Corns and callus
Corns and callus are the most common problem seen by a Podiatrist. A callus
is a more diffuse thickening of the skin (more common on the toes, but can occur
under the ball of the foot) whereas a corn is a thicker more focal area area (more
common on the toes). A corn can occur under and be surrounded by callus.
A corn or callus are areas of thickened skin that occur in areas of pressure. They
are actually a normal and natural way for the body to protect itself. In the foot, the
skin will thicken up to protect itself when there are areas of high pressure. The
problem occurs when the pressure continues, so the skin gets thicker. It eventually
becomes painful and is treated as something foreign by the body.
Corns and callus are caused by one thing - TOO MUCH PRESSURE, usually in
combination with some friction. There is no other way to get them - the pressure
stimulates the skin to thicken to protect itself, but as the stimulation of the pressure
continues, it becomes painful.
Remedies such as corn paint, cure or plasters will generally only treat the symptom
of the corn and not the problem that causes it. The use of "corn plasters" in those
who are at risk or have frail skin are very likely to cause an ulcer (a breakdown of
the skin) which could become infected and it the circulation is poor, an amputation
is a possibility. Cutting corns or calluses yourself (bathroom surgery) is not without
its dangers, especially if you cut yourself. In the warm and moist environment of
enclosed shoes, infection can easily develop into a serious wound.
Podiatric management of corns and callus include:
- a proper assessment to determine the cause of the corn and/or callus
implementation of a management plan
- The management plan is likely to take into account several options:
- regular maintenance to keep the corn and callus reduced
- use of padding to prevent the pressure advice about the fitting of footwear
- the use of foot orthotics or supports to relieve the pressure under the foot
- surgical correction of the bony prominence
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