Corns, like callouses, are basically the formation and accumulation of dead, thick and hard skin. The major difference is that a corn results from a more focused and specific area of pressure. This causes the corn to have a cone shaped core that penetrates deep into the skin. As a result a corn is often much more painful than a callous. With respect to the foot corns can be found all over the foot including; the soles, sides, toes, and even in between the toes. Due to the fact the corns penetrate deep into the skin they can be very dangerous and result in ulceration, bursas, and many other serious complications.
Cause
All corns are formed from high pressure or friction. Possible causes of this pressure or friction many include; improper footwear (too tight or high-heels), a biomechanical problem, foot deformity, diminished fat pad, or many other factors.
Treatment and Prevention
The first step in treating corns is to determine the cause or else the corn will simply return. We recommend starting with a biomechanical assessment to determine any abnormalities in normal foot function. These biomechanical problems can often be addressed by adding support or a custom made foot orthotic. Additionally a footwear assessment to determine if the style, size, and fit are adequate and not detrimental should be performed.
Once the cause has been determined we can treat the corn with the likely hood of it not returning. Treatment includes mechanical debridement and enucleation (removal of the core). Often application of a topical agent will help to soften the area. Please do not attempt to remove the corn on your own as they can be quite deep and bleeding may often occur.
Please contact our office to book an appointment for an assessment and a customized management plan for this condition. |
