Podiatrist Blog
By Joseph Stuto, DPM
July 19, 2018
Category: toenail conditions
Tags: psoriasis   podiatrist   fungus   foot   pain   sports  

One of the worst feelings in the world is when you are peeling off a pair of socks and one of your toenails comes along with it. A toenail that detaches from the nail bed is a common occurrence. Typically, it happens because of an underlying condition or trauma. In less typical situations, chemicals, illness and medications can also cause the nail to become detached. If you lose a toenail, it is important to take the proper precautions while it heals and grows back. It is also important to figure out why it detached in the first place.

First Things First

After your toenail falls off you may be in a bit of a panic. What should I do with my newly-bare nail bed? Here are some tips on how to react before your appointment with your podiatrist:

  • If only part of your toenail has fallen off, don’t try to remove the rest of it – let it be.
  • If part of the detached nail is still barely hanging onto your toe and the rest of the attached part of the nail, get out a pair of sterile nail clippers. Carefully trim off the hanging piece so it does not catch and make the nail worse. If you are uncomfortable doing this, wait to see your podiatrist.
  • Smooth out any jagged edges with a nail file.
  • Clean your toe so there is no debris.
  • Apply antibiotic ointment to the site where the toenails fell off.
  • Cover the area with a bandage.
  • If your toenail has fallen off and will not stop bleeding, seek immediate medical care.

Why Did It Fall Off?

Injury

One reason your toenail could have fallen off is because of an injury. Car accidents, blunt force trauma, and sports can all damage your toenails.

If you received an injury to the foot and notice that your toenail is black or purple underneath, it could indicate that the nail will fall off. This discoloring is often due to the buildup of blood underneath the nail from an injury. Over time, as pressure increases, the nail may separate from the bed and fall off. If this nail is causing you pain, you should see a podiatrist immediately so that they can relieve the buildup of blood inside the nail.

Fungus

Fungus can grow underneath the toenail. This can cause separation of the nail from the bed. Over time, as it progresses, the nail can fall off. The best way to prevent this from occurring is to treat the fungus before it progresses too far. A podiatrist can help prescribe the right antibiotic to kill the fungus before it leaves you with one fewer toenail.

Psoriasis

Psoriasis can also cause you to lose a toenail. This is because, as the skin cells on the nail bed build up, they cause the nail to detach and eventually it will fall off. If you have symptoms such as pitting, thickening, or discoloration of the toenail, then you may have psoriasis. A foot doctor can determine whether or not you are suffering from this condition.

Losing a toenail is never fun, but a podiatrist can help you heal from the incident. Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto can help you treat your detached toenail. Call 718-624-7537and make an appointment today.

By Joseph Stuto, DPM
July 12, 2018
Tags: muscles   podiatrist   pain   cramp  

When you are minding your own business and then suddenly you are inflicted with a leg cramp, the pain can be overwhelming and make you stop in your tracks. Leg cramps can occur for numerous reasons, but if you already have Peripheral Vascular Disease then your leg cramps may be due to your underlying condition.

Peripheral Vascular Disease is a condition that encompasses any disease or disorder of the circulatory system that occurs outside of the brain or the heart. Not every case is the same or presents the same symptoms. Some cases can cause blockages in the arteries while other cases can cause the hardening of the arteries which, in turn, causes a person to experience leg and foot cramps.

Generally, leg cramps can be caused by the decrease of blood flow in the legs and be feet. Although the muscles do not actually contract during this type of cramp, the sensation of the cramp can come about during activity and lessen with rest

The cramping is caused by the hardening and narrowing of the arteries in the body. This restricts the amount of blood that is working its way to the leg muscles and can cause pain. The muscles need more blood during activity and this is why the pain is usually onset during activities. When a person is at rest, the muscles need less blood and so the pain subsides.

Not sure if you have peripheral vascular disease? The main symptom of the disease is the tightening of the foot or leg with accompanied pain. It usually occurs during exercise and worsens with more activity. Other symptoms of peripheral vascular disease are tingling, numbness, cold skin, hair loss and abnormal toenail growth. Sometimes the feet will turn very pale when lowered, but color will improve when elevated.

If you have cramping sensations in your legs and feet, it may be due to peripheral vascular disease. In order to diagnose this condition, it is important to see a podiatrist. Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto can help you get to the bottom of your foot and leg cramps. Call 718-624-7537and make an appointment today.

By Joseph Stuto, DPM
July 02, 2018
Tags: Lisfranc Injury   Blistering   Sprain  

Getting into a motor vehicle accident can be a very scary occurrence. Not only is it very stressful, but it can also cause a physical injury to the body, especially the feet. When a car gets into a collision, it is likely that the body of the car is crushed in and sometimes the passenger in the car suffers from that impact. One common traumatic injury that can occur from a car accident is called a Lisfranc injury.

The Lisfranc joint is the area of the foot where the long metatarsal bones and the arch bones connect. There is also a ligament in this area known as the Lisfranc ligament. Its job is to hold these bones together and to aid in flexibility and mobility.

Cause

Automotive accidents, military members, runners, jockeys and horseback riders, football players and athletes in other contact sports are all at risk for this injury. This is because Lisfranc injuries occur from a traumatic force on the foot.

3 Types of Lisfranc Injuries

  1. Sprains can plague the Lisfranc joint. When the muscles are stretched out and weakened, they can cause a sprain which has symptoms that include pain, inflammation and joint instability.
  2. Fractures occur when a small piece of the bone chips off or when the fracture penetrates the whole bone on the midfoot. It can be very painful and often needs an x-ray for diagnosis.
  3. If there is enough force, the Lisfranc bones can be forced away from each other and become dislocated. A podiatrist can help set these bones back into place.

Symptoms

  • Swelling
  • Pain when pressure is applied
  • Unable to bear weight on foot
  • Bruising
  • Blistering
  • Foot suddenly becomes wider

Treatment Options

A Lisfranc injury should be treated by a trained podiatrist as soon as possible. If the injury worsens, it can permanently affect a person’s overall mobility.  A podiatrist may suggest some of the following treatments to help heal this type of injury.

  • Immobilization – this prevents the foot from moving around and aids in the healing process.
  • Over-the-counter or prescribed medications to help deal with pain and swelling.
  • The use of ice and elevation to reduce swelling and pain.

Lisfranc injuries can be very painful, but they are treatable. If you suspect that you have sustained a Lisfranc injury, call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto can diagnose your Lisfranc Injury. Call 718-624-7537and make an appointment today.

By Joseph Stuto, DPM
June 27, 2018
Category: foot pain
Tags: Bunions   shoe   podiatrist   pain   overused   joint   inflammation   metatarsal bones  

We all need our feet every day. Not only do you need your feet to walk to the car, to drive, and to get to your workplace, you also need them to chase children, haul in groceries, and clean the house. Your feet are an essential part of your daily routine, and when they begin to experience pain, they can slow you down and change your routine drastically. A common pain that is felt in tired and overused feet is known as synovitis.

If you feel a sharp or aching pain centered at the bottom of the second toe, directly in the ball of the foot, then you may be experiencing the pain of synovitis. This pain can indicate an even bigger problem. That is, it can indicate that the toe bones are separating from the long metatarsal bones within the foot.

One frequent cause of synovitis is increased and excessive pressure and stress on the bones of the foot. This can be due to exercise, a new job, or any other similar increase in activity. The ligaments begin to break down and become permanently damaged. This loosens their hold on the bones and allows them to separate over time.

Exercise isn’t always the only culprit for the cause of synovitis. Wearing high-heeled shoes, getting bunions, having a high arch or having a long second toe can cause stress on the foot and lead to this condition. Even rheumatoid arthritis can lead to synovitis.

Symptoms of synovitis are a sharp pain in the ball of the foot, inflammation and feeling like there is a stone in one’s shoe when walking.

Treating synovitis is not impossible, but in most cases surgery is not necessary. Sometimes very severe cases of synovitis may require surgery to heal the affected foot. Common treatments that podiatrists may prescribe include splinting, icing, or taping of the joint. Sometimes a cast, a boot, crutches or other forms of immobilization are needed to help the healing process.

If you suspect that you are suffering from synovitis, call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto can heal your synovitis. Call 718-624-7537and make an appointment today.

By Joseph Stuto, DPM
June 21, 2018
Category: Ankle pain
Tags: podiatrist   swelling   pain   bone   ankle fracture   heal  

Running a 5k or a marathon is a great challenge and accomplishment. Many people spend months preparing and training for these types of activities and work hard to bring out their best performance. Unfortunately, for some athletes, a 5k or marathon can mean a severe ankle fracture. Ankle fractures often occur when the ankle is rolled or due to a sudden amount of pressure. The fracture is only a partial bone break, but it can be as painful as a full bone break.

Symptoms

  • Pain
  • Swelling
  • Blisters near the site of fracture
  • Bruising almost immediately after an injury occurs
  • Inability to walk or get mobile
  • Ankle looks different from the other ankle
  • Bone is protruding from the skin – this warrants an immediate visit to the emergency room    

Diagnosis

As soon as you receive an ankle injury, it is important that you seek the help of a podiatrist or trained medical professional. Ankle injuries can range from mild to severe. It is important to treat such injuries early so that no complications arise and so that the injury does not get worse.

Treating an Ankle Fracture

After you are diagnosed with an ankle fracture from your foot doctor, you may be instructed to do the following to help alleviate pain and heal the injury:

  • Rest your ankle. This means to stay off of it completely and avoid bearing weight on the injury.
  • Ice your injury regularly. Ice packs should be wrapped in a towel to prevent frostbite. Ankles should be iced for 15 minutes and then given a break. This should be repeated regularly.
  • Compression is usually done with an ace bandage, a splint, or an air cast. This will help to reduce swelling of the ankle.
  • Elevating the ankle so that it is positioned slightly higher than your heart will also help to reduce swelling.
  • Immobilization may occur if the fracture is severe enough. This includes casting of the foot and ankle to prevent further movement which may exacerbate the injury.
  • Medication may also be prescribed to help alleviate pain and swelling.

If you recently injured your ankle and noticed that it is swelling, bruised and painful, then it is time to call your podiatrist. Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto can get your fractured foot back into top shape. Call 718-624-7537and make an appointment today.





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.