Picture: A woman sitting on a park bench takes of one shoe to soothe the corns on her toes.
Corns

Corns and Calluses

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Corns and calluses facts

  • Corns and calluses are annoying and sometimes painful thickenings that form in the skin in areas of pressure.
  • Corns and calluses can be prevented by reducing or eliminating the circumstances that lead to increased pressure at specific points on the hands and feet.
  • Corns and calluses can be treated with many types of medicated products to chemically pare down the thickened, dead skin.
  • People with fragile skin or poor circulation in the feet (including many people with diabetes or peripheral arterial disease) should consult their health-care professional as soon as corns or calluses develop.

What are corns and calluses?

Corns and calluses are annoying and sometimes painful thickenings that form in the skin in areas of excessive pressure. The medical term for the thickened skin that forms corns and calluses is hyperkeratosis (plural=hyperkeratoses). A callus refers to a more diffuse, flattened area of thick skin, while a corn is a thick, localized area that usually has a conical or circular shape. Corns, also known as helomas, sometimes have a dry, waxy, or translucent appearance.

Corns and calluses occur on parts of the feet and sometimes the fingers. Corns can be painful to walk on, even when they are small. Common locations for corns are

Picture of corns and calluses
  • on the sole, over the metatarsal arch (the "ball" of the foot);
  • on the outside of the fifth (small or "pinky") toe, where it rubs against the shoe;
  • between the fourth and fifth toes. Unlike other corns that are firm and flesh-colored, corns between the toes are often whitish and messy; they are sometimes called "soft corns" (heloma molles), in contrast to the more common "hard corns" (heloma durums) found in other locations.
Reviewed by William C. Shiel Jr., MD, FACP, FACR on 10/3/2012


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What Are the Treatments for Corns and Calluses?

Most corns and calluses gradually disappear when the friction or pressure stops, although your doctor may shave the top of a callus to reduce the thickness. Properly positioned moleskin pads can help relieve pressure on a corn. Most foot doctors discourage the use of over-the-counter salicylic-acid corn remedies. When applied improperly, these corn "plasters" can create a chemical skin burn in healthy tissue around the corn and cause infections and ulcers (which is a hole through the skin) in patients with diabetes, poor circulation, or numbness in their feet.

Oral antibiotics generally clear up infected corns, but pus may have to be drained through a small incision.

Moisturizing creams may help soften the skin and remove cracked calluses. Apply the moisturizing cream to the callus and cover the area overnight with a plastic bag or a sock -- but only if instructed to do so by your doctor. Then gently rub off as much of the callus as you can with a coarse towel or soft brush. Using a pumice stone first to rub off the dead skin from a callus after a bath or shower, and then applying moisturizing cream, can also be effective.

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