Treatment for corns
Dear Dr.
Lu,
My father is 65 years old and recently developed a corn on his palm.
He has received cryotherapy with liquid nitrogen, but the surrounding skin still shows signs of spreading (slightly yellow).
What should be the next step in treatment?
Sincerely, a worried daughter.
Huang, 30~39 year old female. Ask Date: 2003/12/21
Dr. Lu Daokuan reply Plastic Surgery
Calluses typically do not form on the palms; lesions resembling calluses on the palms are often caused by the human papillomavirus (HPV).
The success rate of treatment with liquid nitrogen is about 60%, and multiple treatments may be necessary.
If cauterization is used, the cure rate is approximately 85%, with a higher chance of resolving in one session.
Traditionally, excision has also been used, but it can be somewhat painful.
Reply Date: 2003/12/21
More Info
Dear concerned daughter,
Thank you for reaching out regarding your father's condition. Calluses, or corns, can be quite bothersome, especially when they cause discomfort or pain. It sounds like your father has undergone cryotherapy (liquid nitrogen treatment) for his corn, which is a common and effective method for removing such lesions. However, it’s not uncommon for the surrounding skin to show some irritation or discoloration after the procedure.
Understanding Liquid Nitrogen Therapy
Liquid nitrogen therapy works by freezing the corn, causing the tissue to die and eventually slough off. This method is generally effective, but it may not always eliminate the corn completely, especially if the underlying cause (such as friction or pressure) is not addressed. The yellowish discoloration you mentioned could be a sign of irritation or a secondary response to the treatment.
Next Steps in Treatment
1. Follow-Up with the Dermatologist: It’s crucial to have a follow-up appointment with the dermatologist who performed the cryotherapy. They can assess the area to determine if further treatment is necessary. Sometimes, additional treatments may be required if the corn has not fully resolved.
2. Topical Treatments: Your father may benefit from over-the-counter topical treatments that contain salicylic acid. These products help to soften and gradually remove the thickened skin associated with calluses and corns. However, these should be used with caution, especially if the skin is already irritated.
3. Moisturizing: Keeping the area well-moisturized can help prevent further irritation. Look for creams that contain urea or lactic acid, as these ingredients can help to soften the skin and reduce thickening.
4. Footwear Considerations: If the corn is located on the feet, it’s essential to evaluate your father's footwear. Shoes that are too tight or do not provide adequate support can contribute to the formation of corns. Encourage him to wear well-fitting shoes with ample cushioning.
5. Padding and Protection: Using protective pads or cushions can help alleviate pressure on the corn and surrounding skin. These can be found at most pharmacies and can provide immediate relief.
6. Surgical Options: In some cases, if the corn is recurrent and painful, a podiatrist may recommend surgical removal. This is typically considered a last resort when other treatments have failed.
Monitoring for Complications
Keep an eye on the area for any signs of infection, such as increased redness, swelling, or discharge. If any of these symptoms occur, it’s essential to seek medical attention promptly.
Conclusion
In summary, while liquid nitrogen therapy is a good first step in treating your father's corn, further evaluation and treatment may be necessary to ensure complete resolution. Encourage him to follow up with his dermatologist and consider the additional steps mentioned above. With proper care and attention, he should see improvement in his condition.
Best wishes for your father's recovery, and thank you for being such a caring daughter.
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