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 pressure is not relieved, calluses become painful.
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 and the tops of toes. They can also be found on heels and even along the sides of toenails.
The body protects skin tissues from pressure or friction damage by producing an area of hard skin so, unless the cause of the pressure or friction is found and removed, calluses and corns will continue to form. Over-the-counter treatments, such as corn plasters, can damage the healthy surrounding skin if used incorrectly. Don’t ever attempt to cut away or scrape a callus as there is a risk of infection if you accidentally cut yourself. Never attempt “at home” surgery as cutting deeply or gouging at the centre of a corn can damage healthy tissue, nerves and/or blood vessels. The end result may be infection or scarring.
The symptoms can include:
- Thickened patch of hard skin on the foot
- Hard, small bump of skin that may have a central core
- White and rubbery bumps of skin (‘soft’ corns)
- Pain when pressure or friction is applied to the area.
If you have corns or calluses, or think you may be developing them, see your podiatrist at Kara Lukins Podiatry Clinic for treatment. Options may include:
- Identifying and removing the possible cause of friction and pressure
- Professional reduction of the callus or corn to relieve pain
- Customised padding to redistribute pressure
- If needed, permanent shoe inserts (orthoses) to offer long-term pressure relief
- Advice on appropriate footwear
- Advice on appropriate foot care, such as applying moisturiser daily.
Seek advice from one of our Croydon podiatrists, regarding the most appropriate treatment for you.
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