Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In many situations, calluses and corns can be prevented by reducing or
eliminating the circumstances that lead to increased pressure at specific points
on the hands and feet. Potential preventive measures therefore include
wearing well-fitting, comfortable shoes
is useful. The idea is to avoid having footgear press on the
outside of the fifth toe or pressing the fourth and fifth toes together to prevent corns in
these areas; and
another approach is to pad the potentially affected
area. Many sorts of padding are available at the drugstore:
cushions to put between the toes;
foam or moleskin pads to put over the places where
corns form;
foam
pads with holes in the center (like donuts or bagels), which redistribute
pressure around the corn instead of
right over it;
and
cushioned insoles to pad your feet and alleviate
mechanical
pressure.
How can corns and calluses be treated?
Corns and calluses can be treated with many types of medicated products to chemically pare down the thickened, dead skin. These products are share the same active ingredient -- salicylic acid, the ingredient used in over-the-counterwart-removal products.
Salicylic acid is a keratolytic, which means it dissolves the protein (keratin) that makes up most of both your corn and the thick layer of dead skin which often tops it. Used as indicated on the package directions, these products are gentle and safe for most people. Salicylic-acid
treatments are available in different forms including
applicators,
drops,
pads, and
plasters.
All of these treatments will turn the top of the skin white and allow you to trim or peel away dead tissue, making the corn protrude and hurt less.
It generally is recommended that salicylic acid not be used by people with diabetes or when there is frail skin or poor circulation (because of concern about how normally the skin can heal). In these situations, application of
salicylic acid can potentially lead to ulcer formation on the skin. Your health-care practitioner can help you determine whether
salicylic acid-based products are safe for use on your skin.
You should not attempt to cut or shave away corns and calluses at home. This can lead to potentially dangerous infection of the surrounding tissues. This should be performed by a podiatrist or other health-care practitioner.
Your health-care practitioner may also prescribe antibiotics for any corns or calluses that have become infected.
Diabetes mellitus is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
Foot pain may be caused by injuries (sprains, strains, bruises, and fractures), diseases (diabetes, Hansen disease, and gout), viruses, fungi, and bacteria (plantar warts and athlete's foot), or even ingrown toenails. Pain and tenderness may be accompanied by joint looseness, swelling, weakness, discoloration, and loss of function. Minor foot pain can usually be treated with rest, ice, compression, and elevation and OTC medications such as acetaminophen and ibuprofen. Severe pain should be treated by a medical professional.
Common warts are skin growths causes by the human papillomavirus. There are many types of warts, including plantar warts, common hand warts, warts under the nails, mosaic wars, and flat warts. Over-the-counter treatments typically involve the use of salicylic acid products.
Peripheral vascular disease (PVD) refers to diseases of the blood vessels (arteries and veins) located outside the heart and brain. While there are many causes of peripheral vascular disease, doctors commonly use the term peripheral vascular disease to refer to peripheral artery disease (peripheral arterial disease, PAD), a condition that develops when the arteries that supply blood to the internal organs, arms, and legs become completely or partially blocked as a result of atherosclerosis. Peripheral artery disease symptoms include: intermittent claudication, rest pain, numbness in the extremities, and more. Treatment for peripheral artery disease include: lifestyle measures, medication, angioplasty, and surgery.
Diabetes-related foot problems can affect your health with two problems: diabetic neuropathy, where diabetes affects the nerves, and peripheral vascular disease, where diabetes affects the flow of blood. Common foot problems for people with diabetes include athlete's foot, fungal infection of nails, calluses, corns, blisters, bunions, dry skin, foot ulcers, hammertoes, ingrown toenails, and plantar warts.