Podiatrist Blog

Posts for category: Foot Care

By Joseph Stuto, DPM
April 11, 2018
Category: Foot Care

The United States Census Bureau reports that about 15 percent of Americans are over the age of 65, and that number is expected to geriatric foot careincrease. To your podiatrists in Brooklyn, NY Dr. Joseph A. Stuto and Dr. Joseph C. Stuto, these numbers translate to greater need for geriatric foot care. At Stuto Foot Specialist Podiatry, your professional team compassionately cares for the needs of the elderly population. Learn more here.

What geriatric foot care involves

As we age, so do our feet and ankles. Limited mobility and changes in gait, skin, sensation and circulation may impede how we walk, how our feet feel and how truly healthy they are.

Common podiatric problems in the geriatric population include:

  • Arthritis
  • Diabetic neuropathy and diabetic foot ulcers
  • Bunions, hammertoes and other defornities
  • Plantar fasciitis
  • Corns and calluses
  • Ingrown and fungal toenails

Your podiatrists at Stuto Foot Specialist Podiatry recommend seniors receive regular podiatric exams (at least once a year). Dr. Stuto carefully examines skin and nails, checks gait and inspects for deformities and active infections. Then, he sets up a care plan to address any concerns and to maintain good health.

Advice for your feet

To keep your feet moving and pain-free, Dr. Stuto recommends the following practices:

  • Wash and dry your feet daily.
  • Moisturize your feet.
  • Inspect your feet for scratches, sores, areas of redness or changes in the nails.
  • Wear clean socks every day.
  • Keep your shoes on to avoid bruising and lacerations.
  • Trim your nails regularly, cutting straight across to avoid ingrown toenails.
  • Stay as mobile as possible.
  • Do not cross your legs when sitting because this impairs circulation.
  • Wear shoes with good support and wide toe boxes. (Heels should be no higher than two inches, says the American Podiatric Medical Association.)

If you experience pain, numbness or tingling, or spot a change in skin color (blue or black) or texture, call the office right away for an appointment, particularly if you are diabetic.

We can help

At Stoto Foot Specialist Podiatry, your foot health is our priority. If you or a loved one would like to begin routine podiatric care, please contact one of our convenient offices for an appointment. For Remsen St. in Brooklyn, NY call (718) 624-7537. For the 7th Avenue office, phone (718) 567-1403.

By Joseph Stuto, DPM
February 28, 2018
Category: Foot Care

Sometimes it is easy to have one drink too many when out at the bar or drinking socially. When too much alcohol is consumed, problems with the feet can occur that are similar to problems that people with diabetes face.

People with diabetes have an abnormal elevation of their blood sugar and lack adequate insulin to break down the amount of sugar that is in their blood. Due to this, the sugar in the blood abnormally enters certain nerve tissue and damages the nerve. This can occur in any type of diabetes and, unfortunately, the nerve damage that is done is usually permanent.

As the nerve damage occurs, a person's ability to determine the difference between sharp and dull, hot and cold, pressure differences, and vibration becomes affected. These senses become dulled and/or altered. The process begins as a burning sensation in the toes. As the condition progresses, the feet become more and more numb. The progression of the condition can be slowed or halted by maintaining normal blood glucose levels.

Alcoholic Peripheral Neuropathy

Alcoholic neuropathy is caused by the prolonged use of alcoholic beverages. Ethanol, the alcoholic component of these beverages, is toxic to nerve tissue and can damage the tissue. In this event, the nerves lose the ability to have normal sensation. The damage to these nerves is permanent. A person with this condition is at the same risk and should take the same precautions, as those with diabetic peripheral neuropathy. Peripheral neuropathy can also be caused by exposure to toxins such as pesticides and heavy metals.

Treatment for Peripheral Neuropathy

In order to treat peripheral neuropathy, it is important to treat the blood sugar levels and the habits that are causing the disorder. Vitamin B12 injections may be helpful if the patient has a vitamin B deficiency. There are certain oral medications that may ease the burning pain that can be prescribed by your podiatrist. Topical ointments should only be used with the advice of your podiatrist. Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto will examine the feet and determine what is causing that numb feeling. Call 718-624-7537and make an appointment today.

By Joseph Stuto, DPM
February 14, 2018
Category: Foot Care
Tags: gait   footwear  

The Olympics are ramping up and so are the ads, the excitement and the sportsmanship. People from all over the world are tuning in to see the best of the best compete to be the best in the world at the sport they love. Although it’s too late to become a winter Olympian for this season, there still may be hope for the summer Olympics. Research has found that if you are training to be an Olympic runner, barefoot running may benefit you.

New research has found that when runners who always wear shoes run barefoot, they immediately alter their gait to one that is characteristic of habitual barefoot runners, and also use less oxygen during barefoot running compared to running with shoes at the same speed. This presents a greater running economy which influences distance running and performance.

People who regularly run barefoot have a specific gait that uses mid-foot landings, shorter stride lengths, faster stride rates, and less time in contact with the ground. They are also known to hit the ground with lower impact force and loading rates than runners who land on the rear foot in trainers. This cushions the force of landing, avoiding the discomfort associated with striking the ground heel-first which is common in runners who wear shoes. It also can help prevent overuse injuries from occurring over time.

The results from the research imply that by ditching trainers, runners new to barefoot running adopt a running style similar to experienced barefoot runners and enjoy an immediate benefit to their running results.

Other ways to get Olympic fit

Although it’s nearly impossible to become an Olympic runner overnight, you can start training to become an Olympian as early as tomorrow. If barefoot running isn’t right for you, there are other training options available.

  • Invest in proper footwear: not just any shoe is meant for running. Invest in good quality running shoes and replace them every 3 months. High mileage shoes may need to be replaced earlier.
  • Practice makes perfect. Be sure to practice every day in order to be in the best possible shape. Over time you will slowly get better.
  • Stay hydrated for top performance results.
  • Find a coach local to your area. Not only can they give you tips and tricks, but they can also act as a motivator.

While practicing to be an Olympic runner, you may injure yourself, especially if you run barefoot on rough surfaces. Be sure to see a podiatrist right away to treat all wounds and prevent infection. Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto will discuss the pros and cons of barefoot running and treat any open wounds. Call 718-624-7537and make an appointment today.

By Joseph Stuto, DPM
February 08, 2018
Category: Foot Care
Tags: blisters   feet   frostbite   footwear   waterproof   fungus  

During the winter, it can sometimes be a challenge to get outdoors and exercise. Although it is not impossible, it is important to take the proper precautions before getting out into the frigid winter weather. Having the proper gear and knowing how to keep your feet dry and warm is key when snowshoeing, hiking, or taking part in any other winter sports. If you neglect the care of your feet in winter, they can suffer from frostbite or hypothermia.

Waterproof or Water-Resistant Shoes and Footwear

If you are going to be hiking in snow, you don't want to wear shoes or boots that can easily allow water and moisture in. Look for footwear marked waterproof or water resistant. In general, shoes that have a rubber coating or a synthetic waterproof coating usually work well to block out moisture. Pair them with dry-fit socks for the best performance possible.

Warm, Waterproof or Layered Socks

In the winter you typically want to wear warmer. If you do not have a lot of warm socks, doubling up your thinner socks can be a great way to keep your feet dry. Also, invest in dry-fit socks as they help wick away extra moisture in a shoe. Excess moisture leads to fungus, frostbite, and blisters.

Boots with Insulation

Unlike a standard boot, winter boots have an extra layer of insulation built into them. Insulated boots are designed to keep your feet dry and warm. Many boots have a tag that references the level of insulation they support. In some of the higher end boots, insulation levels can warm feet in weather conditions as low as -30 degrees Fahrenheit.

Gaiters

Waterproof or water-resistant gaiters help keep your feet dry by stopping snow and water from getting into your boots and soaking your socks. This is especially important when walking through deep snow. Gaiters work well if you don't want to wear snow pants but need an extra layer to keep your feet and lower legs dry.

It can be very enjoyable to partake in winter activities, but it is imperative that you do so in a safe manner. Protect your feet from the cold and harsh weather and prevent serious injuries and disorders such as frostbite. If you have numb feet, blackening skin or any other signs of frostbite after being out in the cold, wet winter, call  Joseph Stuto, DPM of Brooklyn, New York. There podiatrists Dr. Joseph A. Stuto and Joseph C. Stuto will examine your feet and determine whether or not your feet are suffering from different cold weather disorders. Call 718-624-7537and make an appointment today.

By Joseph Stuto, DPM
December 19, 2017
Category: Foot Care
Tags: diabetic foot care  

Simple everyday measures could keep feet healthy and complication-free.diabetic foot care

Do you have diabetes? Have you just recently been diagnosed with this condition? If so, then you may be wondering the best way to care for your feet to prevent issues from happening. We’re glad you’re here! Our Brooklyn, NY, podiatrists, Drs. Joseph C. and Joseph A. Stuto, are ready to offer up some helpful tips to follow to keep your diabetic feet on track.

Wash Feet Daily

Sure, this might seem like a no-brainer but you may be surprised that your normal romp in the shower may not be giving your feet the proper cleaning they deserve. If you are someone who just lets soapy water run over their feet but you don’t actually scrub your feet with soap and water then you aren’t thoroughly washing your feet. You must always use soap and water on your feet, making sure to get in between toes and other crevices where bacteria and dirt may lurk.

Don’t Forget the Moisturizer

Feet, just like any other part of the body can easily become dry, and dry feet can easily crack and hurt. As you might imagine, having cracks in your feet can make you vulnerable to infection. Let’s prevent this problem altogether by making sure that you apply a moisturizer every day. Once you get out of the shower, thoroughly dry your feet off and then finish it off with a nice moisturizer to keep feet feeling supple.

Daily Self-Exams are Necessary

How are you going to know there is a problem if you aren’t even aware that something is going on in the first place? The only way you’ll actually be able to tell that there is a problem is by checking your feet every day. We don’t just mean a quick glance over either. We mean that you should thoroughly inspect every region of your foot, including between toes, to look for issues such as redness, cuts, wounds, tenderness, corns and calluses and other signs that there might be an issue.

Don’t Ignore Problems

Despite your best intentions issues can still happen, but it’s how you handle the issue that’s most important. At the first sign of trouble it’s better to play it safe and call our Brooklyn foot doctor right away so that you can get the proper treatment and care you need so that more serious complications don’t occur. It’s amazing how quickly the smallest issue can turn into something more major, but we are here to help.

Stuto Foot Specialist Podiatry in Brooklyn, NY, is here for all of your foot needs, whether you need to talk to us about diabetic foot concerns you have or you are experiencing pain or other symptoms. Trust in our foot experts!