Calluses and Corns

Continual pressure against the skin causes a thickening of the normal skin layers called a callus or corn. Corns are usually the result of pressure of a toe against the shoe or an adjacent toe and sometimes are under a bone spur. Calluses are usually on other parts of the foot other than toes and result from friction of the shoe, bone prominence, or constant irritation.

Treatment consists of periodic debridement and accommodation with padding. Moleskin, a type of padding, is available over-the-counter and is effective at decreasing the friction. Our office does not recommend over-the-counter “corn-removers” because these products contain a weak acid used to diminish the thick skin and can cause ulcerations if used improperly. There are some safe alternatives that we recommend in removing thick, callused skin. We also look at methods to decrease the underlying cause of the pressure if necessary, including treating the bone spur, hammertoe, bone prominence, or other causes.

Wounds / Ulcers 

Ulcers and wounds come from many sources, including traumatic accidents, ulceration, fissuring of the skin, or a non-healing wound. Medical conditions that complicate and prolong wound healing are peripheral vascular disease, diabetes, fractures, venous stasis, infection, constant pressure from shoes or beds, and others.

We look at each wound systematically and work to restore the normal skin layers. Controlling and eliminating infection is always a primary concern. Diabetic ulcers, pressure ulcers, and vascular ulcers have different treatment options depending on the depth and severity of the wound. Debridement of unhealthy tissue is important to stimulate healthy tissue to form. We utilize offweighting devices such as walking boots, splints, and special shoes when necessary to decrease the pressure against ulcers. Specialized wound care topical ointments, products, and medicines are also essential to promote healing. In cases of trauma, surgery may be necessary to restore the normal bone architecture before a wound can properly heal.