Podiatrist Blog

Posts for: March, 2016

By Joseph Stuto, DPM
March 10, 2016
Category: Foot Injuries

If you've been dealing with ongoing heel pain, and methods like medication, exercise and shoe inserts have failed to bring relief, you foot painmay be a candidate for extracorporeal shockwave therapy at your Brookyln podiatrist's office. Here, you'll learn how Dr. Joseph Stuto uses this non-invasive treatment to treat patients with chronic heel pain at his Brooklyn, New York podiatry practice.

What is shockwave therapy?

Although the name might sound a bit threatening, this procedure is actually very safe and has few side effects associated with it. The shockwave therapy you receive from your Brooklyn podiatrist involves a period of focusing ultrasonic waves onto the heel, which helps improve blood flow and healing of the damaged inner tissues. This procedure is especially appealing to both podiatrists and patients because, unlike surgery, it requires no incisions or downtime.

What happens during shockwave therapy?

During a shockwave therapy session, which can last between 30 and 45 minutes, your Brooklyn podiatrist positions a hand-held instrument on the affected heel, which will be numbed with a local anesthetic first. The instrument emits high-pressure ultrasonic waves to both the soft tissue and bone, stimulating the healing process and strengthening the area. This is an in-office procedure and many patients report immediate pain relief.

How do I know if I need shockwave therapy?

Patients who have heel pain that lasts longer than six months without a response to conservative treatments are excellent candidates for shockwave therapy. This heel pain, described as a burning or aching sensation, is often worse in the morning or after a period of sitting and often sidelines runners and other athletes due to the discomfort. However, only your Brooklyn podiatrist will be able to determine if your heel pain warrants shockwave therapy.

If you've been dealing with heel pain, there are solutions at Dr. Joseph Stuto's podiatry practice in Brooklyn, New York. Call us to set up an appointment today!

By contactus@brooklyn-podiatrists.com
March 05, 2016
Category: heel pain

Heel pain is a relatively common affliction that affects many people, and celebrities are no exceptions. Victoria Beckham, former Spice Girl and wife to international football star David Beckham, suffers from bunions and chronic heel pain as a result of her disdain for flats and refusal to wear any other shoes apart from high heels.

High heels are one possible cause for heel pain, but there are many reasons why one might experience discomfort in the heel area.

Dr. Joseph Stuto is a podiatrist who specializes in helping people with heel pain.

What Causes Heel Pain?

One of the leading causes of heel pain is Plantar fasciitis, which is often caused by inflammation of a thick band of tissue that connects your heel bone to your toe, clinically called the plantar fascia. This tissue runs across the bottom of your foot to create the arch.

Another reason why you might experience pain in the heel area is Achilles tendinitis, which can be diagnosed by your doctor via an MRI or an ultrasound. If you experience discomfort alongside the back of your help, that is a common symptom of Achilles tendinitis, but if the pain is on the bottom of your heel, you’re more likely to have Plantar fasciitis.

How can I prevent heel pain?

The foot contains 26 bones, the largest bone of which being your heel. If you take proper precautions, you can avoid discomfort and pain.

·         Make sure your shoes provide support for your feet and fit correctly

·         Stretch before you exercise

·         Maintain a healthy diet- obesity can trigger various issues with the feet, so by maintaining a healthy diet, you avoid putting that extra stain on your feet.

  • Wear proper shoes- while you may enjoy living on the more fashionable side of life, high heels can cause deformities that in turn, trigger pain.

How is heel pain treated?

  • Icing, wrapping and stretching exercises can help
  • Anti-inflammatory medications
  • Orthotic devices can elevate your arches and provide cushioning to aching heels
  • Surgery as a last resort

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

By contactus@brooklyn-podiatrists.com
March 05, 2016
Category: over pronation
Tags: over pronation  

The foot pronates as a natural reaction to its role as a shock absorbing structure. It also helps you push evenly from the front of your foot. Pronation is considered normal however, over-pronation can lead to foot problems.


Over-pronation occurs when your foot rolls inward more than its normal range of motion and when the shock isn’t absorbed properly and efficiently. In this case, the foot and the ankle can experience trouble in terms of stabilizing your body and can even lead to an injury. When this happens consult a podiatrist. Dr. Joseph Stuto is a podiatrist who specializes in helping people with foot conditions.


You can tell that you over-pronate your foot by simply doing these steps:


1.       When standing, look at your foot and check if you have a visible arch. If an arch is still visible, then rest assured that your foot is okay. However, if you can no longer see an arch and all parts of your sole touches the floor, your feet is over-pronated.

2.       Do the wet foot test. This test is quite simple. Just wet your feet and take a walk on a pavement, then check your footprints afterward. A positive over-pronated footprint will make it hard for you to distinguish your rear foot from your forefoot.

3.       Check your running shoes and if you can see that the inside of the sole is worn out then you must have an over-pronated foot.

4.       The best way to check if your foot is normal or over-pronated is to visit your podiatrist. Your podiatrist might request you on a treadmill to do a full gait analysis or he may assess your condition using force plates to measure the forces and angles of your foot.


Now if you have confirmed that you have an over-pronated foot, you might wish to correct the condition before it leads you to injuries. Several ways to correct it includes:


·         Use an extra-medial support. When buying a running shoes, you should check the inside of the sole and choose the one with a hard material in the middle as this will help support your weight and prevents your foot from flattening or rolling.

·         Consult a podiatrist or a sports therapist to have a gait analysis of your running style.

·         Have an orthotic device fitted. You may consult your podiatrist for this one to ensure that the device fits you properly though you can buy it off the rack if you want to.


Pain is an early indication of a foot injury.   At our practice located in Brooklyn, NY, we specialize in helping people find relief from foot pain.  To schedule an appointment call 718-624-7537.