WHERE DOES IT HURT ?
A callus is a thick formation of skin commonly found on ball of the foot, heel, sides of the foot. Calluses (and corns) are caused by excessive pressure or friction from prominent bone structures.
The skin simply thickens in response to the weight of your body on these structures combined with stiff or restrictive shoes and your daily activities.
Pain ranges from dull to sharp, depending upon the level of irritation and compression of the nerves around these areas.
TREATMENT - MAINTENANCE Care
A larger, softer shoe can relieve the direct or indirect pressure. Make sure that the shoe has enough room at the end about the width of your thumb and that the toe box (front of the shoe) is high enough to allow your toes to move freely.
If a there is a corn or callus formation, reduction by either professional sharp debridement (shaving) or consistent filing will give temporary relief. Use caution with over the counter corn removal medication or pads. The medication is a type of acid that can cause an ulceration or infection if not used properly or in excess.
Temporary arch supports or custom molded orthotics can minimize the pressure on the spur or correct the foot position causing the pressure. These devices are good solution for long term treatment with or without surgical intervention.
FOOT CALLUSES SURGICAL OPTIONS
The bone structure causing the pressure is either remodeled and smoothed down or repositioned. Depending on the location or severity, the skin lesion or callus itself is removed during the procedure or it will naturally fall off 3 to 4 weeks after the surgery. Incisions are minimal and vary in size (average 1.5cm to 3/4 inch). Sutures are removed at 2 weeks.
The procedure is performed at an outpatient facility under sedation. Partial weight bearing is allowed after 48 to 72 hours of non weight bearing if the bone is remodeled. Partial weight bearing is allowed after 1 to 3 weeks of non weight bearing with crutches if the bone is repositioned.
CAUSE OF CORNS: DEFORMED, CROOKED TOES
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