- Manual removal
- Altering foot biomechanics
- Sometimes expert foot care
A nail file, emery board, or pumice stone used immediately after bathing is often a practical way to manually remove hyperkeratotic tissue.
Keratolytics (eg, 17% salicylic acid in collodion, 40% salicylic acid plasters, 40% urea) can also be used, taking care to avoid applying the agents to normal skin. Normal skin may be protected by covering it with petrolatum before application of the keratolytic.
Cushioning and foot biomechanics
Cushioning and altering foot biomechanics can help prevent corns and help treat existing corns. Although difficult to eliminate, pressure on the affected surface should be reduced and redistributed. For foot lesions, soft, well-fitting shoes are important; they should have a roomy toe box so that toes can move freely in the shoe. Stylish shoes often prevent this freedom of motion. Shoes that increase discomfort of a lesion should be eliminated from the wardrobe. Pads or rings of suitable shapes and sizes, moleskin or foam-rubber protective bandages, arch inserts (orthotics), or metatarsal plates or bars may help redistribute the pressure. For corns and calluses on the ball of the foot, an orthotic should not be full length but should extend only to the ball or part of the shoe immediately behind the corn or callus. Surgical off-loading or removal of the offending bone is rarely necessary.
Expert foot care
Patients who have a tendency to develop recalcitrant painful calluses and corns may need regular care from a podiatrist. Patients who also have impaired peripheral circulation, particularly if they also have diabetes, require intensive foot care.
RIVERA FOOT & ANKLE: At Orlando H.Rivera DPM, our priority is to deliver quality care to informed patients in a comfortable and convenient setting. When you have problems with your feet, you need to turn to a podiatrist who listens and responds… an experienced doctor who knows the field and can effectively diagnose and treat your needs… a friendly physician who counsels you on the best ways to maintain and improve your health. Our physician(s) meet all these criteria. Plus, you benefit from a dedicated team of trained professionals who give you the individualized attention you deserve.
Treatment of Foot and Ankle.
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