Podiatrist Blog

Posts for: September, 2015

By Joseph Stuto DPM
September 08, 2015
Tags: Heel Pain  

Your foot is a very complex structure made up of many bones, muscles, tendons, and ligaments. So, there are many possible causes of heel pain. However, most people have heel pain in either the underside, or the back of the heel. These suggest different conditions.

Plantar Fasciitis

Underside pain usually points to plantar fasciitis, which is an inflammation of a band of tissue called the fascia. This connects your heel Heel Pain bone to the base of your toes. Pain in the back of the heel usually suggests Achilles tendinitis or an inflammation of the tendon that runs up the back of your heel.

Please be aware that although these are two of the most common causes of heel pain, there are many other possibilities including a pinched nerve, stress fractures, or even a bone tumor. You will need to visit the office of your Brooklyn podiatrist Dr. Joseph Stuto for a Brooklyn, NY heel pain diagnosis.

What causes these conditions?

People born with flat or excessively high arches tend to be prone to problems such as plantar fasciitis. Other causes of heel pain include over-exercising, or a sudden increase in the intensity of exercise. Poorly fitting footwear may also put strain on your foot, causing injury and inflammation. People who work on their feet all day are also more prone to heel pain because they are putting much more weight on their feet.

How can heel pain be treated?

To treat your heel pain, your Brooklyn podiatrist will give your foot an examination to check for the exact points of pain. They will ask about your lifestyle and medical history. They may check on how well your feet can bend or move. They may also take x-rays or other imaging to check on the nerves and bones in your foot.

After a thorough evaluation, your doctor will be able to determine the cause of your pain, and give you the proper treatment. However, in many cases, over-the-counter medications combined with rest, physical therapy, supportive footwear, and orthotic devices will be enough to treat your heel pain. For more serious conditions, surgery may be required.

Had enough of being sidelined? Call your foot doctor Dr. Stuto in Brooklyn, and get rid of heel pain today. Call (718) 624-7537 to put a spring back in your step!

By contactus@brooklyn-podiatrists.com
September 07, 2015
Category: Foot Injuries
Tags: Foot Injuries   Dancers  

Dancers are not only entertainers but athletes in their own right. They combine strength with agility to create dance movements. The feet take a brutal beating from all these movements. It is tasked with supporting the body’s enormous weight while being flexible enough to make us glide across the dance floor.  This is why dancers are at great risk for developing foot injuries.

The first signs of a foot injury can be subtle. Since dancers are no strangers to pain during practices, these symptoms may go unnoticed.  This could quickly turn into career ending foot injuries. Dr. Joseph Stuto is a podiatrist who specializes in helping people suffering from dancer’s heel.

Foot Conditions in Dancers

Bunions – this is a bony protrusion located at the edge of the big toe joint. This happens when the big toe is forced to move inwards to the other toes. The bony protrusion can damage surrounding tissues causing pain and swelling. Bunions can be caused by tight-fitting shoes or through repeated movements that require the big toe moving inwards to the other toes such as dance steps.

Plantar Fasciitis – the plantar fascia is strong tissue that runs through the heel and base of the toes. This is constantly stretched with each foot movement. This can be regularly stretched to its limits with explosive foot movements such as sports activities and dancing. Plantar fasciitis or inflammation of the plantar fascia can cause pain and swelling at the base of the heel and foot arch.

Stress Fractures – the bones and cartilage are part of the feet’s support system. It contributes to helping the feet carry our body weight. The feet are exposed to four times the normal pressure when running and much more when dancing. This leaves dancers susceptible to stress fractures.  

Achilles Tendonitis – the Achilles tendon is the largest tendon in the body. Repeated abuse through explosive dance movements increases the risk for injury. Pain and swelling in the area are early signs of injury. Tightness and soreness of the Achilles tendon as the early signs of injury. Resting the feet and pain medication provides immediately relief for Achilles tendonitis.

These are just some of the common foot injuries experienced by dancers. Early detection prevents further aggravating the injury.

At our practice located in Brooklyn, NY, we specialize in helping people find relief from foot injuries. To schedule an appointment call 718-624-7537.

History of Stress Fracture does not Stop Willie Cauley-Stein from Joining Sacramento Kings - Brooklyn Podiatrist - Joseph Stuto, DPM

Willie Cauley-Stein from the University of Kentucky got the nod from the Sacramento Kings ending up as the number 6 overall pick in this year’s NBA draft. Fellow University of Kentucky center Karl Anthony Towns however, got the top pick overall.

Considered by many as a talented big man, Willie Cauley-Stein averaged 8.9 points, 6.4 rebounds, 1.2 steals and 1 assist. He was considered a defensive specialist who possessed athleticism on both ends of the floor. His story of a stress fracture however, seemed to dampen some the teams searching for a big man.

Stress Fractures and Basketball Stars

There’s certainly no shortage of big men in this year’s NBA draft or in the teams current rosters, but keeping them healthy is a huge concern among teams. Remember how Yao Ming’s career had to be cut short because of chronic foot problems. With the pressure of constantly running up and down the court and jumping for shots or rebounds, basketball players are prime candidates for stress fractures. Combine this with a 7 foot frame and you’ve got the recipe of a possible foot injury.

Willie Cauley-Stein’s history of a stress fractured suffered earlier in his career seems to have fueled concerns about his long term health. But this was not certainly the case when the Sacramento Kings chose him as the number 6 pick in the draft.

You don’t have to be an athlete. People who practice an active lifestyle or indulge in sports activities are also at high risk for stress fracture. A podiatrist is a foot specialist who can diagnose if you are suffering from a foot injury. Dr. Joseph Stuto is a podiatrist who specializes in helping people suffering from foot injuries.

Stress Fractures – Things To Look Out For

  • Pain that is alleviated with resting the feet
  • Swelling or tenderness in the feet
  • Bluish skin discoloration
  • Foot deformity

Pain and swelling are the earliest sign of a foot injury. Most stress fractures do not show any symptoms and could only be detected through advance imaging techniques such as MRI.  

At our practice located in Brooklyn, NY, we specialize in helping people suffering from foot injuries. To schedule an appointment call 718-624-7537.

By contactus@brooklyn-podiatrists.com
September 07, 2015
Category: Children's Feet

Foot problems can develop during our childhood years. This is why parents should take special attention and check their children’s foot for anything unusual. Simple things to remember is to always buy properly fitting shoes to prevent foot and toe deformities. Foot problems may go undetected in children simply because they are unaware of their condition or unable to express how they feel.

So to help parents identify if their child is suffering from a foot problem, here are points that suggests if your child is suffering from a foot condition. If you believe that your child is experiencing any of these symptoms, then it’s best to consult a foot specialist or podiatrist. Dr. Joseph Stuto is a podiatrist who specializes in helping children with foot conditions.

Your child has trouble keeping up with his playmates – difficulty in handling physical activities at home and at school could be an indication of a foot problem. Trouble keeping up with their playmates could be a subtle signal of a foot condition.

Your child complains of never ending pain or swelling from his foot – chronic pain and inflammation in the foot is a clear indication of a foot problem, immediately consult a podiatrist.

Your child is not comfortable showing his feet to anyone, even their parent – if you notice your child wearing shoes at home and overly conscious about their feet. 

Your child is reluctant to participate from activities he usually enjoys – children who suddenly stop participating in physical activities such as those that involve heavy use of their feet such as running or jumping.

Your child has a tendency for repeated clumsiness – this can be an indication that your child is having difficulties with their motor abilities.

Your child is not comfortable wearing shoes – physical deformity or chronic pain in the foot makes wearing one an uncomfortable experience.

Your child’s feet are always sweaty and smelly – sweat is an excellent breeding ground for infections. Fungal infections in particular causes smelly feet.

Uneven shoe wear – this indicated that weight is evenly spread on the foot or your child is favoring one foot over the other. This could be an indication of a foot deformity.

Your child complains of pain on his toenails - ingrown could also be present in children. Improper nail trimming can cause the development of a toe ingrown.

Purchasing properly fitting footwear is a simple way to prevent foot problems in children. Our feet undergo tremendous growth in our childhood years that anything that could prevent its normal formation could have a lasting effect in our later years.

At our practice located in Brooklyn, NY, we specialize in helping children with developmental foot problems. To schedule an appointment call 718-624-7537.


By contactus@brooklyn-podiatrists.com
September 07, 2015
Category: heel pain

A heel spur can be caused by chronic plantar fasciitis or the inflammation of the plantar fascia. People suffering from plantar fasciitis have a high risk for developing a heel spur. However, heel spurs may also develop even without plantar fasciitis.

A heel spur is a small bony projection formed at the underside of the heel bone. This condition is commonly found in athletes, especially runners. The condition can be properly diagnosed through imaging procedures such as an X-ray. This is why heel spurs are hard to detect especially for people who don’t exhibit any symptoms.

It can only be seen through radiological tests such as an X-ray. This is the reason why this condition will go unnoticed, especially to patients who do not exhibit any symptoms. Dr. Joseph Stuto is a podiatrist who specializes in helping people with heel spurs.

When to see a podiatrist

Patients suffering from plantar fasciitis even for those without a heel spur. They should consult his condition to a podiatrist or foot, leg and hip specialist to prevent from further complications. Those who are experiencing pain and swelling of the joints must immediately see a podiatrist for immediate treatment. A podiatrist is in the best position to properly asses, make a treatment plan and prescribe edication to the patient.                       

Treating Heel Spurs

The first step in treating heel spurs is immediate rest and inflammation control. But this only relieves the symptoms and not treat the condition. However, heel spurs that limit the activities of a patient may require surgical removal. The podiatrist may suggest surgical treatments such as:

  • Extracorporeal shockwave therapy
  • Gastrocnemius release
  • Endoscopic Plantar Fascial Release

Pros and Cons of Heel Spur Removal

Most heel spurs are asymptomatic and don’t cause pain. A podiatrist may recommend heel spurs surgery if a patient reports severe pain. One major benefit of heel spur removal is it eliminates symptoms and pain. Complications include soft tissue damage and nerve damage.

Heel Spur Management

Foot related conditions require wearing appropriate foot wear. A podiatrist may recommend wearing appropriate foot wear for managing heel spurs. They might also recommend weight management to decrease the pressure on the ligaments, tendons and bones of the feet.

Heel management may include:

  • Proper stretching and exercise
  • RICE method: Rest, Ice, Compression and Elevation
  • Wear arch supports
  • Take anti-inflammatory medications, only if prescribed by the podiatrist

At our practice located in Brooklyn, NY, we specialize in helping people find relief from chronic foot pain heel spurs.  To schedule an appointment call 718-624-7537.