Corns & Calluses
What is it?
A corn, Heloma, and a calluses are the result of thickened skin on the foot from friction and rubbing. Corns occur on the top of the toes while calluses may occur anywhere on the foot. Corns may, or may not, be the results of hammer toes.
What are the symptoms?
Corns and calluses may cause no pain, or result in pain from cracking or continued rubbing against a boney surface of the foot, a sock or footwear.
What causes it?
Corns and calluses form due to abnormal biomechanics of the foot, which results in rubbing of the skin. The body’s reaction to the continuous rubbing is to lay down thicker skin, which prevents tearing. While this reaction is temporarily useful, the underlying cause results in a continued cycle of tissue stress and thickened calluses and corns.
How is it treated?
Calluses and corns may be treated by pumicing/ shaving down the thickened tissue or placing pads over the hard, corn tissue on the toes. While this is temporarily helpful, it doesn’t address the underlying biomechanical problems and reason that they continue to form.
Custom orthotics will address the rearfoot and forefoot, back and front, which an off-the shelf insert will not help with. There are usually asymmetries between the right and left foot, making a custom orthotic a necessity.