Podiatrist Blog

Posts for tag: toenail fungus

By Joseph Stuto, DPM
October 14, 2019
Category: foot fungus
Tags: toenail fungus   toenail   treatment  

Fungus thrives in warm and moist places like gyms, pool showers and even the space inside your shoes. Closed areas restrict the moisture from drying up, thereby creating a breeding ground for fungi.

At Joseph Stuto, DPM, we have identified three reasons why your toenail infection may reappear, despite getting treatment:

  1. Contact with Fungi: Even if you have treated your fungal toenails, the infection could return if your feet are exposed to fungi again. Avoid going barefoot into public showers and changing rooms. If you wear closed shoes, spray them with antiseptics or antifungal sprays to kill any bacteria that may be accumulating inside. Also, wash your feet regularly, spray them with antiseptics and keep them dry to stop the fungi from getting inside your toenails.
  2. Incomplete treatment: At times, the fungus tends to settle underneath the toenail or deposit in the area between the skin and the toenails. With over-the-counter solutions, the fungal infection may seem to go away. However, there is a possibility that some residue is still present in the toenails. That may require some advanced treatment involving passing a laser beam over the infected nails and surrounding skin.
  3. A weak immune system: Usually patients with diabetes or blood circulation issues have slow healing capabilities and are more likely to contract infections like toenail fungus. If you have such a condition, you need to be extra careful and keep examining your feet for any unusual changes. Visit your podiatrist frequently to address your foot concerns so that any infection can be caught well in time.

If your fungal toenail issue persists or you feel that the fungus may be coming back, schedule an appointment with our highly experienced and qualified podiatrist Dr. Joseph Stuto for examination and treatment options. Our offices are located in Brooklyn Heights (718) 624-7537 and Brooklyn (718) 567-1403, New York for your convenience. To keep you informed and equipped in making better decisions regarding your health and well-being, visit our extensive patient library and blogs section.

By Joseph Stuto, DPM
September 11, 2017
Category: Foot Care
Tags: toenail fungus  

How your podiatrist in Brooklyn, New York can helptoenail fungus

If you have toenail fungus, you’re probably embarrassed to show your feet. Fortunately, you can get rid of toenail fungus. Dr. Joseph Stuto wants to share the facts about this annoying foot problem. He has two convenient office locations in Brooklyn, New York to help you.

You may be at higher risk of toenail fungus if you:

  • Are older or have reduced blood flow
  • Are diabetic, or have a weakened immune system
  • Sweat heavily or have a history of athlete’s foot
  • Have a skin condition like psoriasis

Toenail fungus can show up as a small white or yellow spot beneath your toenail. The fungus gets larger as it goes deeper underneath your toenail. In addition to the growing fungus underneath your nail, there are other signs and symptoms you may notice including:

  • A foul odor or pain in your toes
  • Crumbly, brittle toenails
  • Darkened and thickened toenails
  • Distorted, oddly shaped toenails
  • Separation of the toenail from the nail bed

You can try to treat toenail fungus yourself with some home remedies like these:

  • Trimming and thinning your toenails
  • Applying over-the-counter antifungal creams

If home remedies don’t help, it’s time to see Dr. Stuto. He has several effective treatments for toenail fungus, including laser treatment. Heat and light are produced by the laser which kills the fungi. Laser treatment is conservative because only the fungi is targeted, not healthy tissue. The fungi is eliminated without harming your healthy toe. In addition, he may recommend these therapies to treat your toenail fungus:

  • Prescription strength oral anti-fungal medication
  • Prescription strength topical anti-fungal medication
  • Surgery to remove part or your entire fungal nail

After your toenail fungus is gone, it’s important to prevent future fungal infections. Fungi thrive in moist, warm environments so always wear sandals or flip-flops when using public showers or swimming pools. Wash and dry your feet thoroughly. Wear moisture-wicking socks and breathable shoes.

Stop hiding your toes and bring them out into the open! Get rid of stubborn toenail fungus by calling the expert, Dr. Joseph Stuto, with two office locations in Brooklyn, New York. Call today and protect your feet!

By Joseph Stuto, DPM
July 05, 2017
Category: toe conditions

Podiatrists treat all types of foot and ankle ailments. They can range from sprains, fractures, and breaks to calluses, vascular disorders, and other diseases. There is not much they haven’t seen when it comes to the feet and ankles. As such, they very commonly treat problems with the toe. Toenails specifically are treated on a regular basis. Your toenails are made out of protein, calcium and other substances. They are very thin (only about 1mm or less) and grow constantly. They are very hard due to their sulfur content and the lack of water they have in their composition. Although toenails are tough, they are subject to a lot of different disorders.

Thickening and Discoloration

Are your nails so thick that you can barely clip them? Are they yellowing or becoming less translucent? This may be a sign of nail disease and should be treated by a podiatrist, such as Dr. Joseph Stuto of Joseph Stuto, DPM in Brooklyn, New York. He can examine the nailbed and determine whether the thickening and discoloration is due to disease, age, or fungus.


When you have a green colored nail, you have fungus. Fungus is an infection of the nail. It can cause a nail to thicken and discolor or become brittle and break down. Fungus is hard to treat but is not incurable. Podiatrist’s often use antifungal medications to kill the fungus and prevent it from returning to the nail.

Ingrown Toenail

Another common toenail problem is an ingrown toenail. This is when the nail grows, curves and cuts into or embeds itself into the skin. It can cause an infection that will further harm the toe and that can spread to the foot. Podiatrists can cut the offending nail with special clippers. Sometimes, if the nail is very embedded into the foot, a foot surgery must be performed to remove the nail and prevent infection.

Whether you have a fungus, an ingrown toenail, or your nails just don’t look how they ought to, it is important that you get them checked out by a podiatrist. Call 718-624-7537 or make an appointment online today. Dr. Stuto will examine, diagnose and treat your toenail so you can have one less problem on your plate.

By Joseph Stuto, DPM
May 10, 2017
Category: Foot Care
Tags: toenail fungus  

Recently a patient came into my office saying she felt like she wanted to scratch her feet off!  She had seen me about a month before and I prescribed her an antifungal cream.  Apparently, it wasn’t doing the trick.  After soaking her feet and examining them, I found that she had patches of skin missing.  It was obvious that she had been pulling the skin off.  When we discussed what was happening, she told me that her feet feel so itchy, she scratches them- and dead skin easily comes off (or is pulled off!) 

She knows she shouldn’t do that to her feet, yet she said it’s so difficult not to since they itch, and seem to be covered in a layer of callous/dead skin.  I explained that some foot fungus is very stubborn and resistant to certain types of creams.  It is similar to antibiotics, as our bodies are simply resistant to certain kinds of antibiotics, and doctors sometimes have to prescribe two or three different ones before they can find the one that solves the problem. 

It is definitely frustrating, though, and I empathize with her feelings.  She told me she’s so tired of having this foot problem and just wants it to go away, and have healthy skin on the soles of her feet, as she once did.  Unfortunately, though, she waited years before she saw a podiatrist.  When I asked her how long she’s been dealing with this, she divulged to me (in an embarrassed state) that it’s been years that her feet have been like this.  Sometimes it is worse than other times.

In the case of foot or toenail fungus, early detection and treatment is very beneficial.  Since the longer one waits in this situation, the more advanced the fungus becomes. It grows and gets stronger and more resistant to various treatments.  In her case, it would’ve been wise to deal with this much, much sooner. 

When you have problems with your feet, they can sometimes go on the “back burner” and be ignored.  This is not a good idea, though, as many problems can be dealt with and cleared up so much faster when they are in their earlier stages.  So, if you are experiencing something similar to this woman, or any other foot or ankle problem… don’t wait!  Call Dr. Joseph Stuto.  He has two convenient Brooklyn offices available to see patients.  Don’t let your itchy feet bring you down- get in to see your podiatrist and kiss those itchy feet blues goodbye! 

By Joseph Stuto, DPM
April 06, 2017
Category: toe conditions
Tags: toenail fungus  

Do your toenails appear thicker than normal, yellowish or cracked?  Well, if so, you may be suffering from toenail fungus.  Toenail fungus is an infection that gets in through the cracks in your nail or cuts in your skin that can make your toenail change color or get thicker.  It can also be painful sometimes.  Since our toes are often warm and damp, they are the perfect breeding ground for fungus.  Different kinds of fungi and yeast can affect different parts of the nail.  When these conditions are left untreated, the infection can spread to other toenails, skin, or even fingernails!  ICK, right?!

 If you are noticing that your toenails are looking like this, there is a good chance that they are infected with fungus.  Infected nails are not only usually thicker than normal, but they can be warped or oddly shaped.  Typically, they are yellowish in appearance and can break easily.  When fungus builds up under your nail, it can loosen and even separate the nail from the bed. 

So, why do people get toenail fungus, and who gets it?    People who have diabetes, athlete’s foot, or a weak immune system, who smoke, or whose family members have it are also at a higher risk.  Men are more likely to get it than women, and older people are more likely to develop toenail fungus, as well.  If you are a swimmer, or someone who spends a lot of time in the water… or someone with an injured toenail, your odds for getting toenail fungus go up.

Toenail fungus can be tricky to identify, as it can look like other conditions.  It is important to get a diagnosis if you suspect you have it.  Dr. Joseph Stuto has two convenient Brooklyn locations for people to visit.  You should see a podiatrist if you think you have toenail fungus, as it is often confused with psoriasis.

The good news is that you can treat toenail fungus topically in many cases.  However, sometimes an antifungal prescription pill is recommended, and in worst case scenarios- removing the damaged area of the nail or skin.  Hopefully, you’ll be one of the people who can get rid of the icky fungus with a topical cream or nail lacquer.  Call Dr. Stuto so he can help you get on the road to having fungus-free feet!