Talon Noir


This is a condition where there is a black spot either on the bottom of the heel, back of the heel, or some other part of the foot, and really what it is caused by is rubbing and it creates a little black spot with a blood blister underneath it.  This is caused by repetitive rubbing on the foot and it is usually not dangerous. You have to be aware, though, if it gets bigger and doesn't go away, to biopsy the area to make sure it is not a melanoma, but for the most part this goes away.  Some types of treatments for it are to trim down the callus tissue over it and to make sure that there is blood underneath there.  As well, using something called Glide to reduce the friction on the bottom of the foot.

To Your Health,
Dr. Donald Pelto 

Maybe a student will be at your next visit.


Part of being a podiatrist in the Worcester area involves having students or residents rotate through the office.  This is something that’s fun for me as it keeps me sharp as well as it is fun for the patients because they get to meet different people.  Just be aware if you come to the office here in Worcester, you may find a student at the next visit kind of learning what to do for foot or heel pain.

To Your Health,
Dr. Donald Pelto

How do you cut the bone when I have an Austin bunionectomy?



An Austin bunionectomy is a bunion surgery that’s done on great toe joint. It’s one of the most common ones that are done by podiatrists. The way the bone cut is done, it’s done in a V format, kind of laying on the side of the bone. So if you look at the head of the bone, you cut through it on the top and on the bottom with a V that allows you to put a screw in it and that’s how the cut is done. It’s a very common cut. It’s much more stable than if you go straight through, because that can lift it up or down.

To Your Health,
Dr. Donald Pelto

Fifth metatarsal fracture. How to treat if you have diabetes?



I see many patients in the office that have diabetes and they get a broken foot. This patient in particular had a broken foot, as you can see on the fifth metatarsal, which is a very difficult place to heal for most people because there is poor blood flow to that area. What I recommend with a gap in there is to just try and let it heal on its own using a walking boot or crutches with non-walking and a bone stimulator to help stabilize and help produce bone growth across that fracture site, also making sure that your blood sugar is under control and you’re eating well to help bone growth. Smoking is an absolute no-no when you have a bone break and you’re trying to heal it, and if it doesn't get better, the treatment is to put a screw across that fracture site for it to resolve the break.

To Your Health,
Dr. Donald Pelto

Why is my second toe larger than my great toe?



Many patients come in with a second toe that is larger than the big toe, especially females, and they think this looks kind of odd and are not sure what to do about it.  Usually it’s because one toe is a little bit longer or the metatarsal bone is a little bit longer as you can see in this x-ray.  What to do about it? Just leave it.  If it doesn't bother you, don’t do anything. One of the problems that can happen is that if you shorten a long second toe, by taking out some of the bone it can compress some of the blood vessels and cause a sausage toe that isn't very easy to deal with. My opinion now for dealing with second toes that are too long is just to leave it that way.

To Your Health,
Dr. Donald Pelto

How to prepare your feet for a marathon.




Many patients that come into my office have either done a marathon or are preparing for a marathon. What I find works best for doing a marathon with your feet is first of all make sure that you’re doing deep tissue massage to the calf muscles, quads and IT bands, to run with the proper method, and I also find it’s very beneficial for your feet themselves to make sure that your shoes are large enough, but not too large because there probably will be calluses. What I find works best for the toes to prevent callusing and blistering is to use something called Glide. This can be purchased at any sporting goods store and it helps reduce the friction on the bottom of the foot. Don’t try new shoes or anything new when you’re doing a marathon, but know that you will probably still get some blistering, and if you do it usually is recommended either to leave the blister or to just pop the blister and leave the cover on it. If there are already signs of infection, you should probably see a doctor about that.  

To Your Health,
Dr. Donald Pelto

2015 Wart Treatment Process

Here is the 2015 wart treatment process.  I hope you enjoy.
Sincerely,
Dr. Donald Pelto