot fungus from spreading to your partner. If you have foot fungus, then walking around without shoes will increase the chance that you will spread it to your partner. Make sure your partner protects their feet at home.

5. Don't share your personal items. Don't share any personal care items such as shoes, towels, clothing, socks, nail clippers, nail files, antiperspirant, or razors with your partner. A fungal infection of the foot can be spread by indirect contact with an infected individual's personal care items. 

Say hello to healthy and happy feet! Don't wait another minute- call Advanced Foot and Ankle Center at 302-355-0056 right now to schedule an appointment in Newark or Wilmington, DE. Get your life back on track by receiving the best foot fungus treatment available. We will help you achieve real relief with little expense or trouble.

By Raymond A. DiPretoro, Jr. D.P.M.
August 02, 2017
Category: Foot Care
Tags: Bunions  

Tired of that bunion? A bunion is a bony bump that forms on the joint connecting the big toe. Bunions can be extremely painful. Dr. bunionsRaymond DiPretoro Jr. and Dr. Anthony Caristo of Advanced Foot & Ankle Center, which has offices in Newark and Wilmington, DE, offer a range of specialized treatments for bunions. Read on to learn about four treatment options for bunions.

1. Taping and Padding- Taping and padding can ease your symptoms. Your foot doctor can pad and tape your foot in a normal position. This will reduce pain and stress on your bunion. Taping and padding also prevent bunions from getting worse.

2. Custom Orthotics- Orthotic devices are used to treat a variety of foot problems. Orthotic devices are molded pieces of rubber, leather, or other material that are inserted into a shoe. Orthotic devices can be helpful in treating bunions. They can help take pressure off your toes and alleviate your pain. You can get custom-made orthotic devices from your podiatrist.

3. Suitable Footwear- It is recommended that you wear flat or low-heeled, wide-fitting shoes if you have a bunion. High-heel shoes can make your bunion worse by putting excessive pressure on your toes. Footwear made from soft leather is ideal because it will relieve pressure on your bunion.

4. Bunion Surgery- Surgery may be recommended for your bunion if your symptoms are severe enough to warrant such intervention. The type of surgery performed depends on the severity of the bunion and the patient's general health, age, and activity level.

Say hello to healthy and happy feet! Call Advanced Foot & Ankle Center at 302-355-0056 now to schedule an appointment in our Newark or Wilmington, DE office. We are committed to providing high-quality patient care using state-of-the-art technologies. We will provide all the relief you need.

By Raymond A. DiPretoro, Jr. D.P.M.
June 05, 2017
Category: Foot Care
Tags: Foot Surgery   ankle surgery  

Foot and ankle surgery can help you improve your mobility and reduce pain. Our Newark, Glasgow and Wilmington, DE, podiatrists, Dr. foot surgery, ankle surgeryRaymond DiPretoro and Dr. Anthony Caristo of Advanced Foot and Ankle Center, explain when the surgery is needed.


Ankle surgery may be needed to stabilize broken bones in your feet or ankles. Pins or other internal or external fixation devices may be used to facilitate proper healing.

Birth defects

Surgery may also be used to correct birth defects that affect your ability to walk normally or cause you pain. The type of surgery depends on the type and extent of the defect.


Arthritis, both osteo and rheumatoid, can cause significant joint deformity and pain. Surgery may be performed to remove bone spurs or inflamed tissues. In some cases, fusing two bones together may be helpful.


Bunions cause a bony bump at the base of your big toe and often affect Newark, Glasgow and Wilmington women who have worn high heels or other tight shoes for years. Surgery removes excess bone and realigns the bones in the foot, eliminating the bunion.


Do you have a toe that bends at a right angle, just like a hammer? Hammertoes are not only painful but also make it difficult to find comfortable shoes. Although you may be able to straighten your toe by pushing on it during the early stages of the condition, it may eventually become rigid. If that happens, surgery may be needed to realign your bones or release the tight tendon.

Achilles' tendon ruptures

Achilles' tendon ruptures are common in athletes, but you don't have to be an athlete to experience the injury. It can also happen if you have tight calf muscles or have certain diseases, such as diabetes or arthritis. Although ruptured tendons can heal on their own, in some cases, surgery may be needed to repair them.

Ingrown toenails

When the edge of your toenail becomes trapped in your skin, you'll need minor surgery to remove the edge. In some cases, removal of the entire nail may be recommended.

Could you benefit from foot and ankle surgery? Call Newark, Glasgow and Wilmington, DE, podiatrists, Dr. DiPretoro and Dr. Caristo of Advanced Foot and Ankle Center, at (302) 355-0056 to schedule an appointment.

By Raymond A. DiPretoro, Jr. D.P.M.
April 04, 2017
Category: Foot Care
Tags: Foot Ulcer  

Injuries happen when you least expect it. Know how to care for a foot injury if it happens to you.ulcer

Think about how often you are on your feet, running up stairs, chasing down your bus to work and wearing less-than-ideal shoes. It’s probably a lot more than you realized. Your feet take a lot of abuse every day so it might not be all-too-surprising when a foot wound or ulcer occurs. From the office of your Newark and Wilmington, DE, podiatrists, Dr. Raymond Dipretoro Jr. and Dr. Anthony Caristo, find out what you should do to protect the health of your feet while caring for your wound.

It’s true that those with peripheral neuropathy, as well as those with diabetes, are at an increased risk for developing ulcers. If you’ve been diagnosed with either of these conditions then you may find that ulcers don’t heal as quickly as they should. Also, these ulcers are more likely to become infected. If an infection goes unnoticed it will continue to spread to the surrounding skin and even deep within the bone. It’s important that you visit your Newark foot doctor immediately if you develop a foot ulcer.

What does a foot ulcer look like?

Ulcers are more likely to form on the bottoms or sides of the foot, as well as the toes. An ulcer will look like a red open wound. Some ulcers may be small and superficial while others can be rather deep. Most ulcers have a callused layer of skin that has formed around the wound.

In otherwise healthy individuals, they may not even notice that they have an ulcer. It may not even cause any pain. If you have diabetes or poor circulation it’s imperative that you are managing your symptoms and keeping your blood sugar under control. You should also be thoroughly examining your feet every day to look for any changes. By performing self-exams daily you can catch ulcers and other problems right away so you can get the treatment you need and to prevent further complications. Our doctors will be able to tell right away whether or not your symptoms are due to a foot ulcer and what treatments are necessary.

Whether you have questions about foot care or you have diabetes, we are here to help you manage your issues as efficiently and easily as possible. Foot health is important but it shouldn’t consume you. Let Advanced Foot and Ankle Center in Newark and Wilmington, DE take the burden off of you and help give your feet the care they need.

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Our Locations

Newark, DE Podiatrist 
Advanced Foot and Ankle Center - Neuroscience & Surgery Institute of DE.
774 Christiana Road, Suite 105
Newark, DE 19713
(302) 355-0056
Podiatrist in Newark, DE Call For Pricing Options


Glasgow Office
1400 Peoples Plaza, Suite #305, Newark, DE 19702
(302) 355-0056

Wilmington Office
1415 Foulk Road, Suite #101, Foulkstone Plaza, Wilmington, DE 19803
(302) 355-0056