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The mechanism of the formation of callus looks like this: due to prolonged friction or pressure on the skin, a dense area of dead epidermis is formed, and it is gradually pressed into the soft tissues. This is a painful process that only gets worse over time.
What is a callus
A callus is a type of dry callus or, in medical terminology, hyperkeratosis. A callus consists of a patch of tough, rough, dry skin the size of a pea or larger. When pressing on this area, pain is felt, similar to pain with a splinter. Having endured and tried all folk recipes, already limping, a person gets to an experienced podiatrist.
And the first thing a specialist does is to identify the cause of the corn. If necessary, the patient will be recommended to consult an orthopedic traumatologist.
Transverse and longitudinal flat feet, foot deformity1 and fingers, poor-quality and uncomfortable shoes – if the provoking factor is not removed, then a relapse is guaranteed.
Difference between callus and plantar wart and corns
Corn | Wart | Trampled | |
Pain | + + + + | + | ++ |
Size | + | + + + | + + + + |
Color | yellowish gray | bodily | yellow |
Boundaries | clear | clear | blurry |
Structure | have a rod | no rod | no rod |
Color | yellowish gray | bodily | yellow |
Cause | mechanical pressure | viral infection | skin damage |
What does a callus look like in adults
The outer part of the corn looks like a keratinized, rounded outgrowth of the skin, which has a yellowish or yellowish-gray color. In its center is a recess, which is the top of the corn root.
Causes of callus in adults
Predisposes to the appearance of callus:
- uncomfortable, too narrow or wide shoes with thin soles;
- increased professional or sports loads on the legs;
- long walking barefoot;
- excess body weight;
- untreated chronic dry calluses;
- foot deformity;
- joint diseases;
- diabetes;
- lack of proper foot skin care.
Symptoms of callus in adults
- pain on contact with the callus;
- localization on the pads of the feet and hands, between the toes (from below or from the side), palmar surfaces of the main and middle phalanges of the fingers;
- smooth edges, dense corn structure;
- rounded whitish, yellowish or yellowish-gray formation, slightly elevated above the surface of the skin.
Effective treatment of callus in adults
Depending on the stage of growth of the callus and on the size of the stem itself, different methods of treatment are used, which have their own number of indications and contraindications.
Diagnostics
The diagnosis, due to the characteristic appearance of the callus, is not a problem for a specialist. But sometimes the podiatrist resorts to the help of a dermatoscope. This is a hardware diagnostic that allows, under multiple magnification, to consider the structure, color, size of pathologically altered skin lesions. Dermoscopy is a mandatory procedure before removing tumors. The examination is easy, fast, painless and convenient for the patient.
Patch
Your pharmacist can help you choose a patch.
Most often, experts recommend hydrocolloid2 patches and patches with salicylic acid. Hydrocolloid plasters have a moisturizing effect, reduce pain and soften dry calluses. The hydrocolloid patch stays on the skin for up to 3 days. Change the patch to the next one until the corn is completely gone.
Salicylic acid patches have an antiseptic effect and “dissolve” the keratinized layers of the skin. They are glued to the corn and left for 2 days. If necessary, the procedure is repeated 3-4 times until the corn disappears.
It is important to remember that patches only help with small growths.
Removal
Surgical excision – in the recent past, the only way to get rid of corns. Removal is performed by a surgeon or an experienced podiatrist, possibly under local anesthesia.
Using a scalpel, the surgeon completely cuts out the corn core and fragments of keratinized skin above it. The disadvantages of this classical method are a long period of wound healing.
Cryotherapy
Freezing the treatment area with liquid nitrogen – exposure to extremely low (-1970C) temperature3.
Electrocoagulation
Electric current destroys the proteins of keratinized skin, then a protective crust is formed.
Laser removal
With the help of a CO2 emitter, a session of spot removal of corns takes place. In 5-10 minutes, keratinized cells “evaporate”.
Hardware pedicure
The choice of cutter depends on the location of the corn, the type of skin and the degree of keratinization.
The core callus is drilled with a hollow cutter, selected in size. This procedure can be entrusted to an experienced specialist who will select the number of revolutions and the direction of the cutter. This is very important to avoid damage.
radio wave removal
A method for the treatment of chronic dry calluses using radio wave electromagnetic energy. Radio waves act non-contact, causing evaporation of the tissues of the corn and its core.
Prevention of callus in adults at home
Regular care is essential for the health of the skin of the feet. It is recommended to periodically massage the feet, apply care products. Loads should correspond to the general state of health, and shoes should be soft, comfortable, so that the skin of the legs breathes in them.
If you do not follow simple rules, then the risk of the formation of areas of rough skin increases, which then develop into deep corns.
Popular questions and answers
Anna Obukhova, one of the leading specialists in hardware pedicure, a teaching and practicing master, answered the most popular questions.
Who treats calluses?
What happens if the callus is not removed?
What can happen? Gradually, the corn core grows deep into the soft tissues. There is compression of the nerve endings, which causes severe pain. The person begins to limp. Callus sprouts can cause bleeding due to pressure on the vessels.
Another complication is infection of the corn. Inflammation joins, up to the formation of skin ulcers. With further spread of the inflammatory process, an abscess may form. When inflammation from the soft tissues passes to the bones, osteomyelitis develops.
All inflammatory complications are dangerous, since the generalization of the process can lead to sepsis.
Is it possible to get rid of corns at home?
Compresses and lotions according to popular recipes are useless if corns and calluses constantly remind of themselves. The sooner you contact a specialist, the easier it is for him to fix the problem.
In any case, callus can be dealt with in one or more visits. And you remember what a gait without pain is.
It is better to prevent the formation of cracks, corns, calluses on the skin and regularly remove rough skin.
Sources of:
- A.A. Tsykin, V.V. Petunina. Plantar hyperkeratosis: clinic, diagnosis, treatment. breast cancer. No. 8, 2014. https://www.rmj.ru/articles/obshchie-stati/Podoshvennye_giperkeratozy_klinika_diagnostika_lechenie/
- About hydrocolloid plasters. https://premium-clinic.ru/o-gidrokolloidnyh-plastyryah/
- V.V. Belyaev, L.L. Myasnikov. Plantar, flat, vulgar warts: modern approaches to treatment. Clinical dermatology and venereology. 2012. https://www.mediasphera.ru/issues/klinicheskaya-dermatologiya-i-venerologiya/2012/6/031997-28492012610