Corns and calluses are thick, hardened layers of skin that develop when your skin tries to protect itself against friction and pressure. They most often develop on the feet and toes or hands and fingers. They most often form on the outside of the first or fifth toes, since this is the point that pressure most often occurs. Corns that form between the toes are called soft corns, and they are not as firm as other corns because of moistness between the toes.
For most people, simply eliminating the source of friction or pressure makes corns and calluses disappear. If they persist they can be removed surgically or by RF Treatment
The medical term for the thickened skin that forms corns and calluses is hyperkeratosis.
- A thick, rough area of skin
- A hardened, raised bump
- Tenderness or pain under your skin
- Flaky, dry or waxy skin
- Difference Between Corn And Calluses
Corns are smaller than calluses and have a hard center surrounded by inflamed skin. Corns tend to develop on parts of your feet that don’t bear weight, such as the tops and sides of your toes, though they can also be found in weight-bearing areas. Corns can even develop between your toes. Corns can be painful when pressed.
Calluses usually develop on the soles of your feet, especially under the heels or balls, on your palms, or on your knees. Calluses are rarely painful and vary in size and shape, though they’re often larger than corns.
Why only on the feet?
Because we encase the feet in a hard shoe, any regular pressure against a prominent toe joint can cause a callous or corn. The feet uniquely take the whole of the body weight and when this is combined with shoe pressure, the corn is formed.
Why won’t it go?
Despite padding, chemical applications such as corn plasters and chiropody treatment, these skin lesions are very stubborn and unsightly in open footwear and sandals. What is often overlooked is that underneath the corn there is a lump of inflamed tissue which forms, called a bursa. This forms in response to the tissue being rubbed, but in itself it increases the pressure underneath the corn, making it more sore and prominent.
Treatments for Corns Removal
- Surgical removal
- RF cauterization
- Laser removal
First a local anesthesia is given with a very fine needle. This will make the area numb so you won’t feel any pain in that region during the procedure. The RF cautery is used to removed the superficial dead layer till the normal skin is reached which is identified by pin point bleeding on the surface .If bursa is present beneath the corn it is completely excise surgically. With a specialized instruments, the sharp bony projection – or spur is removed that is under pressure and causing the corn. Stitches are seldom needed and the patient can resume normal activity immediately after the procedure.
Care after the Corns Removal
A small dressing is done and that will be removed within a week. You will be prescribed pain killers and antibiotics for 5 days .You can start walking immediately after the procedure. A follow up examination will be done after 3 and 7 days.
Corns are best treated by first eliminating the cause of the pressure.
Prevention of Corns
Wear comfortable shoes. Wear shoes that do not cramp your toes. Adjust your walking style. An improper gait, such as walking on the sides of your feet, can produce calluses and corns. Look at the heels on an old pair of shoes. If one side is markedly worn, you may be shifting your weight unevenly as you walk. Protect your skin.