Podiatrist Blog

Posts for tag: orthotics

By Joseph Stuto, DPM
October 30, 2018
Category: foot deformities

What allows the body to carry and distribute weight efficiently? The answer lies in the arches of our feet. Arches exist for good reason. They not only act as shock absorbers but also help our feet adapt to uneven surfaces by evenly distributing weight throughout our feet. Flat feet (pes planus) is a common foot deformity where the foot appears to have a very low or no arch.

People are more likely to develop flat feet if they have suffered severe trauma to the feet. For example, a motorbike accident or a serious sports injury can cause the arches to fall. Many medical experts believe that flat feet are inherited. It can pass on from parents to children in the genes. In some cases, this condition occurs over time due to aging, obesity, diabetes, pregnancy (hormonal changes in the body), and arthritis.

Early diagnosis and the right treatment can give you relief and prevent further complications. Here are some key things that can help your flat feet.

  • Orthotics: Slide those orthotics insoles into your shoes to relieve you of foot pain by providing much-needed arch support. Custom-made orthotics are specific to your feet and may be used to relieve stress on the arch and minimize pain if the feet roll too far inward. It is important to note that these measures will treat only the symptoms such as reducing your pain and helping you walk more comfortably.
  • Well-fitted shoes: If your flat feet are causing you a certain level of discomfort, then it is best to wear shoes that best provide relief. Wear supportive and well-fitted shoes to help your flat feet find relief.
  • Exercise and stretching: People who tend to have flat feet should follow strict programs aimed at strengthening foot and ankle muscles. Exercises may involve picking up marbles with your toes. A good stretch can also help alleviate the flattening effect. In order to get a good stretch, one may practice different yoga positions.
  • Maintain ideal body weight. People who are obese and overweight are more likely to develop flat feet. Increasing weight can tear the tibial tendon which can cause the arches to fall. Losing weight can help reduce the pressure and pain.

If you are experiencing any pain from flat feet, it is important to schedule a consultation with a podiatrist to fully assess the situation.

At Joseph Stuto, DPM, our team of doctors can help you diagnose and treat a variety of foot and ankle conditions including flat feet. Our podiatrists Dr. Joseph C. Stuto and Dr. Joseph A. Stuto provide top quality foot and ankle care to our patients. For more information you can visit our website or schedule an appointment by calling (718) 624-7537.

By Joseph Stuto, DPM
June 13, 2018
Category: foot pain
Tags: orthotics   swelling   hurt   bone   flat foot   arch pain  

Walking around with pain in your feet can be very aggravating. First, you want to know what is causing your feet to hurt. Second, it is disrupting the flow of your day. Foot pain can make it hard to walk, stand, or bear weight. This can have a direct impact on your job and responsibilities. If you are plagued by flat feet and are experiencing foot pain, you could be suffering from accessory navicular pain.

What Is the Accessory Navicular?

Sometimes when the foot is formed inside the womb, it creates an extra piece of bone or cartilage. This bonus part of the foot can be found on the inside of the inner foot near the arch. It is located close to a tendon and, due to rubbing and foot formation, can become inflamed and painful over time. Not everyone is born with this extra bone.

What Causes Accessory Navicular Pain?

  • Foot or ankle trauma
  • Improperly fitting footwear
  • Overuse or extreme exercise
  • Flat-footedness

Signs and Symptoms of Accessory Navicular Syndrome

Symptoms usually appear during early adolescence. This is because the body is developing, and as the foot develops it becomes more evident that the extra bone is there and taking up space. This bone can begin to get aggravated and swell. A young adult will start complaining of foot pain and could have a hard time walking. Other symptoms include:


  • Orthotics -  These are custom made for each individual foot. They are seamlessly inserted into the shoe and are worn every day. They can help to alleviate stress and pain in the arch and reduce swelling and inflammation.
  • Physical Therapy – A podiatrist may ask you to begin physical therapy if you come to the office with this condition. Physical therapy can build up the strength of the foot which can help alleviate pain.
  • Ice – A podiatrist may have you ice your foot regularly to help reduce inflammation, redness, and swelling.
  • Immobilization – in severe cases, immobilization may be required. This can be in the form of an air cast or a splint. A podiatrist will teach you how to properly immobilize your foot to help it heal.

Pain in the foot does not have to get you down. Instead, call our office to make an appointment to get rid of the pain that an accessory navicular can cause. Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto can help get your accessory navicular pain in control. Call 718-624-7537and make an appointment today.

By Joseph Stuto, DPM
May 21, 2018
Category: foot care tips
Tags: flat feet   orthotics  

When it comes to the world of orthotics, it can be very confusing to pick one that is right for you. Stores boast all types of inserts for the shoe that make promises of painless walks and quick relief. Usually, a store-bought orthotic is not as effective as a custom-made or prescribed orthotic. You can get an orthotic from your podiatrist. At an appointment, your podiatrist can take a mold of your feet and make an orthotic especially for you. This not only ensures effectiveness, but it also addresses the needs your foot presents which are tailored to your experiences.

There are three main types of orthotics:

  • Soft
  • Semirigid
  • Rigid

Each device has its own function. Some are better suited for individuals with arch problems while others are appropriate for individuals with a foot deformity or chronic fatigue. 

Soft Devices

A soft orthotics’ purpose is to provide cushion, decrease force, evenly distribute pressure and improve shock on the foot. This type of device is especially helpful for a foot that is rigid. It does not give a lot of support to the overall foot but focuses mainly on injury prevention.

Semirigid Devices

Semirigid orthotics help to control or balance a poorly-aligned foot. They also give flexibility and shock absorption to the foot. This type of orthotic is the one most commonly prescribed in the world of podiatry. People with flat feet usually benefit the most from this type of orthotic. 

Rigid Devices

Rigid orthotics help to control movement that is not wanted or needed. They are not flexible and offer no shock absorption or cushioning. This kind of device is often used in patients who have poor control of their feet and have a higher risk of injuring themselves. 

Proper footwear and orthotics have a great effect on the foot. Not only do they provide support, cushion and comfort when necessary, but they also serve as a level of protection for the foot. Properly fitted shoes and custom orthotics can help prevent hundreds of foot and ankle injuries every year. 

If you suffer from pain when you are walking, consider visiting the podiatrist and discussing the option of orthotics. If you don’t have a podiatrist, try calling Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto can help to get you a custom-fit orthotic for your foot. 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.

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.