- A hard growth usually on the ball of the foot
- Pain on weight bearing, relieved by rest
- Increased discomfort in thin soled and high heeled shoes
- More common in women than men
- High heeled shoes
- Malalignment of the metatarsal bones
- Abnormalities of gait
- Flat feet and High arched feet
- Excessively long metatarsal bone
- Bony prominence
- Loss (atrophy) of fat pad on the underside of the foot
- Short Achilles tendon
What you can do
- Avoid high heeled shoes
- Buy shoes with a good arch and shock absorbing rubber sole
- Use an insole which absorbs shear forces inside the shoe (eg. Spenco® or Sorbothane®)
- Keep skin moist and supple with regular application of a moisturizer
- Use a pumice stone or other abrasive to reduce the thickness of the callus
- Apply non-medicated pads around the callus to relieve pressure
- Apply moleskin over areas that tend to callus
What the doctor may do
- Provide temporary relief by debriding (pare down) the callus and any deep seated core it may have.
- Apply various pads to relieve pressure
- Recommend appropriate shoes
- Prescribe orthotics to correct functional problems and/or redistribute weight.
- Surgically realign metatarsals, or remove bony prominences
Complications that can result from corns
- Bursitis – the formation of a painful inflamed fluid-filled sac beneath the callus
- Discomfort of the back, hips, knees, legs, or feet due to changes in posture and/or gait due to pain.
- Development of an ulcer. An open area that forms within the callus. This may even extend down to bone.
- Infection of the soft tissues or bone.
- Diabetics and those with diminished circulation or sensation should always seek professional help.
Other conditions which can resemble calluses
- Verruca (warts)
- Various tumors of the skin and subcutaneous (below the skin) tissues
- Reaction to a foreign body (e.g. sliver or animal hair)
- Genetic or metabolic disorders of the skin, and some drug reactions.