Podiatrist Blog

Posts for: January, 2018

By Joseph Stuto, DPM
January 24, 2018
Category: foot conditions
  1. Tiny, red lines under the toenail

Tiny red lines under the toenail can be a sign of a heart infection. Red lines under the toenail could be broken blood vessels known as splinter hemorrhages. These occur when small blood clots damage the tiny capillaries under the nails. They can signal endocarditis, an infection of the heart’s inner lining. People who have an existing heart condition, have received a pacemaker, or who have chronically suppressed immune systems are at higher risk of developing endocarditis. The infection can result in heart failure if left untreated. If you notice red lines under the toenails it is important to see a podiatrist right away for further testing. 

  1. Clubbing

Clubbing of the feet can be a sign of lung cancer or heart disease. A symptom that appears in both toes and fingers, clubbing is often associated with lung cancer, chronic lung infection, heart disease, or intestinal disease. Lung cancer and heart disease decrease vascular resistance, which means blood flow to the small arteries in the toenails and fingertips will increase. Tissues swell, resulting in the clubbed looked.

  1. Pitted toenails

Pitted toenails can be a sign of psoriasis. If you find tiny holes, grooves, or ridges in your toenails, you may have nail psoriasis. Though most people who experience nail psoriasis also have skin psoriasis, it is not a guarantee.

  1. Spooned nails

Spooned nails can be a sign of anemia or lupus. Do you have a depression in the toenail deep enough to hold a water droplet? Also known as koilonychia, spoon-shaped toenails or fingernails can indicate iron deficiency, as well as the overproduction of iron, Raynaud’s Disease and sometimes lupus. Spooned nails occasionally appear in infants, but normalize in the first few years of life.

  1. A straight line under your toenails

A straight line under your toenails can be a sign of skin cancer. A dark, vertical line underneath a toenail could be acral lentiginous melanoma, or hidden melanoma—a form of skin cancer.

If you have any symptom listed above on your feet, it is important to see a podiatrist right away. Many of these underlying conditions can be very severe if not treated properly. Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto will examine your feet and test for any underlying conditions that may be causing your foot and ankle issues. Call 718-624-7537and make an appointment today. Act before a small problem becomes a big one.

By Joseph Stuto, DPM
January 17, 2018
Category: foot fungus
Tags: Athlete's Foot   blisters   Tineas Pedis   feet   disorder   shoe   flip flops  

When you are on your feet all day, it is hard to remember to take a break. Eventually, all of the wear and tear will build up and your feet can suffer from it. Not only can overuse be bad for your feet, but it can also cause them to sweat and stay damp during activities. Most people don’t think about changing their socks and shoes until they get home, but after a nasty case of tineas pedis, they may change their mind.

Tineas pedis is the medical name for what is commonly known as athlete’s foot. This itchy disorder affects the soles of the feet and areas between the toes. It is also known to spread to the palms of your hands, your groin, and your underarms. This will only occur if you touch the affected feet and then touch another body part without washing.

Not only is this an aggravating condition for athletes, but it also affects anyone else who consistently stays in damp or sweaty socks and shoes. The fungus that causes the condition thrives in warm and moist environments such as the shoe.


  • itching
  • burning
  • redness
  • stinging
  • flaking of skin
  • peeling
  • blisters
  • cracking

How to Prevent Athlete's Foot

Athlete's foot is very contagious. It is usually spread in moist areas like public showers or pools. To prevent the condition, dry your feet very well, including the spaces in between your toes. Also, using a clean towel is key as the fungus can spread from contact with a surface. It may also be a good idea to invest in a pair of waterproof shoes to use while using a public shower. Water shoes or flip flops are a good choice.

Keeping your feet dry is also a great way to avoid athletes foot. Don’t choose socks that lock in moisture or make your feet hot and sweaty. If you find your feet becoming sweaty during the day, it is important to bring a pair of spare socks and shoes to change into while the other set dries. Due to modern technology, you can find dry-fit socks that will help prevent moisture from welling up in your socks and shoes. Also look into well-ventilated sneakers for best results.

Are your feet dry and cracked? Do they burn or blister? You could be suffering from athlete’s foot or another of the tineas disorders. Call Joseph Stuto, DPM of Brooklyn, New York. There podiatrists Dr. Joseph A. Stuto and Joseph C. Stuto will help treat your itchy, burning feet. Call 718-624-7537and make an appointment today. After all, athlete’s foot isn’t just for athletes. 

By Joseph Stuto, DPM
January 11, 2018
Category: athritis

As we age, we are prone to many different foot and ankle disorders. Diabetes, loss of bone density and arthritis are some of the most common problems for people as they age. Many of these disorders cannot be prevented, but they can be treated. Some disorders are mild while others like hallux rigidus, a type of arthritis, can be debilitating.

Hallux rigidus is a disorder of the joint located at the base of the big toe. It causes pain and stiffness in the joint, and over time it gets harder to bend the toe. Hallux means big toe while rigidus means hard to move or stiff. Hallux rigidus is a form of progressive arthritis. Sometimes it is confused with a bunion, but a bunion and hallux rigidus are completely different.

Because hallux rigidus is a degenerative condition, the toe’s motion decreases as time goes on. At the beginning of the disorder, when motion of the big toe is partially limited, the condition is called hallux limitus. As time goes on and the disorder worsens, the toe’s range of motion decreases until it reaches the end stage of rigidus, in which the big toe becomes a frozen joint. A frozen joint has no mobility.


  • Pain and stiffness in the big toe during use.
  • Pain and stiffness aggravated by cold, moist weather.
  • Difficulty with running and squatting.
  • Swelling.
  • Inflammation around the joint of the toe.

As the disorder gets more serious, additional symptoms may develop, including:

  • Chronic pain even when not using the toe.
  • Bone spurs.
  • Difficulty wearing shoes.
  • Hip, knee and back aches.
  • Limping.

Treatment Options

In many cases, early treatment may prevent or postpone the need for surgery in the future. Treatment for mild or moderate cases of hallux rigidus may include:

  • Changes to the shoe can help the condition. Shoes with a large toe box put less pressure on your toe. Stiff soles may also be recommended for more support and stability.
  • Orthotic devices can adjust the placement of the foot and stabilize it. Custom orthotic devices may improve foot function.
  • Over the counter pain medications can help control pain. Ibuprofen and other over the counter pain relievers may be recommended to reduce pain and inflammation.
  • Injection therapy of corticosteroids may reduce inflammation and pain.
  • Physical therapy can help to provide pain relief and also help prevent joints from freezing.

The sooner this condition is diagnosed, the easier it is to treat. Therefore, the best time to see a foot and ankle surgeon is when you first notice symptoms. If you wait until bone spurs develop, your condition is likely to be more difficult to manage. Call Joseph Stuto, DPM of Brooklyn, New York. There podiatrists Dr. Joseph A. Stuto and Joseph C. Stuto will use their vast knowledge and experience with arthritis 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
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.