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October 2021 Newsletter from CMP

Newsletter October 2021

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Here are some of the referenced items in the video 






Hello Dr. Pelto here, welcome to the newsletter for October 2021 with Central Massachusetts Podiatry. 

Today we're going to talk about the diagnosis of the month. It's called hallux limitus. If you're not sure what that is, we'll talk a little bit about that. Then in combination, we're going to have a webinar coming up in the next month in November you can start registering for it's called "All About Big Toe Pain." 

There's a little true or false question. We were brainstorming with Dr. Saviet, we came to some questions and I want to talk a little bit about this new way of scanning for orthotics using a 3d scanner. 

The diagnosis of the month check this out. This is called hallux limitus. Have you ever heard of this before? Basically what it is instead of a Bunion that's on the side. It's a Bunion that's on the top of the big toe joint. It's actually a little bit of arthritis a little bit of everything. 

Let's talk about what happens. It starts with normal joint motion. And this is where the first metatarsal which is right here, goes down and the joint goes up. And then that can develop into something called functional hallux limitus which means when you function or when you're walking in jams in this joint and then over time that can develop into bone spurs on the top that's called structural hallux limitus.

There's a lot of treatments for this I'm not going to go into detail, but you might try icing anti-inflammatories new shoes to start, but then you may need orthotics cortisone injections and then even surgery in the future.

We're going to be talking about all that at this next webinar. It's called all about stiff big toes so if you want to register just click underneath this video you're gonna learn more information to register for that. We can accept a certain number so register now so you can get your spot. 

The next thing I want to talk about is the true or false question. White discoloration on the nail is that always fungus look at this white stuff especially we see females after the summertime and they pull off a nail polish they see this white discoloration is that nail fungus. 

It may be there's a type called superficial white, which just means white discoloration on the top of the nail. If you can scrape it off with like a curette. That's just a little device just to kind of scrape it or you can buff it off. It's probably not or just it's something light that's caused by the nail polish that you use. But if you're concerned you should get it checked out. But it's very common depending on the quality of the nail polish. That is a fungus a real thick toenail is typically a fungus. So if you need some help, let us know. 

Finally, let me show you this is cool. This is an iPad. And you're gonna see it actually makes a 3D scan. I have a picture here that you can see here, when I click play, you're going to be able to see this little video here, of this person scanning a foot here. So here's the foot, this is the iPad. And what they do is they go out at a certain distance and they can go around in different angles, and it has this little box. And if you have had orthotics from us recently, we use the scanner and it's able to do a 3d scan for an orthotic but also for a brace. You can see this right up here and you can go looking at different angles. And it's really cool. So from this, it's able to fabricate a new orthotic for you can see how it kind of changes colors when you go in there. So kind of a neat thing, a new type of technology that we use here in the office, so I thought you would like to learn about that. 

Okay, so that is the newsletter here for October 2021. Thanks!

Dr. Donald Pelto Dr. Donald Pelto Dr. Donald Pelto is a Podiatrist at Central Massachusetts Podiatry, in Worcester and Westborough. Author of several books on foot health, he also speaks Portuguese and Spanish. He likes to go on family hikes and loves learning and talking about health related topics and healthy life hacks. Watch some of his interviews about health and video lectures on

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