Some patients have biomechanical issues that impact bone alignment. When that's the case, we may be able to relieve pressure with custom orthotics. These medical devices help compensate for certain anatomical problems. They may keep pressure away, so corns don't return.
Having said all that, some patients will need foot surgery to cure corns. Why is that the case? Some corns will form regardless of what shoes you choose. Because many corns form from internal pressure. And that pressure can come from arthritis, bone spurs , or even hammertoes.
In these cases, s urgery is the best way to remove the pressure from the bone. And it's often the only way to deal with a persistent corn. What does a podiatrist visit for corns look like? When you come into the office, I'll start by paring down dead skin at the corn's top layer. Then, I'll go find that deep "root" and remove it as well. But that's only step two of your treatment plan. Since I want to make sure that corn doesn't come back, we'll start talking lifestyle once the corn root is out.
I'm going to ask you questions and examine your foot and gait. That way, I can figure out what's causing pressure on your toes. So that I can go on and stamp out the source of the pressure. If it seems like you're just choosing the wrong shoes, I'll get you into a better pair. But if we realize the source of the pressure is the bone, we'll cycle through some other treatment options.
At this point, surgery may well be in your future. That doesn't mean you need to panic, though. Look, I know that foot surgery sounds scary. But surgery to permanently remove corns is a small surgical procedure. Sometimes, I go to the operating room and remove a small piece of bone. They are more descriptive terms for thickening of the outer layer of the skin in spots due to an excessive amount of pressure and friction on a given spot. Corns are typically on the toes, calluses elsewhere on the foot.
They often become painful due to their bulk, much like if you had a pebble stuck in your shoe. The underlying cause is a bony deformity—a hammertoe deformity for corns or an imbalance of the metatarsals in the ball of the foot for calluses. These issues are largely determined by how your feet were built by your parents and how they developed as a result. The corns and calluses are the results of these deformities, not independent growths, as would be the case if there was a wart present.
Occasionally, the corn or callus will have a deep spot in the center which some people think is a root, but is actually just the focus point of the pressure and is thicker than the rest of the lesion. Initial symptomatic treatment involves carefully paring down the corn or callus, which relieves pain and that is enough for many people.
Padding or cushioning help even more. Wearing well-fitting comfortable shoes is also advisable. The takeaway point is this: corns and calluses are symptoms of foot deformities.
Treating the symptoms alone will get you temporary relief, which can be OK. But if you want to prevent them from returning, you need to address the deformity. Chronic pain in the feet is not normal for any foot type. And paradoxically, too little activity can make the problem worse.
Increasing your daily activity slowly and with adequate support is important to prevent injury. If you have ever suffered from an ingrown nail, then you know the agonizing pain it can cause. Often, the cure is also the problem. If you suffer from painful bunions and have been afraid of surgery because of long recovery time, your waiting has paid off.
Why Calluses Keep Coming Back.
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