Podiatrist Blog

Posts for category: Diabetic foot Care

By Joseph Stuto, DPM
October 24, 2018
Category: Diabetic foot Care

If you ask anyone who has diabetes, they will tell you how this disease puts you at risk of experiencing foot problems, including the risk of amputation if one doesn’t follow proper foot care guidelines. Poor circulation and nerve damage in the foot can cause the slightest of cuts to be a source of severe infection.

You may risk amputation if any of these factors hold true.

  • Nerve damage – The damage to the nerves from peripheral artery disease makes it very difficult to detect an injury. If the infection doesn’t catch the eye, it can spread onto the bone.
  • Poor blood circulation – A lack of blood supply to our feet enhances the risk of injury and reduces the body’s wound healing power. This can lead to fractures and may lead to amputation.
  • Foot deformities – The foot deforms from its natural shape due to poor circulation and damage to the nerves without the patient even being aware. Loss of feeling in the toe can lead to foot deformities. A severe case may lead to amputation.

If you or your loved one experience any nerve damage or poor circulation from diabetes, you may want to consult a foot and ankle specialist for diagnosis and treatment. It is really important to try and sort out the problem early before it gets any worse.

Here at Joseph Stuto, DPM we have years of experience in treating a variety of foot and ankle conditions such as ankle sprains, athlete’s foot, bunions, corns, fungal infections, hammertoes, warts, foot deformities, and diabetic foot care. Dr. Stuto and his trained staff look forward to helping you diagnose the issue and provide a treatment plan. For more information, you can visit our website or schedule an appointment at our two convenient office locations in Brooklyn: (718) 567-1403 (Brooklyn), or (718) 624-7537 (Brooklyn Heights). 

Diabetes is a very serious and growing public health concern. It affects your body’s ability to produce or use insulin effectively. It affects tens of millions of people in the U.S alone. Many people do not realize the severity of this disease and how serious its complications can be. Diabetes was the seventh leading cause of death in the U.S as per the National Diabetes Statistics Report (2017).

If you have diabetes, your foot care becomes even more important. Diabetes can reduce blood flow to the feet, making it difficult to resist infections or heal an injury. Proper foot care and timely treatment can help avoid major complications such as amputation.

To avoid any major diabetic foot problems, follow these five preventive measures:

  1. Self-exam- Take a good look at your feet every day for anything unusual such as blisters, cuts, swelling or infections. You can use a magnifying mirror if necessary to inspect the bottom of your feet. Also, massage your feet as this helps with circulation.
  2. Balanced diet- Maintaining a balanced diet helps in preventing various disorders including foot problems. The body requires proper nutrition in order to work effectively. A good diet helps maintain a healthy lifestyle.  Weight control can drastically reduce the stress levels on the feet.
  3. Foot hygiene- Maintaining good foot hygiene is of utmost importance. Your feet are prone to bacteria and infections. Keep your feet clean by washing them daily with soap and warm water.  Dry your feet carefully, especially between the toes. This helps to prevent fungal infections from settling in. Once dried, apply a moisturizer to keep the skin from cracking. Avoid moisturizer between the toes as it may encourage infection.
  4. Clip toenails carefully- The proper way to trim your toenails is by cutting them straight across. Do not cut them too short to avoid ingrown toenails.
  5. Proper footwear- Pay special attention to your diabetic foot in terms of what you wear. For patients with diabetes, proper footwear is key to avoid numerous complications. Wear fitted shoes which also provide sufficient padding and cushioning to reduce friction and stress on your feet. Wear shoes that are roomy from the front to avoid toes from overlapping or getting squeezed together.

If you want to know more about diabetic foot care and foot health, call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Dr. Joseph C. Stuto can help you treat your diabetic foot. Call (718) 624-7537 and make an appointment today.


By Joseph Stuto, DPM
August 01, 2018
Category: Diabetic foot Care
Tags: diabetes   podiatrist   foot   blisteres   infected  

Living with diabetes can be hard. Not only do you have to maintain a particular diet, you also have to constantly check in on your body to make sure everything is going well. Those who suffer from diabetes know that the disease can affect much more than their blood sugar. It can also affect their eyesight, nervous system and the feet. One of the most common complications that diabetes brings to the table is diabetic foot ulcers. These foot ulcers can be very dangerous if they are not caught early. Foot ulcers are prone to infection. If they do become infected and a person with diabetes does not treat them quickly, it can lead to the eventual amputation of the foot. Here are some easy tips and tricks to help reduce your chances of getting a diabetic foot ulcer:

  1. It is important to be educated on the signs and the symptoms of diabetic foot ulcers.  It is very common that they appear in patients who also suffer from diabetic neuropathy. This causes a lack of sensation in the feet and makes it hard for the feet to feel pain. Symptoms of ulcers for those with lack of sensation in the feet include increased skin temperature, drainage in socks, redness, and swelling.
  2. Be sure to look at your feet and check in every day. Blisters and cuts to lead to an infected ulcer in those who suffer from diabetes. If you can’t see your feet, find someone to help you look at them regularly.
  3. If you see an ulcer, be sure to take action immediately. A diabetic foot ulcer that goes untreated can lead to amputation of the foot. In order to avoid this, it is imperative that a person calls their podiatrist to treat an ulcer immediately.
  4. Try to stay healthy. Keeping your blood sugar in check and staying connected with your physicians will prevent any serious flare-ups from occurring.
  5. Make an appointment with your podiatrist regularly for check-ups and to share any concerns. Don’t let your feet get to the point of no return.

Diabetes can have a severe effect on the feet. It is important to watch out for any signs or symptoms of complications and treat them promptly. Having some foot problems? Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto can help you treat your diabetic foot complications. Call 718-624-7537and make an appointment today.

People with diabetes have to be extra vigilant when it comes to their feet.  Wondering why, if you are not diabetic, or familiar with the problems a diabetic faces?  Or all too familiar with diabetic foot problems (if you are suffering from them yourself!)? Unfortunately, people with diabetes have to constantly monitor their sugar intake, and blood sugar.  If they have too much glucose (aka sugar) in their blood for a long time, it can cause serious bodily complications- including foot and skin problems.  Besides skin and feet problems, high sugar levels can also make them prone to heart disease, eye damage, and many other problems! 

So, how does diabetes affect the feet?  Typically, uncontrolled diabetes can damage the nerves in the legs and feet.  If this happens, the sufferer might not feel heat, cold or pain.  This lack of feeling is a condition known as diabetic neuropathy.  This can be dangerous, as a person with this might have a cut or sore on their foot that they are not aware of.  Due to the lack of feeling, this wound could get worse, get infected, and then get dangerously infected before the person even realizes it is there.  A person with this condition is also more susceptible to cold- making them more prone to frostbite, in extreme circumstances.  Same goes for heat- a person with diabetic neuropathy can burn their feet more easily-walking on a hot blacktop, hot sand, etc.- as their sense of pain is muted due to the nerve damage.

Diabetes can also affect the blood flow in a person's body.  Poor blood flow in the arms and legs is called peripheral vascular disease.  This disease is a circulation disorder that affects blood vessels that are far from the heart.  If you have an infection in your foot, or anywhere else in your body, it makes you more susceptible to infection because of the poor blood flow.  This can put you at risk for developing gangrene, which can lead to amputation, in severe cases!  No one wants to have that happen!

These two afflictions- poor blood flow, and damaged nerves are only a couple of the problems a diabetic faces with their feet.  Sad to say- the list is long, and there isn't time to get into it all in this article.  But the important thing to take from this is that if you are diabetic, you have to take extra special care of your feet.  And if you do discover anything other than the norm, you should see your podiatrist immediately.  Dr. Joseph Stuto has two convenient Brooklyn locations to visit.  Call Dr. Stuto if you have any foot or ankle problem- he can help!

By contactus@brooklyn-podiatrists.com
January 16, 2016
Category: Diabetic foot Care
Tags: charcot foot  

Diabetes can lead to serious foot conditions. Most foot disorders in diabetics are caused by two major complications, peripheral neuropathy and poor circulation. This is because high levels of sugar in the blood can destroy delicate nerves and fine blood vessels in the feet.


A major complication seen in Charcot foot is severe foot deformity which can lead to permanent disabilities. A number of treatment options are available both conservative and surgical.. This is done to treat fractures or correct the foot deformity.


Diabetics should practice proper footwear religiously to avoid serious complications. A visit to a podiatrist can help diabetics identify possible foot conditions. Dr. Joseph Stuto is a podiatrist who specializes in helping diabetics suffering from Charcot foot.


Peripheral Neuropathy


Neuropathy or nerve damage is a diabetic complication that can lead to loss of sensation in the feet. This makes it hard if not impossible for patient to detect wounds or even fractures.  Diabetes damages blood vessels interfering with the normal supply of nutrients. This can lead to weak bones increasing the risk for fractures.


Left untreated, the patient continues to use the injured foot resulting to more fractures and even joint dislocations. This can lead to foot deformities and long term disabilities.


Symptoms of Charcot Foot


In some cases, people may experience pain but this is not pronounced compared to those without neuropathy. A clear indication of Charcot Foot is swelling and tenderness in affected areas of the foot which is associated with fractures or injury.   


Treatment Options


Therapeutic  shoes – a special shoe is used to facilitate proper healing of the fracture. These shoes can be designed to conform with the unusual shape of the foot. This can also reduce the risk of wounds or ulcers.  


Casts  can be used to immobilize the foot during healing and prevent further injury. This is equally effective in reducing swelling. A walking brace, crutch or wheelchair is used to prevent weight from being placed on the feet. The cast is replaced every week or two to ensure proper  fit at all times.


Surgery is the treatment of choice for severe foot deformity. This is required for correcting and treating fractures and dislocations. This is used when conservative treatments fail to correct the condition. At our practice located in Brooklyn, NY, we specialize in helping people find relief from charcot foot.  To schedule an appointment call 718-624-7537.