My Blog
By Raymond A. DiPretoro, Jr. D.P.M.
January 23, 2018
Category: Foot Care
Tags: stress fractures  

Find out if the symptoms you’re experiencing could be trying to tell you that you have a stress fracture.

A stress fracture occurs when a tiny crack in the bone of your foot or ankle develops. More often than not stress fractures come about overstress fractures time due to overuse, which is why a lot of athletes experience this problem at some point during their lifetime. Are you wondering if your discomfort could actually be a stress fracture? Our Newark, DE, podiatrists, Dr. Raymond DiPretoro, Jr. and Dr. Anthony Caristo, are here to help you figure out if it’s time to schedule an evaluation with us.

How do stress fractures happen?

As we mentioned above, this is a problem that commonly plagues athletes and runners because stress fractures often arise from overuse or from performing repetitive movements. Of course, if you suddenly change the intensity or duration of a workout you may also find yourself dealing with this problem. It’s important that you are warming-up and conditioning your body properly before exercising or adopting a new workout routine.

Those with other health problems such as osteoporosis or arthritis may also be prone to stress fractures in the feet and ankles.

What are the symptoms of a stress fracture?

Pain is the number one indicator of a stress fracture. Of course, a lot of injuries and other problems can lead to foot and ankle pain so you’ll want to visit our Newark foot doctors for a proper and comprehensive foot evaluation to determine the true source of your pain.

If you have a stress fracture, pain may get worse when walking or putting weight on the foot but the pain may subside when resting. The pain may be exacerbated throughout the day depending on your activity level. There may also be some swelling present on the top portion of the foot or around the ankle (depending on the location of the stress fracture). The area may also be tender to the touch or there might be some minor bruising.

If you suspect that you have a stress fracture it’s important that you schedule an appointment with us right away so that we can diagnose and treat your condition as soon as possible to prevent complications.

Don’t ignore changes in the health of your feet. Our team of foot care specialists at Advanced Foot & Ankle Center in Glasgow, Wilmington, and Newark, DE, are here to make sure you get the care you need to speed up recovery and get back to your daily activities. Call our office at (302) 355-0056 to learn more.

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.

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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