Corn Callus

Corns Calluses

When we walk or stand, our body weight is carried first on the heel and then on the ball of the foot, where the skin is thicker, to withstand the pressure. When this pressure becomes excessive, some areas of the skin thicken, in the form of corns and callus, as a protective response.
A callus, or callosity, is an extended area of thickened skin on the soles of the feet, and occurs on areas of pressure. It is the body's reaction to pressure or friction, and can appear anywhere the skin rubs against a bone, a shoe, or the ground.

Walking on stones?

Most calluses are symptoms of an underlying problem like a bony deformity, a particular style of walking, or inappropriate footwear. Some people have a natural tendency to form callus because of their skin type. Elderly people have less fatty tissue in their skin and this can lead to callus forming on the ball of the foot

Under pressure

There are five different types of corns. The two most common are hard and soft corns.

HARD CORNS

These are the most common and appears as small, concentrated areas of hard skin up to the size of a small pea, usually within a wider area of thickened skin or callous, and can be symptoms of feet or toes not functioning properly.

SOFT CORNS

These develop in a similar way to hard corns. They are whitish and rubbery in texture, and appear between toes, where the skin is moist from sweat, or from inadequate drying. A registered podiatrist/chiropodist will be able to reduce the bulk of the corn, and apply astringents to cut down on sweat retention between the toes.

SEED CORNS

These are tiny corns that tend to occur either singly or in clusters on the bottom of the foot. They are usually painless.

VASCULAR CORNS

These corns will bleed profusely if they are cut and can be very painful.

FIBROUS CORNS

These arise from corns that have been present for a long time. They appear to be more firmly attached to the deeper tissues than any other corn. They may also be painful.

What to do?

Don't cut corns yourself, especially if you are elderly or diabetic, and don't use corn plasters or paints which can burn the healthy tissue around the corns. Home remedies, like lambswool around toes, are potentially dangerous. Commercially available 'cures' should be used only following professional advice.

You could use a pumice stone to remove the thickened skin a little at a time and use a moisturising cream daily. Relieve pressure between the toes with a foam wedge. If the callus is painful and feels as if you are "walking on stones", consult a registered chiropodist/podiatrist who will be able to advise you why this has occurred and, where possible, how to prevent it happening again. Your chiropodist/podiatrist can also remove hard skin, relieve pain, and redistribute pressure with soft padding, strapping, or corrective appliances (orthoses) which fit into your shoes. The skin should then return to its normal state.

The elderly can benefit from padding to the ball of the foot, to compensate for any loss of natural padding. Emollient creams delay callus building up, and help improve the skin's natural elasticity. Your chiropodist/podiatrist will be able to advise you on the most appropriate skin preparations for your needs.