Podiatrist Blog

Posts for category: foot conditions

By Joseph Stuto, DPM
January 02, 2019
Category: foot conditions

Shockwave therapy. You may have heard about it from a friend who has had a kidney stone, but did you know that Extracorporeal Shockwave Therapy is a trusted podiatric treatment as well? At Stuto Foot Specialist Podiatry in Brooklyn, NY, Dr. Joseph C. Stuto and Dr. Plantar FasciitisJoseph A. Stuto use ESWT in the office to treat a variety of foot and ankle conditions—especially plantar fasciitis.

What is plantar fasciitis?

Affecting one in 10 American adults according to the American Association of Orthopaedic Surgeons, plantar fasciitis is an inflammation of the connective tissue between the heel bone and base of the toes, and it can cause considerable pain, loss of feeling, tenderness, and swelling.

Unfortunately, many patients spend considerable time and effort dealing with their conditions, only to find little to no relief. So, at Stuto Foot Specialist Podiatry in Brooklyn, we offer Extracorporeal Shockwave Therapy as an adjunct to, or replacement for, customized shoe orthotics, anti-inflammatory medications, injections, and other common treatments.

The procedure

Many adult patients qualify for ESWT. A complete podiatric exam, X-ray imaging, and a review of medical history will tell Dr. Soto if the procedure is both safe for you and has a good chance of succeeding. People with reduced sensitivity and circulation in their feet, take blood thinners, have a cardiac pacemaker, or who exhibit open sores or wounds cannot undergo this procedure. Also, women who are pregnant should postpone treatment until after they deliver their babies.

Regarding the treatment, it takes place in its entirety in the office with the benefit of local anesthetic or light sedation. Used since 2000 in the United States, ESWT delivers short, intense bursts of sound waves to selected areas of inflammation. The aim? ESWT helps:

  • Increase circulation
  • Speed healing
  • Reduce tenderness and harmful swelling

Afterwards, patients can return home (with an adult driver) and resume most of their normal routines the next day. However, they should postpone very strenuous activities, such as gym workouts, for a couple of weeks.

Contact us

At Stuto Foot Specialist Podiatry's Brooklyn practices, you'll be well treated and can take advantage of up-to-date, innovative treatments such as shockwave therapy. For a personal consultation on your plantar fasciitis or other persistent podiatric conditions, please call our office team at (718) 624-7537.

By Joseph Stuto, DPM
January 02, 2019
Category: foot conditions

Foot odor or smelly feet is a common problem faced by almost everyone around the world. The unpleasant odor can make you self-conscious and even disrupt your day-to-day interactions with others. Sweat alone doesn’t have a scent; it is the bacteria that eat the sweat which produces a strong and pungent-smelling odor.

Here are some of the key factors that may contribute to having smelly feet:

  1. Stress/Anxiety: During high anxiety and stressful situations, our body tends to produce sweat from the apocrine glands which are usually found in your armpit or genital region. These glands secrete a much thicker sweat that has a high concentration of lipids, proteins, and fat. This provides good feed for bacteria, yet terrible news for the person sitting alongside you.
  2. Infections: Fungal infections and their poor monitoring can contribute to bad foot odor.
  3. Shoes: The sweat from your foot usually gets trapped inside your shoes. The bacteria feast on the sweat accumulation on your feet, causing smelly feet. Shoes made with synthetic materials can easily trap the sweat, not allowing it to evaporate. Switch your shoes from time to time, especially athletic shoes, allowing them to air out properly before you slide them back on.
  4. Hyperhidrosis: This is a skin condition where you sweat profusely. The accumulation of sweat or moisture on your feet fuels fungal and bacterial infections. The bacteria upon consuming the sweat create bad odors.
  5. Poor hygiene: Poor podiatric hygiene is often the culprit for smelly feet. A good foot care routine helps you part ways with bacteria and sweat.

If you have a severe case of smelly feet, you might want to talk with your podiatrist about the next level of care.

If you are suffering from an unpleasant foot odor or think that one of the above factors is affecting your foot health, come to Joseph Stuto, DPM in Brooklyn, NY. Dr. Joseph Stuto, our board-certified podiatrist, specializes in all sorts of foot-related problems such as arthritis, toe deformities, skin disorders, and crush injuries. For more information on foot odor and foot health, call (718) 567 1403 or browse through our extensive patient library online

By Joseph Stuto, DPM
July 25, 2018
Category: foot conditions
Tags: walking   feet   pain   orthotic   overpronation  

Are your feet beginning to look misaligned or disfigured? Do they burn when you walk? Are your hips and back always in pain? No matter how old you are, or what you do regularly it is still estimated that about 45% of people have a foot disorder that not many have heard of. This foot disorder is widely known in the podiatry world as misaligned feet.

What Are Misaligned Feet?

Have you ever noticed that your feet behave differently when you walk? If your feet roll inward when you walk, this could be a sign of misaligned feet. More specifically, when the feet roll inward when walking, this is called overpronation or hyper-pronation. When your feet are properly aligned, your ankle bone sits in the right spot which is directly on top of your heel bone. The front edge of the ankle bone sits slightly overlapping the heel bone and allows for a natural amount of space to occur. This space is called the sinus tarsi.

When your feet are misaligned, the ankle bone doesn’t work properly. Instead, it slips off of the heel bone. The slipping causes the sinus tarsi to collapse which allows the feet to roll inward, eliminating the naturally occurring gap.

How Misaligned Feet Affect You

The average person takes up to 10,000 steps a day if, not more. That means you are constantly on your feet. If you are walking a lot and your body is misaligned, your body ends up being forced to make up for its positioning by putting extra strain and pressure on your ankles, knees, hips and back. This can lead to excessive and chronic pain. Not only does this really hurt, but it can also keep you from your everyday tasks.

What Can You Do About Misaligned Feet?

There are many treatment options available for those who suffer from misaligned feet. One such treatment is the use of orthotic devices. These devices are custom-made for your foot and can help to make up for any deformity you may be dealing with. They are inserted into the shoe and generally you cannot notice them. The most obvious sign that you are wearing them is that your pain is eliminated.

Another option is surgery of the foot. There are multiple kinds of surgery that are available due to technological advances. Many newer surgery practices are minimally invasive and require less downtime than the traditional procedures. Before choosing surgery as an option, it is important to consult a podiatrist. Our office can help make your consultation easy and worry-free. Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto can help you treat your misaligned feet. Call 718-624-7537and make an appointment today.

By Joseph Stuto, DPM
May 30, 2018
Category: foot conditions
Tags: hammertoes   calluses   corns   podiatrist   metatarsal bone   x-ray   shoes   orthotic  

If you have been experiencing some discomfort in your feet, it isn’t unnatural for you to get curious and take a look down at your toes. What is it that is causing the discomfort? Can I remove something to make it better? If you look down and notice that your second toe, also known as your pointer toe, is longer than your other toes, including your big toe, this could be a sign of a more complicated foot problem known as Morton’s toe.

Morton’s toe is a condition in which the pointer toe is longer than the other toes. Specifically, it is a condition in which the second metatarsal bone in the foot is elongated more than usual. This condition can often be diagnosed via x-ray in the office of a podiatrist.

What Impact Does This Have?

Morton’s toe has an impact on our daily biomechanics. This is because the pressure that is put on our feet is transferred differently in a Morton’s toe. Whenever pressure is added or shifts, the foot is more likely to endure foot pain and improper biomechanics.

Morton’s toe can also have an impact on the shoes that we choose. A shoe is most often crafted with the intention of the big toe being the longest toe. That means most shoes do not accommodate enough space for a foot with an elongated second toe, so a Morton’s toe is more likely to jam into the shoes of the sufferer. Jamming the toe can cause corns, calluses, hammertoes, nailbed problems and sprains or fractures.

Avoiding the Pain

The best way to avoid pain and find relief is to seek the help of a podiatrist. They are trained in the dealings of Morton’s toe and can help you find a good treatment option for your specific case. While biding your time for your appointment, you can try some of these simple tactics to lessen pain and suffering:

  1. Buy shoes that are bigger and can accommodate the longest toe.
  2. Try an orthotic or splint inside the shoe to reduce rubbing and jamming.
  3. Splint the toes so that they do not suffer deformity from trauma.

If you are suffering from a Morton’s toe, contact our office immediately. We can help you find a treatment option that is right for you. Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto can help get you on the right path to treat your feet. Call 718-624-7537and make an appointment today.

By Joseph Stuto, DPM
March 08, 2018
Category: foot conditions
Tags: orthotics   edema  

Pregnancy is an amazing journey that many lucky women are able to experience.  As the body grows and expands to accommodate the new bundle of joy, you may notice mild swelling throughout your body. It will be especially apparent in the feet and the ankles. The amount of swelling you experience can vary by the hour (increasing in the evening) and by the weather (warmer temperatures forecast more swelling).

When Do Feet Swell During Pregnancy?

Edema affects a broad range of women during their pregnancy. On average, about a third of women suffer from edema. Edema is most common during weeks 22 to 27 of pregnancy. After pregnancy edema can still plague a woman.

What Is the Reason for Pregnancy Swelling?

Edema happens during pregnancy due to an increase in blood flow and bodily fluids. This increase of fluids and flow is due to the need to create a healthy baby. It helps a baby build tissue and also helps to make sure the mother is getting enough blood flow as well. This increased flow can put pressure on the body which causes the swelling. Many times, the swelling is centered within the feet and ankles due to the natural gravitational pull.  Another reason you may be experiencing swelling in your feet is due to faster than normal weight gain.

What Are the Risks of Swollen Feet and Ankles?

Some mild swelling of the feet and ankles is completely normal during pregnancy. While some people experience this swelling, others can experience no swelling at all. It all depends on the woman and how her pregnancy presents. If the swelling is accompanied by other symptoms such as a headache, dizziness or high blood pressure, it is important to call a doctor right away.

If your doctor checks you out and determines that you are only experiencing simple edema and no other serious pregnancy risks, consider making an appointment to see a podiatrist. A podiatrist can set you up with a custom orthotic to help keep the swelling of your feet under control. These orthotics can also add support to the feet and prevent pain when walking. Please call calling Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto will explain edema to you and help you find solutions to treat it. Call 718-624-7537and make an appointment today.