Dr. Saviet Interview - https://www.youtube.com/watch?v=NwicoiAWGQ0
Dr. Pelto Interview - https://youtu.be/52r1uorul_Q
Diagnosis of the Month - Diabetes - https://www.drpelto.com/diabetes
Free Shoe Horn (Just Ask)
Product of the Month - Doff n Donner - https://amzn.to/3wDvqkG
Question of the Month - Can you do anything for a toe break (fracture)?
Just for laughs! - https://www.youtube.com/watch?v=XoQn5IDmSlk
(Transcript)
Dr. Don Pelto
Hello, Dr. Pelto. Here. Welcome to the central Massachusetts podiatry newsletter for November 2021.
Today, we have a lot of stuff that I have a special guest for you guys that stick around. He's sitting here in the room with me. All about big toe pain is the webinar, you can either register for it, we're doing the 33 you can get the replay. With that same link, Doctor Saviet it and myself. We both did some interviews with concierge physical therapy. The diagnosis of the month we're gonna talk about diabetes because November is Diabetes Awareness Month. We have these new shoe horns, if you guys want one, you can just ask for one when you're in the office. If you don't watch the video, you're probably not going to know to ask, and then a question and answer. We're going to answer that. And then I have something just for laughs. If patients tell me something funny, I like to share it with others. So let's get into it.
This is the webinar all about stiff big toes. Basically, it's arthritis of the big toe. This is what we're doing it if you're watching this afterwards, you click the link underneath and you can watch the replay. This is the the ad so if you have a smart phone, you can use the QR code to get to it. But this is it's for you. If you're have pain when kneeling and squatting, or bending of your big toe or when you're barefoot or going up and down. We're doing it via zoom. So join us.
This is a podcast that Dr. Saviet did. So I'm putting a link underneath here if you want to watch it about foot and ankle pain. And he was stellar as always with his podcast and Shawn. He's a friend of ours. Shawn interviewed us. I did one as well. Mine was better. Just kidding, Ben. Yours was better. And yours is more academic, that's for sure. And I talked about running without pain was Sean's you can watch that one as well.
Diagnosis of the month we're talking about diabetes. Why? Because November is Diabetes Awareness Month. So the one thing I would say if you are diabetic or you have a loved one that's diabetic, I would see you soon you want to see an eye doctor once a year. To look at your eyes. You should see your endocrinologist or diabetes doctor, you should see like a dentist because your teeth get affected and you should get a diabetic foot exam, a comprehensive diabetic foot exam. If you've never had one of those. It's a wonderful experience, okay, you get your foot exam, we look at the pulses, we look at the nerves and everything like that. You could if you qualify, get diabetic shoes, and we have this new company we're using where they go right to your house. And then you should be checking your feet every day. I'm putting a link underneath here. There's this little course I just call it a course it's not really a course it's it's a whole bunch of links to good stuff for people that have diabetes and a book. I'm going to put a link underneath there if you want to get that.
This is the free shoehorn isn't this beautiful? Right? It's just because all of our patients were asking for our shoehorns, and I didn't want to give her I couldn't give them to him. You know, the Hey, we like to shoehorn in and I said, Well, maybe we should just get shoehorn. So we ordered a whole bunch of these. And if you want one, just ask the office, they work great. I think the real longer ones are better. There's a real long ones, but they wouldn't fit in our treatment rooms. So this one's pretty good. So tell me what you think if you want one, okay. You can have to come in to get that you can't just send an email to me. I can't email you a shoehorn.
This is the kind of the product of the month. This is something cool. It's called a doff n donner. I don't know if you've ever heard of this. But what a Doff N Donner is, it is something for people that wear compression stockings and they can't get them on. And what a what it is, is basically it's, it's you put the compression stocking on, you can see the heel of the compression stocking, you put this little tube and you wrap that thing up and it just slides right on. It's about $100 on Amazon, I put a link underneath it, but it is for people that can't get their compression stockings because everyone buys them and no one can put them on they try. They try gloves, they try you know other things others devices, but this is the best one that I found so far. I'd like to know what you think about that. You can just comment underneath this video.
And now our special guest, Dr. Kllner Come on over. So Dr. Kellner , okay. Hey, how are you? Oh, good. Good. We have seen it's not going to be just the Don show anymore. It's gonna be the down and Sam show when you're here whenever it's already such. So here I tell the audience true false. You can't do anything for a toll break or fracture. There are two examples here, one on the left one on the right.
Dr. Sam Kellner
I definitely select My answer is false. Definitely look at the x-ray here on the very left, this person fractured their pinky toe, and their toe was now turned outward. So that toe should actually absolutely be evaluated, which would definitely need to be reduced, which is realigning the bones back into place, which is something we do in the office after numbing it up and repositioning it. And then the other x rays here certainly shouldn't be. That's a pronoun dry thing. Well, that's before that's the reduction there. So that's also this picture on the right. Yeah, reduction. That's what it should look like after the bones have been repositioned? In better alignment, where should be you don't want your pinky toe stuck pointing outwards. And then the other fracture
Dr. Don Pelto
that was a patient of mine that came in like to me I say, Well, what can you do? Oh, nothing. This was two months later.
Dr. Sam Kellner
Before After, okay, great. Before is on the left here. Yep. Okay, so the fracture actually, on the new did or gotten multiple pieces through the joint and got a little bit worse, still would let that heal in its position. But they're certainly going to have arthritis and then join later in life and whether that becomes a problem or not, should be addressed maybe with surgery or without surgery as needed. But that would be
Dr. Don Pelto
in what Afrikaner when does someone need to come? Is it everyone that stubbed their toe at nighttime? Or are there certain instances? What do you look for
Dr. Sam Kellner
Hi, I would definitely look for significant bruising, swelling, pain, or especially dislocation, like that first X-ray there that those should definitely be evaluated, especially if it's not getting better than once in a week and
Dr. Don Pelto
Should they like tape it or use something else?
Dr. Sam Kellner
If they can tolerate any sugar, I definitely recommend what's called a post-op shoe. It's a very stiff-soled sandal that can help them walk a little bit better doesn't allow the toe to bend when you're walking in that sometimes when there's an angulated fracture and the toe is going maybe outward this way,
Dr. Don Pelto
kind of like Star Wars
Dr. Sam Kellner
as the best, I can do my fingers there. But say that the pinky toe was going out this way I want to body splint it to the adjacent toe so that holds in a better position. But if the toes are in a good position, I usually just kind of do a straight wrapping around the toe itself. So compression sleeves help with the swelling and holding industry position.
Dr. Don Pelto
Wow. Thank you for being a special guest this month. Okay.
As I finish up here, just for fun, this was a patient of mine, the patient new I'm from Minnesota, and we did this this video it's our old one from 2009 called new in town. And I went and just watch the and whatnot and watch the whole thing and I want to it's called new in town. But this is a if you don't know Minnesota Vikings so here this is what everyone does. They have the hats, the Viking hats, they have the Viking uniforms. What they're missing is the brick. What we have is the sponge bricks, the styrofoam of sponge bricks in Minnesota, that that we use to throw out the TV when our team doesn't win. So anyway, that's I'm from Minnesota. So once again, thank you for watching our newsletter for November 2021. Have a good one.
