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Tuesday, 3/5/2011

Calluses & Corns

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Our feet play an important role in getting us around.  When we walk or stand, our feet carry the burden of our body weight, as well as bearing the various pressures of movement and the constraints of footwear.  Sometimes, pressure placed on the foot becomes out of balance and extra friction falls on particular areas of the foot.  When this happens, the body may respond to the pressure by producing thickenings in the surface layer of the skin.  These hard patches of skin are called calluses and are part of the body’s defense system to protect the underlying tissues.  If the cause of the pressure is not relieved, calluses continue to thicken and become larger causing pain.

If pressure becomes concentrated in a small area, a ‘hard’ corn may develop.  Sometimes the pressure of the corn or callus may produce inflammation which can result in acute pain, swelling and redness.  Sometimes ‘soft’ corns may form between the toes where the skin is moist from sweat or inadequate drying.  These appear white and rubbery and are also caused by excessive friction.

Corns and calluses are most often found on the balls of the feet or the tops of toes.  They can also be found on the heels and even along the sides of toenails.

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What causes Calluses and corns?

Calluses and corns are generally symptoms of underlying problems and in some cases, early warning signals of more complex foot disorders.  Because they are caused by continuous pressure in one particular area, they may indicate abnormalities or deformity in bone structure or in the way a person walks.  Often calluses and corns are caused by ill-fitting or inappropriate footwear.

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Who Gets Calluses and Corns?

Almost everyone! In fact, calluses and corns affect more people than any other kind of foot problem.  Some people have a natural tendency to develop calluses because of their skin type.  For instance, elderly people have less fatty tissue and elasticity in their feet and because of a lack of padding, calluses may form on the bottom of the foot.  Also, people who work in occupations that require them to spend a lot of time on their feet are prone to developing calluses.
 

How to treat calluses and corns?

The most important thing to remember about treating calluses and corns is never do it yourself without seeing a specialist first.  Because calluses are generally symptoms of other problems, it is important to have a podiatrist examine your feet to work out what could be causing the pressure.  Over the counter treatments such as corn paint or plasters do not work and can damage the healthy skin surrounding the corn.  It is also important that you do not cut corns or calluses yourself.  In the confined spaces of a shoe it is very moist and warm.  This provides the perfect breeding ground for infections to proliferate and quickly turn into serious wounds.

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What can our Podiatrist’s at Eastwest do?

Our Podiatrist’s at Eastwest will not only recommend ways to relieve pain and get rid of the corns or calluses, but can also help with isolating the cause and preventing the problem from recurring.  To treat painful corns, our Podiatrists will gently remove some of the hard skin of the callus so that the centre of the corn can be removed.  To allow the callus to heal and prevent future cases, our podiatrists may redistribute pressure on the foot with soft padding and strapping or deflective appliances that fit easily into our shoes.  For corns on the toes, small foam wedges are useful for relieving pressure on affected parts.  For older patients, suffering from calluses on the soles of the feet, extra shock absorption0 for the ball of the foot can help to compensate for loss of natural padding.

Our Podiatrist’s may also discuss the type of footwear most likely to cause corns and calluses.  In some cases, special shoe inserts (orthoses) may be prescribed to reduce excessive weight bearing forces on the foot and provide long term relief.
 

Preventing Corns and Calluses and Caring for Your Feet

The best way to prevent the development of calluses and corns is to pay attention to your feet when you feel there is extra pressure on specific areas.  Properly fitting shoes are essential, especially if you spend long periods of time on your feet and it is important that you never wear others’ shoes.  A moisturiser used daily, will help to keep your skin supple and those containing a mild acid are helpful to remove dead/dry skin.  If you feel you may be developing calluses or corns, or you already have one, the best thing to do is seek profession advice and treatment from our Podiatrist’s at Eastwest.