My Blog

Posts for: May, 2014

By Raymond A. DiPretoro Jr., DPM
May 28, 2014
Category: Infection

Foot Exam for InfectionMaybe you cut your foot on a shell while walking on the beach, or those cute new sandals have rubbed you the wrong way and caused a blister. Don’t just shrug it off. Any abrasion can become infected if bacteria finds it, and infections aren’t something you should take lightly. If left untreated, they can lead to serious problems. How exactly do you know if your injury has become infected, though? Well, there are some telltale signs that can help you identify an infection in the foot.

First, have you noticed increased pain in the area that was injured? If there is redness, particularly red streaks that extend from the affected area, this is an indication that an infection has set in. Another sign is pus draining from the wound, or if the skin around it feels warm to the touch. In some cases you might experience a fever. If any of these symptoms are present, it is extremely important to see us for a full evaluation immediately. Caught early enough, infections can often be treated by antibiotics and anti-inflammatory medications. Wait too long, and you may end up paying some serious consequences.

If you think you may have an infection, call Dr. Raymond A. DiPretoro now at (302) 623-4250, or get to our Advanced Foot and Ankle Center, Inc. today, in Newark, Wilmington or Glasgow, DE. Don’t let an infection stop you in your tracks. By knowing the signs to identify an infection in the foot, you can prevent the problem from getting worse, and get back to that walk on the beach before you know it.

Photo Credit: NenoVBrothers via FreeDigitalPhotos.net


By Raymond A. DiPretoro Jr., DPM
May 28, 2014
Category: Infection

Preventing Infections as a DiabeticBefore you go for that barefoot walk in the sand or wade in the ocean, remember that you are more susceptible to infection with diabetes. That means an injury to your foot can lead to serious complications, and even result in amputation.

What makes you prone to infection? The primary reason is neuropathy—a result of nerve damage common among diabetic patients. Neuropathy causes a loss of sensations for pain and temperature, which in turn can make you unaware of any abrasions that could become infected. Types of neuropathy can also lead to foot deformities, like claw toes, which can increase pressure and cause footwear to rub on your feet. The resulting blisters and calluses can be a breeding ground for bacteria. That’s why it is so important if you have diabetes to make sure your shoes fit properly and are comfortable.

Knowing the signs of infection is also important. If you can catch a problem early, the less likely to become serious. See Dr. Raymond A. DiPretoro Jr. right away if you notice any signs of inflammation, redness, a temperature change in your skin, a foul odor, or drainage. Because you are more susceptible to infection with diabetes, you must take special precautions with your feet. Let the experts at Advanced Foot and Ankle Center Inc. help.

Visit one of our convenient locations in Newark, Wilmington, and Glasgow, DE to find out how you can be proactive and manage your diabetes. With the right routine, you’ll be more likely to keep infection at bay and live a healthy life. Call us (302) 623-4250 today.

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Preventing Ingrown Toenails in AthletesFor active people and athletes, an ingrown toenail can literally be a pain. Your entire toe can become red, swollen, and tender, and that can seriously put a damper on your training. Unfortunately, athletes are prime candidates for ingrown toenails, since much of their time is spent in snug shoes—a major cause of this condition. Also, explosive movements like sprinting, jumping, kicking, and changing directions can put a lot of pressure on toes, adding to the problem. That’s why preventing ingrown toenails is so important for athletic individuals.

Like most active people, you may be tempted to battle through and ignore the problem, but doing so can lead to a painful infection that could stop you in your tracks completely. Avoid having to take even more time off from your activities by addressing ingrown toenails right away. If caught early, treatment will likely only involve antibiotics and soaks. Wait too long, and surgical procedures will have to be considered—words no athlete wants to hear!

Luckily there are things you can do to prevent ingrown toenails from occurring in the first place. Doctors at the Advanced Foot and Ankle Center Inc. in Delaware suggest that you shop for athletic footwear late in the day when your feet are at their largest. Also, wear your athletic socks to ensure the right fit, and choose shoes with a wider toe. Keeping your toenails trimmed also helps the situation, but be sure to trim them straight across. Cutting them on a curve can result in the nail pushing into the soft tissue surrounding it, and that can lead to infection.

Follow these guidelines, and ingrown toenails shouldn’t be a concern. If you do end up seeing signs of a problem, however, be sure to contact Dr. Raymond A. DiPretoro Jr. immediately. Call 302-623-4250 for an appointment, or visit the Advanced Foot and Ankle Center Inc. in Newark, Wilmington and Glasgow, DE to keep your feet healthy and your active lifestyle going strong.

Photo Credit: Ponsulak via FreeDigitalPhotos.net


By Raymond A. DiPretoro Jr., DPM
May 19, 2014
Category: Toenails

How to Properly Trim ToenailsThe warmer weather means it’s time to reveal your toes to the world, but before you head to that Memorial Day picnic in those pretty little sandals, keep in mind some tips for proper toenail trimming. Sure, it might seem like a pretty simple task, but if you don’t trim your nails correctly, you could end up with an ingrown toenail that can get painfully infected.

So first off, choose a large nail clipper made for cutting larger nails. Make sure it is disinfected by using a cotton ball and some rubbing alcohol to wipe it off. Next, guide the clippers straight across as you cut.  Do not cut into a curved shape or the nail could end up digging into the skin, and that invites trouble. Be sure not to cut the nail too short either—not only does it hurt, but it also increases the risk of infection.

You should only do your trimming when nails are dry; when they are wet they tend to tear. In addition, although you might be tempted to trim your toenail all in one shot, it’s better to do it with a few small cuts. Podiatrists like Dr. Raymond A DiPretoro Jr. also advise to never cut your cuticles. Push them back with a cuticle stick instead.

Remember, everyone’s toenails grow at a different rate, so there is no trick to telling how often you should trim them. Just keep an eye out, and be sure to not let them get so long that they are rubbing against the shoes you wear. Follow these tips for proper toenail trimming, and you will not only keep your nails looking neat, pretty, and in tip-top shape, but you’ll also ensure that they stay healthy and comfortable.

To learn more about how you can avoid ingrown toenails, visit the Advanced Foot and Ankle Center Inc. near you. Four your convenience, there are locations in Wilmington, Newark and Glasgow, DE. You can also find us online, or contact us by calling 302-623-4250. 

Okay, now you can put on your sandals.

Photo Credit: Ponsulak via FreeDigitalPhotos.net


By Raymond A. DiPretoro Jr., DPM
May 12, 2014
Category: Heel Pain

Flats and Heel PainSo you’ve got your eyes on those adorable ballet flats that are so fashionable right now, but before you purchase them, beware. Flats and heel pain are just as common as the foot problems associated with high heels. Seriously.

Because internal support in flats is often lacking, your arch can collapse and the ligaments in the bottom of your foot can over-stretch. The result? Painful plantar fasciitis. This is especially true if you have flat feet. So when you’re shopping for shoes and you just have to have those cute canvas flats, follow these couple of tricks to check for arch support. First, look inside. Does the insole appear to curve along the inside edge along the same lines as your foot?  Next, pick it up and fold it in half. It should bend at the ball, where your foot naturally bends as you walk. If it doesn’t, keep shopping!

There is also a lack of interior padding in flats, and without enough cushioning, your heels can become quite painful. Your heel could absorb more impact in flats than in pumps which put more weight on the ball of your foot. The best way to nip this problem in the bud is to invest in some over-the-counter insoles. These are often made of rubber or foam and slip inside your shoe for added comfort. If you have a high arch, opt for a more rigid insole which typically delivers more arch support.

For more about flats and heel pain, or to get other helpful tips, visit Dr. Raymond A, DiPretoro Jr. at one of the Advanced Foot and Ankle Center Inc. locations in Newark, Glasgow and Wilmington DE. You can also check us out online or call (302) 623-4250 to make an appointment. We’ll help you decide on the best shoe for you, and show you other ways to keep your feet happy and healthy.

Photo Credit: Samuiblue via FreeDigitalPhotos.net




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Please call us at (302) 355-0056.
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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

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