Podiatrist Blog

Posts for category: pediatric foot condition

By Joseph Stuto, DPM
December 18, 2018
Tags: ingrown toenails   Bunions   diabetes   hammertoes   warts   shoes   young feet  

As a parent, you are constantly thinking about your child’s health and well-being. From monitoring their physical activities to their eating habits, parents can never be too cautious. While all these checks are necessary for your child’s development and overall health, their feet are often overlooked.

To make sure that young feet stay healthy, here are some key tips for parents:

  1. Daily foot inspections can ward off many concerns, especially for those with diabetes. Check for any abnormalities such as warts, bunions, hammertoes, ingrown toenails, cuts, and bruises. Early detection and timely corrections can help prevent many foot and ankle problems.
  2. Wash your feet every day with warm water and soap. Use a towel to dry your feet properly, especially between the toes. Keeping your feet dry and clean helps to keep infections from setting in.
  3. Proper shoes can go a long way in averting foot disorders, especially in children. Wear shoes that have wide-toe boxes and proper arch support. Children’s feet grow very fast. Their feet ought to be measured by a professional every time they buy new shoes.
  4.  We all know how much kids love walking and running around barefoot, especially in the summer season. Their feet are at risk of an injury or infection.

Adopting these key foot care practices can help assure that your child’s feet stay happy and healthy. However, if problems persist, be sure to call a podiatrist for best results.

If your child is having a tough time communicating or articulating foot problems, call Joseph Stuto, DPM of Brooklyn, New York. Our expert podiatrist Dr. Joseph C. Stuto and Dr. Joseph A. Stuto can help your child make the best decision for all your foot and ankle conditions. For more information, you can visit our patient library online.

By Joseph Stuto, DPM
January 03, 2018

Having a child in daycare can be very helpful to a working family. Children grow, learn, and socialize. They meet friends, learn a routine and benefit all the way around. Unfortunately, daycare can come with a price. Illness and viruses are very common. One very common disease your child can contract is Hand, foot and mouth disease. This disease is most common in children in child care settings because of frequent diaper changes and toilet training, and because little children often put their hands in their mouths.

Hand, foot and mouth disease is a mild, contagious viral infection. It is characterized by sores in the mouth and a rash on the hands and feet. Hand, foot and mouth disease is most commonly caused by a coxsackievirus.

Your child is most contagious with hand, foot and mouth disease during the first week of the illness. The virus can remain in the body for weeks after the signs and symptoms are gone. This means that even weeks later other children can contract the virus.

There's no treatment for hand, foot and mouth disease. Podiatrists recommend frequent hand-washing to help to prevent the disease. 


  • A red rash on the feet, hands and sometimes the buttocks
  • Fever
  • Sore throat
  • Painful, red, blister-like lesions in the mouth
  • Irritability
  • Loss of appetite

The usual period from initial infection to the onset of signs and symptoms is three to six days. A fever is frequently the first sign of hand, foot, and mouth disease, followed by a sore throat and sometimes a poor appetite.

One or two days after the fever begins, painful sores may develop in the front of the mouth or throat. A rash on the hands and feet and possibly on the buttocks can follow within one or two days. These rashes can be painful and look like dots.

The disease spreads by contact with an infected person's:

  • Nasal mucus
  • Saliva
  • Fluid from blisters
  • Stool
  • Remnants of a cough or sneeze

Adults are also able to contract the disease. Although it is not usually as severe, it can be uncomfortable. Adults usually only have a sore throat and rashes on their feet and hands. Sometimes, more severe cases cause full blown symptoms of the disease.


Sometimes it can be hard to decipher whether or not you or a loved one has hand, foot, and mouth disease. If you are having a hard time deciding whether it is this disease or another foot problem such as a rash, blister, or lesion, call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto will use their vast knowledge and experience to give you a diagnosis in no time. Call 718-624-7537and make an appointment today. We strive to keep you and your feet in tip top shape.

By Joseph Stuto, DPM
November 09, 2017
Tags: orthotics   bowlegs   flatfeet   intoning  

Children tend to be very active and are always getting into something. Due to their natural inquisitiveness and their need for adventure, the often find themselves running into a foot or ankle injury. Not all of a child’s foot or ankle injuries are from activities. Some of them occur as their body develops. Here are four different types of developmental problems to look out for:

  1. Bowlegs – This condition is typical for infants 12-24 months in age and can be obvious when looking at a child’s legs. Healthy legs should be relatively straight up and down. Bowed lags curve out like a bow, hence their name. Many children or adults with this condition are still stable on their feet. A lot of the time, the condition spontaneously resolves itself. If the bowlegs are severe and are hindering an individual from natural movement, more drastic measures such as surgery can be taken.
  2. Knock-knees – This condition, which usually stems from bow legs, is relatively normal for children ages 2-4.  It typically improves with age and straightens out at around 11. Sometimes bracing is used to help aid in the correction of the disorder if it is severe and causing mobility issues.
  3. Flat Feet – Flat feet are very common in children and adults alike. Flat feet are usually due to genetics. Most of the time, they cause no problems for an individual. Other times they can cause pain and tired feet. Good orthotics and shoes can help treat this condition.
  4. Intoeing – This is when the upper part of the body at the hips is rotated inward and causes an abnormal gait. Twisting a shin bone is one of the most common causes of intoeing in children between ages 1 and 2. Thigh bone torsion usually causes intoeing for children ages 3 to 15. 

Are your child’s legs bowed? Do they knock their knees when they walk? Stuto Foot Specialist, located in Brooklyn, New York can help examine, diagnose, and treat your child and their developmental disorder. Podiatrists Joseph C. Stuto, DPM and Joseph A. Stuto, DPM have been helping patients with all types of developmental disorders for years with great results. Call 718-624-7537 or request an appointment online today.

By Joseph Stuto, DPM
September 20, 2017
Tags: polydactyly  

The saying, “Ten tiny fingers, ten tiny toes, gorgeous eyes, button nose” is a phrase many of us have heard when expecting a child for the first time. Expecting a baby is both exciting and nerve racking. As a parent you worry about everything when it comes to your little bundle. Which car seat is the best? Which hospital should we use? Will they be healthy? These are all normal thoughts and fears. A general rule of thumb is that if baby enters the world with all the appropriate organs and extremities then they are healthy. What happens when they enter the world with extra digits?

When a child or person has an extra toe, it is known as polydactyly. This deformity usually occurs in about 3 to 13 cases out of every 1,000 live births of those of African American descent and 1 case per every 1,000 live births in the Caucasian population. Polydactyly is not known to be more dominant in any particular gender.


The primary cause of polydactyly is thought to be due to genetics. Somewhere a chromosome is passed down from the mother or father to the infant. This chromosome triggers the growth of the extra toe. This could be due to a hereditary genetic mutation from a prior relative’s past.

Extra toes occur on the border toes of the foot. The big toe and the baby toe are more likely to sprout an extra toe than those toes that hang out in the middle of the foot. Sometimes an entire extra toe is grown onto a baby. These toes have a vascular structure, a nail, bones, and tendons just like any other toe on the foot. Sometimes the extra toe does not form all the way. Sometimes only a small nub appears at the ends of the border toes.


Usually surgery is required to remove the extra toe. This surgery is often complex and should be done by a trained podiatrist who also specializes in foot surgery. Surgery can occur any time after 6 months of age when the child is more likely to handle anesthesia properly.

Do you have a child that has an extra toe? Thinking about getting it removed but do not know where to go? Joseph Stuto, DPM located in Brooklyn, New York has the right podiatrists and resources for you and your child. Dr. Joseph A. Stuto and Dr. Joseph C. Stuto are both highly trained podiatrists who can properly assist you in making educated decisions about your child’s foot health. Call 718-624-7537 or make an appointment online today.

By Joseph Stuto, DPM
September 13, 2017

Every time a life enters this world, it is a momentous occasion. That tiny little bundle can bring so much love and joy into a home. Before they become a part of your life you spend so much time researching the best car seats, strollers, shoes, and other baby gear in order to prepare for their arrival. As a parent, you want to give them absolutely everything and also be informed about all of the new and exciting things to come. Unfortunately, we can’t always prepare ourselves for everything. In some cases, when our little ones enter the world, they can enter with differences. These differences can come in the form of illness or even deformity. One such deformity they can acquire is calcaneovalgus. This is a deformity of the foot that can be treated.

Calcaneovalgus is also known as a “packaging problem” in the podiatry world. That means that it is a deformity on the foot that can typically be corrected and looks a bit worse than it really is. This deformity occurs more often in females than it does in males. It occurs when the tibiotalar joint is incorrectly formed. The foot becomes hyperextended and at an unusual angle.

In general, calcaneovalgus occurs in about 5% of all newborns. Usually an overstretched Achilles tendon or other taught and rigid muscles will directly lead to the deformity. An x-ray can confirm a diagnosis of the deformity and then corrective action can be taken.

The prognosis for those suffering from this deformity is relatively positive. Overall, calcaneovalgus is a positional deformity. There are different types of treatment options depending on the severity of each case. In general, a child can be completely healed from the deformity.


The severity of the deformity directly correlates with the type of treatment to be used on a patient. If the patient is only suffering from a mild case of the deformity, then stretching exercises at each diaper change can typically reverse the problem. Those with a moderate case of the deformity can typically be treated with a combination of stretching exercises and casting. Severe cases usually require surgery in order to be completely corrected.

If your child is suffering from calcaneovalgus and you are looking for a second opinion, look no further. Joseph Stuto, DPM, located in Brooklyn, New York has the right set of podiatrists for you. Dr. Joseph A. Stuto and Dr. Joseph C. Stuto can help you decide the best course of treatment for your child and their foot health. Call 718-624-7537 or make an appointment online. We care about your child’s feet and are here to give you the best professional foot care possible.