Corns + Callus/ Helomas + Hyperkeratosis

Understanding Corns and Calluses:​

Corns (Helomas) and Callus (Hyperkeratosis/ Tyloma)s are thickened areas of skin that develop in response to friction or pressure. They can be physiological (normal) or pathological (abnormal). While they may seem similar, there are distinct differences between the two:

 

Corns

​Location: Typically found on the tops or sides of the toes, corns have a hardened, often raised center.

Appearance: Corns may be small and round with a defined core, surrounded by inflamed skin.

 

Calluses​

Location: Usually on the soles of the feet or other areas exposed to prolonged pressure.

Appearance: Calluses are larger, flat areas of thickened skin without a well-defined edge.

 

Causes of Corns and Calluses

• Friction and Pressure: Ill-fitting shoes, high heels, or shoes with narrow toe boxes can create excessive friction and pressure, leading to the development of corns and calluses.

• Abnormal Foot Anatomy: Certain foot deformities or imbalances can contribute to the formation of these thickened skin patches.

• Repetitive Movements: Activities that involve repeated pressure on specific areas of the feet, such as running or walking long distances, may result in corns and calluses.

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Professional Treatment Options

• Footwear Recommendations: Our chiropodist may advise on proper footwear to alleviate pressure and reduce friction, preventing the recurrence of corns and calluses.

• Custom Orthotics: Personalized shoe inserts can correct imbalances and distribute pressure more evenly across the foot, reducing the likelihood of corns and calluses.

• Debridement: In clinic removal of thickened skin using specialized tools ensures safe and effective elimination of corns and calluses.

• Padding and Cushioning: Applying padding or cushioning materials to the affected areas can relieve pressure and enhance comfort.

• Addressing Underlying Issues: Identifying and addressing any underlying foot deformities or abnormalities contributing to corns and calluses is crucial for long-term prevention.

Without Treatment

If corns and callus are left untreated it will become very painful for the patient. Often blood may form below the callus. This is known as a hematoma. If the pressure continues the skin underneath the callus may open and ulcerate. This may cause scar tissue in the area, which is more prone to callus formation – thus causing further damage. All callus should be treated and monitored frequently.​