How to Effectively Treat and Prevent Recurrence of Corns - Dermatology

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Recurrence of corns


Last year, I had a plantar wart on the sole of my foot and underwent surgery at the hospital for treatment.
However, it has recurred this year.
What can I do to achieve a permanent cure?

Xiao Lin, 20~29 year old female. Ask Date: 2006/04/13

Dr. Huang Ruiyun reply Dermatology


A corn is formed due to localized mechanical pressure or friction.
Surgery can provide temporary relief from pain, but the fundamental solution is to address the issue of localized pressure; otherwise, it will keep recurring.
Ill-fitting shoes, particularly those that are too rigid and lack cushioning, should be avoided.
Strictly speaking, corns fall under the domain of orthopedics or rehabilitation.
However, people often confuse viral warts (verrucae; warts) with corns.
It is advisable to consult a dermatologist for proper differentiation, as the treatment methods differ for warts.

Reply Date: 2006/04/13

More Info


Corns, also known as helomas, are thickened areas of skin that develop in response to repeated friction or pressure, often occurring on the feet. They can be painful and are commonly found on the tops or sides of toes, or on the soles of the feet. While surgical removal can provide temporary relief, it does not address the underlying causes, which can lead to recurrence. Here are some effective strategies for treating and preventing corns:

1. Proper Footwear:
- Choose the Right Shoes: Ensure that your shoes fit well and provide adequate support. Shoes that are too tight or too loose can cause friction, leading to the formation of corns. Look for shoes with a wide toe box to allow your toes to move freely.

- Avoid High Heels: High-heeled shoes can increase pressure on the toes and the balls of the feet, contributing to corn formation. Opt for lower heels or flats whenever possible.


2. Foot Care Routine:
- Regular Exfoliation: Gently exfoliate the affected areas with a pumice stone or foot file after bathing. This helps to remove dead skin and reduce thickness.

- Moisturize: Apply a good foot cream or lotion regularly to keep the skin hydrated. This can help prevent the skin from hardening and forming corns.


3. Protective Padding:
- Use Corn Pads: Over-the-counter corn pads can provide cushioning and reduce pressure on the affected area. These pads can help alleviate pain and prevent further irritation.

- Toe Separators: If corns are forming between toes, consider using toe separators to reduce friction.


4. Addressing Underlying Conditions:
- Foot Deformities: If you have foot deformities such as bunions or hammertoes, consult a podiatrist. These conditions can lead to increased pressure and friction, resulting in corns.

- Diabetes Management: For individuals with diabetes, maintaining good blood sugar control is crucial, as diabetes can lead to foot complications. Regular foot examinations by a healthcare professional are recommended.


5. Professional Treatment:
- Podiatrist Consultation: If corns persist despite home treatment, consider seeing a podiatrist. They can provide professional care, including trimming the corn and advising on appropriate footwear and orthotics.

- Orthotic Devices: Custom orthotics can help redistribute pressure on the feet and alleviate the friction that leads to corn formation.


6. Lifestyle Modifications:
- Weight Management: Excess weight can increase pressure on the feet. Maintaining a healthy weight can help reduce the risk of developing corns.

- Regular Foot Checks: Regularly inspect your feet for any signs of corns or other issues, especially if you have conditions like diabetes that can affect foot health.


Conclusion:
While surgical intervention can remove corns, it is essential to adopt preventive measures to avoid recurrence. By focusing on proper footwear, regular foot care, and addressing any underlying conditions, you can significantly reduce the likelihood of corns returning. If you experience persistent pain or discomfort, seeking professional advice from a podiatrist is crucial for effective management and treatment.

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