and Treating Calluses: When to See a Specialist - Surgery

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Calluses, commonly referred to as "corns" or "chicken eyes," are thickened areas of skin that develop in response to repeated friction, pressure, or irritation. They often appear on the feet, particularly on the soles, and can become quite painful if left untreated. The condition you describe, where a small area of hard skin develops with a central point that can become painful, is characteristic of a corn.
When dealing with calluses or corns, it is essential to understand when to seek professional help. Here are some key points to consider:
1. Symptoms: If the corn or callus is causing significant pain, discomfort, or has become inflamed, it is advisable to see a specialist. Pain that worsens over time or is accompanied by swelling or redness can indicate an infection or other underlying issues.

2. Self-Treatment Limitations: While some people attempt to manage calluses at home by trimming them or using over-the-counter treatments, this can sometimes lead to complications, especially if not done correctly. If you find that trimming the hard skin does not provide lasting relief and the corn continues to regenerate, it is a sign that professional intervention may be necessary.

3. Underlying Conditions: If you have diabetes, peripheral artery disease, or any other condition that affects circulation or skin integrity, it is crucial to consult a healthcare provider. These conditions can complicate the healing process and increase the risk of infections.

4. Specialist Consultation: For persistent or painful calluses, you should consider seeing a podiatrist, a specialist in foot and ankle care. Podiatrists can provide a thorough examination, offer treatment options such as custom orthotics, and perform minor surgical procedures if necessary to remove the corn or callus effectively.

5. Treatment Options: Treatment may include:
- Debridement: A podiatrist can safely remove the thickened skin using specialized instruments.

- Padding: They may recommend or provide padding to relieve pressure on the affected area.

- Orthotics: Custom orthotic devices can help redistribute pressure on the foot and prevent further irritation.

- Medication: In some cases, topical treatments may be prescribed to help soften the callus.

6. Preventive Measures: To prevent the recurrence of calluses, consider the following:
- Wear well-fitting shoes that provide adequate support and cushioning.

- Use protective pads or insoles to reduce friction in areas prone to callus formation.

- Maintain foot hygiene and moisturize regularly to keep the skin supple.

In summary, if you are experiencing persistent pain from a corn or callus, it is advisable to consult a podiatrist. They can provide a comprehensive evaluation and recommend appropriate treatment options tailored to your specific needs. Remember, while self-care is important, professional guidance is crucial for effective management and prevention of further complications.