Podiatrist Blog
By Joseph Stuto, DPM
July 17, 2019
Tags: Shockwave Therapy  

Common foot and ankle conditions, such as plantar fasciitis, can usually be treated conservatively with rest, medication, physical therapy, Ankle Painand supportive shoes/appliances like orthotics. However, in rare cases where conservative treatments don't work and the problem becomes chronic, additional treatments like extracorporeal shockwave therapy may provide relief. Here at the Brooklyn, NY, office of Drs. Joseph C. and Joseph A. Stuto, we offer a number of treatment options for foot and ankle injuries, including Shockwave Therapy—read on to learn what this treatment can do for you.

 

What is Shockwave Therapy?

Extracorporeal shockwave therapy is a non-invasive treatment that uses sound wave therapy to treat the heel pain of chronic plantar fasciitis when more conservative treatments have failed to produce results. A local anesthetic is applied to keep you comfortable during the procedure, which lasts approximately 30 minutes and is performed at the podiatrist's office on an outpatient basis.

It is non-surgical so you don't have to worry about incisions, stitches, bandages, or an extended recovery period. You will also be able to go home after the procedure (patients should bring someone to drive them home afterward).

 

Is Shockwave Therapy Right for Me?

Shockwave therapy is recommended for advanced cases of heel pain that haven't responded to other forms of treatment. While there are a number of options available to help relieve the pain and symptoms of plantar fasciitis, when those fail to provide relief, shockwave therapy can help.

However, shockwave therapy is not available for pregnant women and patients with certain underlying medical conditions such as vascular disease, certain neurological conditions, if you wear a pacemaker, or if you are taking medication that affects blood clotting.

 

Interested? Call our Brooklyn Office Today

For more information about the benefits of shockwave therapy and other treatments for foot and ankle pain and injuries, contact Stuto Foot Specialist Podiatry in Brooklyn, NY, by calling (718) 624-7537 to schedule an appointment today.

By Joseph Stuto, DPM
July 17, 2019
Category: skin conditions
Tags: calluses   orthotic  

Calluses are layers of rough and flaky skin on the feet that can cause pain and discomfort. The condition may arise due to constant friction against hard surfaces or persistent application of pressure on the same areas.

In early stages, calluses can be eliminated by using pumice stone – a natural, grainy substance that is made from volcanic rock and used to rub off hardened dead skin.

Use of moisturizing creams after pumicing helps to soften the skin and protect it from hardening again. It is recommended to wear socks so that the moisturizer stays on your feet for a longer duration.

Nevertheless, if your pain lingers and your condition does not improve, the following measures may be discussed with a specialist to treat your calluses:

  • A procedure may be carried out in which the dead skin is cut and removed with a special tool. It is designed to remove the calluses without harming any healthy layers of your skin.
  • An acid patch softens the skin before removing the calluses; it contains salicylic acid that helps to rub off the hard skin. However, it is not to be used without prior consultation from a medical professional, especially by patients with diabetes.
  • Podiatrists recommend using customized orthotic inserts that help reduce pressure on specific areas of your feet and subsequently decrease the chances of developing calluses.

If you are suffering from hard and abrasive calluses on your feet, it is best to seek proper treatment from our podiatrist, Dr. Joseph Stuto at Joseph Stuto, DPM.

Our board-certified podiatrist specializes in treating a range of foot and ankle problems including fungal toenails, arthritis, skin infections, sports injuries, sprains and fractures, muscle and joint pain, structural deformities and more. Our offices are located in Brooklyn Heights (718) 624-7537 and Brooklyn (718) 567-1403. Feel free to contact us, so our team can guide you and provide further information regarding effective foot and ankle-related issues.

By Joseph Stuto, DPM
July 10, 2019
Category: Achilles tendon

One of the strongest yet most vulnerable tendons in your body is the Achilles tendon, which connects the heel of your foot to your calf. While it enables you to indulge in walking, running, trekking and similar activities, if injured this tendon can severely handicap your ability to move.

At Joseph Stuto, DPM the two most frequent tendon conditions that we encounter are:

Achilles Tendonitis:

  • This is when the tendon suffers from inflammation due to excessive and persistent stress.
  • Engaging in an intensive work out after an extended duration of idleness or overexerting without taking a break can trigger the onset of this condition.
  • Lack of rest and care can worsen the condition as the injured tissue may not be able to repair and revert to its normal state.
  • Ongoing stress can cause deterioration and, with time, it could turn into Achilles tendonosis.

Achilles Tendonosis:

  • This is a degenerative condition that results from repeated microtrauma.
  • The tendon’s structure is adversely affected as its shape is altered, and it may lose its hold especially near the heel area.
  • The tendon becomes weak, stiff, and painful with likely occurrence of edema.
  • Without treatment, continuous overuse could also rupture the tendon which usually requires surgery.

Treatment for these conditions varies based on the duration and amount of damage inflicted on the tendon. Ice application, temporary immobilization, and anti-inflammatory medication can resolve the issue; however, it is advised to consult your foot doctor for proper diagnosis and treatment.

Our board-certified podiatrist Dr. Joseph Stuto is highly experienced in treating disorders related to the Achilles tendon and other foot health issues. Depending on your condition, they may recommend physical therapy including strengthening exercises, compression and stretching routines to ease the tendons and restore their functioning. For more information, you may contact our offices located in Brooklyn Heights (718) 624-7537 and Brooklyn (718) 567-1403.

By Joseph Stuto, DPM
July 01, 2019
Category: nerve pain
Tags: heels   neuroma  

In order to protect your feet, you need to know what neuroma is – it is a condition characterized by thickening of the tissue surrounding the nerve in the ball of your feet leading to the toes. It is also known as “nerve tumors;” however the tumors are non-threatening and non-cancerous.

The most commonly cited causes for the development of neuromas are prolonged compression of the toes and excessive weight on the ball of the foot that irritates the nerve and inflames the tissue around it.

The symptoms of neuromas are gradual; however, if treatment is not appropriate, the condition can aggravate and become unbearable. Early symptoms include:

  • Pain or burning in the ball of the foot
  • Piercing pain in the toes when pressure is applied
  • Numbness or pricking sensation
  • Feeling of a hard lump inside the ball of your foot while walking
  • When wearing shoes, it may seem like a sharp object inside the shoe is hurting your foot

At Joseph Stuto, DPM we recommend that the following measures be adopted to avoid neuromas:

  • Wear comfortable shoes that have ample space to accommodate your toes
  • Avoid wearing heels that are higher than 2 inches
  • Use customized orthotics to support your feet and safeguard them from unnecessary stress
  • Padding inside shoes is helpful to avoid friction and irritation caused by hard surfaces
  • Ice application reduces swelling and provides pain relief
  • Take a break from the activities that may be triggering your pain and allow some idle time for your feet to recuperate

If the pain does not subside in the ball of your foot, visit your podiatrist right away. Visit or call our offices located in Brooklyn Heights (718) 624-7537 and Brooklyn (718) 567-1403 to schedule an appointment with our board-certified podiatrist Dr. Joseph Stuto to get your feet examined and treated effectively.

By Joseph Stuto, DPM
June 26, 2019
Category: summer foot care

When we think of summers, we think of fun activities, outdoor workouts, water sports, open shoes and more. But have you ever considered how all these pleasures expose our feet to numerous hazards and harms?

At Joseph Stuto, DPM we advise everyone to exercise care and precaution before indulging in any adventures.

Here are a few risks to remain mindful of:

  • Fungal infections: Summer fun comprises mostly of water sports like swimming, sailing, etc. At the same time, bacteria thrive in moist places and are likely to cause infections like fungal toenails, athlete’s foot, and other skin infections. Using antiseptic soaps and wearing closed shoes in public places are good deterrents.
  • Cuts and wounds: Outdoor activities may entail being barefoot, exposing your feet to cuts by sharp or pointed objects, insect bites, etc. If left unattended, the injuries may become infected, causing pain and killing your summer spirits. In such cases, it is necessary to clean your wound and seek medical assistance for proper treatment.
  • Sprains and fractures: When energy levels are high, one may tend to overexert while exercising without realizing that it could harm your ankles and feet. Some common results in such situations include ankle twists, sprains, and stress fractures. Starting slowly and then gradually increasing the intensity of exercise routines is safer and saner.
  • Arch and heel pain: While sports require appropriate footwear, most people tend to give their feet a break every day by wearing open shoes like flip-flops. These airy shoes provide the least support to your arches, leading to excessive stress on the heels. Choosing shoes with better support and stronger grip will eliminate such pains.

If you encounter pain in your feet, or you feel that your injuries are not healing, we urge you to get in touch with our board-certified podiatrist Dr. Joseph Stuto and avail yourself of a full array of podiatric services. Visit our offices conveniently located in Brooklyn Heights and Brooklyn or you can reach us at (718) 624-7537 to schedule your appointment right away.





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