Dealing with Corns: Treatment and Recovery Tips for Skin Issues - Dermatology

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Corn issues


Hello, I have had a plantar wart for almost six months.
I didn't pay much attention to it before, but then I went to see a doctor who applied a topical medication (antiviral).
It became inflamed and developed pus inside.
After squeezing out the pus, there is now a deep hole.
What should I do next?

Qingshui Maji, 40~49 year old female. Ask Date: 2017/04/09

Dr. Wu Yuxin reply Dermatology


Continue to let the original physician handle your case, as they are the most familiar with your condition.

Reply Date: 2017/04/09

More Info


Dealing with corns, also known as "chicken eyes" or "helomas," can be a frustrating experience, especially when they become inflamed or infected. It sounds like you've been dealing with this issue for quite some time, and it's important to address it properly to promote healing and prevent further complications. Here’s a comprehensive guide on how to manage corns effectively, including treatment options and recovery tips.


Understanding Corns
Corns are thickened areas of skin that develop in response to pressure or friction, often occurring on the feet due to ill-fitting shoes or repetitive activities. When corns become inflamed or infected, they can cause pain, discomfort, and even pus formation, as you've experienced. The presence of a deep hole after draining pus indicates that the corn may have been severely affected, and it’s crucial to take the right steps to ensure proper healing.


Treatment Options
1. Keep the Area Clean: After draining any pus, it's essential to keep the area clean to prevent further infection. Use mild soap and water to gently wash the area, and pat it dry with a clean towel.

2. Antibiotic Ointment: If there was an infection, applying an over-the-counter antibiotic ointment (like Neosporin) can help prevent further infection. Make sure to cover the area with a sterile bandage after applying the ointment.

3. Pain Management: If you're experiencing pain, consider taking over-the-counter pain relievers such as ibuprofen or acetaminophen, following the recommended dosages.

4. Moisturizing: Keeping the surrounding skin moisturized can help promote healing. Use a gentle, fragrance-free moisturizer on the area, but avoid applying it directly into the hole.

5. Avoid Pressure: Try to avoid putting pressure on the affected area. This may involve wearing open-toed shoes or sandals until the corn heals. If you must wear shoes, consider using protective pads or cushions to alleviate pressure.

6. Consult a Podiatrist: If the corn does not improve or if you notice any signs of worsening infection (increased redness, swelling, or discharge), it’s crucial to consult a podiatrist. They can provide professional treatment options, which may include debridement (removal of the thickened skin) or other interventions.


Recovery Tips
- Footwear Choices: Invest in well-fitting shoes that provide adequate support and cushioning. Avoid high heels or shoes that pinch the toes, as these can exacerbate the problem.

- Regular Foot Care: Regularly inspect your feet for any signs of corns or other issues. Keeping your feet clean and moisturized can help prevent the formation of corns.

- Avoid Self-Removal: While it may be tempting to try to remove the corn yourself, this can lead to further injury or infection. Always seek professional help for removal.

- Monitor Healing: Keep an eye on the healing process. If the hole does not begin to close or if you experience persistent pain, redness, or swelling, return to your healthcare provider for further evaluation.


Conclusion
Corns can be a nuisance, especially when they become infected or inflamed. By following proper care guidelines and seeking professional help when necessary, you can effectively manage your condition and promote healing. Remember, maintaining good foot hygiene and choosing the right footwear are key components in preventing future issues. If you have any concerns about your healing process or if symptoms persist, don’t hesitate to reach out to a healthcare professional for personalized advice and treatment.

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