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Treatment and Management of Corns

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Submitted By bren123
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Corns are areas of thickened skin that occur in areas of pressure.
The thickened skin of a corn can be pared down by a foot health professional or podiatrist, by using a scalpel blade. The pain is usually much reduced as the corn is pared down and the pressure on the underlying tissues eased.

Corns can be easy to take out, the reason they keep coming back is that the cause is still there, and that cause is pressure. If the pressure is not removed, they will come back.

Different types of corns need slightly different treatments.
For heloma durum, the foot should be disinfected, remove callus by minute dissection with scalpel and try to take out the nucleus. Protective padding to relieve pressure may be used.

(Whinfield & Foster 1997) says the cavities of a well-enucleated corn may be filled with a polymer gel, silicone or acrylic gel (e.g. viscogel) to discourage further corn formation.

For vascular and neuro-vascular helomata skilful enucleation is not always possible, therefore application of salicylic acid in suitable strengths is also effective but needs several treatments.

For heloma mole which only occur between the toes removal of the hyperkeratosis with a scalpel, followed by medication to dry out the skin and a soft orthotics device to keep the toes apart.

A thorough assessment is necessary to determine the cause of the corn, leading to the Implementation of a management /treatment plan. (epodiatry.com) says ‘management plans for the treatment of corns commonly consist of the following: maintenance appointments to keep the corn reduced. The use of padding is recommended to prevent the pressure. Footwear fitting advice should be given and provision of foot orthotics or supports to relieve the pressure under the foot’.

Reference

Epodiatry.com http://www.manchesterpodiatry.co.uk/index.html
Winfield A, Forster M (1997)

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