My Blog
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. Aahba M. Suchak 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. Aahba M. Suchak, 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.

By Raymond A. DiPretoro, Jr. D.P.M.
January 30, 2017
Category: Foot Care
Tags: Heel Pain  

Here are all your burning questions about heel pain answered!

You wake up in the morning and with the first few steps you notice a terrible pain coming from the heel of your foot. You may notice that it heel paingets better throughout the day but if you try to go about your physical activities you may find that it makes your problem worse. Does this sound like you? Our Newark and Wilmington, DE, podiatrists, Dr. Raymond Dipretoro Jr. and Dr. Aahba M. Suchak, are here to address the most popular questions surrounding heel pain.

Q. What causes heel pain?

A. There are many issues that could lead to heel pain. While the most common culprit is an inflammatory condition known as plantar fasciitis, other causes include,

  • Achilles tendinitis
  • Heel spur
  • Bursitis
  • Stone Bruise
  • Arthritis
  • An injury or tear
  • Tarsal tunnel syndrome

Q. What is plantar fasciitis?

A. This condition often comes about from overuse, which is why we see this condition most often in runners and other athletes. This problem results in inflammation of the plantar fascia tissue that run along the bottom of the foot and attach to the heel bone. If you find that foot pain is worse in the morning or after activity then you could be dealing with plantar fasciitis.

Q. When should I see my Newark and Wilmington foot doctor?

A. You should schedule an appointment with us if you are experiencing heel pain that lingers even if you aren’t putting weight on the foot or moving around, or if you have heel pain that lasts several weeks despite rest and at-home care.

Q. What are my treatment options?

A. You might be relieved to hear that many people with heel pain can manage their symptoms and heal completely with simple self-measures such as,

  • Resting and avoiding certain physical activities
  • Icing the heel for 15-20 minutes at a time up to three times daily
  • Wearing shoes that provide support for the foot and ankle and give toes enough room to move around
  • Wearing shoe inserts or orthotics to help support the foot, particularly the arches, to remove excessive pressure from certain areas of the foot
  • Taking OTC pain relievers to handle minor to moderate swelling and pain

If these treatments don’t take care of your symptoms and improve your condition then more aggressive treatment options like corticosteroid injections, shockwave therapy and even surgery may be necessary.

Advanced Foot and Ankle Center is happy to provide quality foot care to the Delaware area with three convenient locations, Newark and Wilmington, DE. Give us a call today to schedule a visit with us. Don’t let heel pain affect your quality of life.

By Raymond A. DiPretoro, Jr. D.P.M.
December 03, 2014
Category: Flat Feet
Tags: Flat Feet  

Flat FeetExercises to help your Flat Feet!

Lack of the arch in the foot is a common condition and is usually not painful.  All of us have flat feet when we are born, and the development of the arch usually takes place during childhood. People who have flat feet rarely have symptoms or problems.  However, some people may have pain because of various factors such as:  minor injuries, excessive standing, walking, running or jumping, sudden weight gain and improperly fitted footwear.

If you are experiencing pain due to your flat feet try some of these exercises to alleviate the pain and get on with your daily routine!

Arch Exercises

"Towel Scrunch." To strengthen the arch, start out barefoot in a chair and spread a small hand towel on the floor in front of you. Place the ball of your foot on the edge of the towel closest to you and, reaching out with your toes as far as you can, grab the towel and pull it back toward you, bunching it up under your foot. Keep reaching out and grabbing more towel until you run out. At the end of each scrunch, hold the contraction until you feel it in the arch for just a second before releasing.

Do three sets of scrunches.

Stair Raises for Arch Strength

Stand on a step at least three to four inches off the ground with only the ball of your foot on the step and the rest of your heel and foot hanging slightly below the toes. Start with your foot in a neutral position and raise up to your tiptoes, pressing down with your toes. When you lower, resist the urge to drop your heel too far below the stair line; that is really a calf exercise, and your focus is on your arch.

Do three sets, ten arch raises per set.

Arch Flexibility Exercise

Stretch the foot by either reaching down with your hand and grabbing your toe, pulling your toes back and up while relaxing your foot.  You can also sit in a chair, use a small can. place your arch across the can and roll it out and back. Use moderate downward pressure and roll the can from the ball of your foot all the way back to your heel. This stretches and massages the bottom of the foot and can be a way to reduce some arch soreness.

If you are feeling pain in the arch of your foot, call Dr. Raymond A DiPretoro Jr. at (302) 355-0056, or visit an Advanced Foot and Ankle Center Inc. near you. We’re located in Newark, Glasgow, and Wilmington DE. You can also keep in touch through Twitter, Facebook or our website.

By Raymond A. DiPretoro, Jr., D.P.M.
November 03, 2014
Category: Bunions
Tags: Bunion Surgery   Bunions   Bunionectomy  

Bunion SurgeryMyths About Bunion Surgery

6 Myths About Bunion Surgery
A bunion is a structural problem of the big toe joint causing a boney prominence. Surgery is commonly performed to correct the problem.

Surgery for bunions involves more than just simply shaving the boney protrusion. It typically requires that the bones have to be structurally realigned. Milder bunions are corrected with bone cuts close to the big toe joint. Larger bunions typically need a more "involved" bone cut or a fusion procedure to completely realign the problem. It takes approximately six weeks for the bones to heal in the corrected position.

Myth #1: Bunion Surgery Is Excruciatingly Painful

Bunion surgery is not particularly "more" painful than other surgeries. Foot surgery, in general, can lend itself to increased pain post-operatively because the foot is below the level of the heart and blood can rush to the area, causing a throbbing feeling. Also, the foot does not have much soft tissue surrounding the bones, so moderate postoperative swelling can aggravate the nerves, causing pain. Most patients find that the postoperative discomfort is tolerable with pain medication. 

Myth #2: Bunions Come Back Even After Surgery

A majority of patients are satisfied with their outcome after bunion surgery. Recurrence is possible, but not particularly likely.  The return of a bunion is not necessarily a complication, but something that can happen over time. Some patients have excessive motion in the foot that may predispose them to the bunion coming back.  Another possible reason for recurrence occurs when a procedure that was performed did not best suit the severity of the particular bunion -- so it's important to have the surgery tailored for your particular bunion and to make sure your surgeon has had experience and successful outcomes with bunionectomey surgery. 

Myth #3: Bunion Surgery = Cast and Crutches 

While this was true years ago, more modern techniques have allowed surgeons to mobilize patients quicker. Mild bunions typically involve walking in a surgical shoe for six weeks. Surgeons consider casting with crutches with larger bunions because setting the bones is more complex. Some surgeons have moved away from bone cuts and instead perform a fusion procedure that allows for realignment of the entire deviated bone. This fusion procedure is called the Lapidus Bunionectomy, and contemporary approaches allow for early protected walking at two weeks postoperatively. This is a procedure that Dr. Raymond A. DiPretoro, Jr. is well-versed in!

Myth #4: You Have To Be Off Work

This is simply not true,!  A patient can return to a  desk job within two weeks of the surgery, and varies based on surgeon protocol and type of bunionectomy performed. Jobs that require excessive walking, standing and physical activity may require a medical leave of absence -- which can be up six weeks up to two months depending on healing and job requirements. Getting around can be difficult and driving may be off limits if you have your right foot operated on and/or drive a manual.

Myth #5: Don't Fix A Bunion Unless Painful

The concern with surgically correcting a non-painful bunion is that the surgery can result in longstanding post-operative pain that may not have been there prior. However, people do have surgery for non-painful bunions if the bunion interferes with activity, continues to become larger, or if they have difficulty wearing certain shoes and/or if the bunion is simply unsightly. Surgeons strongly prefer (or require) that patients have a painful bunion before they consider surgery. Fortunately, pain is the most common reason people seek treatment. 

Myth #6: Healing After Bunion Surgery Results In Unsightly Scars
Surgical healing is part of the process with any surgery, and bunion surgery is no different. Incisions can be minimized, or alternate surgical approaches may be used to hide surgical scars. Bunion incisions are either located on the top of the foot or on the side of the foot, and technique varies based on surgeon. A surgeon may perform a plastic surgery-type closure to keep scaring minimum. 
To learn more about bunion surgery visit the Advanced Foot and Ankle Center Inc. near you.  For your convenience, there are location in Wilmington, Newark and Glasgow, DE.  You can also find us online, or contact us by calling (302) 355-0056!
Photo Credit:  Leagun via

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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

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

Middletown Office
Middletown Medical Center 210 Cleaver Farm Road Building B, Suite 2 Middletown, DE 19709
(302) 355-0056