How to Address Calluses on the Outer Side of Your Big Toes - Rehabilitation

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Hello Dr.
Chen! I love exercising and work out for one to two hours every day, walking a bit and then running about 2 kilometers.
I also pay attention to the shoes I wear.
Recently, I've noticed that the outer side of my big toes on both feet has developed calluses, and the soles beneath the big toes are similar.
How can I address this issue? Thank you!

Ji Mi, 30~39 year old female. Ask Date: 2007/08/03

Dr. Chen Xianchang reply Rehabilitation


Hello, thank you for your inquiry.
Here are my responses and suggestions:
1.
The presence of calluses indicates abnormal pressure on your foot.
The location on the outer side of your big toe suggests that there is a pronation of your foot.
This pronation may be caused by several factors:
1.
Internal rotation of the hip joint in the lower extremity
2.
Atrophy of the medial vastus muscle
3.
Muscle imbalances in the calf
4.
Shortening of the gastrocnemius and soleus muscles, among other reasons.
2.
It is advisable to consult a rehabilitation specialist for examination and treatment.
3.
Wearing athletic shoes with arch support can help alleviate these symptoms.

Reply Date: 2007/08/03

More Info


Calluses on the outer side of your big toes can be a common issue, especially for individuals who are active and engage in regular physical activities like running or walking. These thickened areas of skin develop as a protective response to friction and pressure, which can occur from repetitive movements or ill-fitting footwear. Here’s how you can address this issue effectively.


Understanding Calluses
Calluses form as a result of the skin thickening in response to repeated friction or pressure. In your case, the combination of daily exercise, walking, and running can lead to increased pressure on the outer sides of your big toes, resulting in callus formation. Additionally, the type of shoes you wear can significantly influence the development of calluses. Shoes that do not fit properly, whether they are too tight or too loose, can exacerbate the problem.


Steps to Address Calluses
1. Proper Footwear: Ensure that your shoes fit well. They should provide adequate support and cushioning without being too tight. Look for shoes that have a wide toe box to allow your toes to move freely. If you are unsure about the fit, consider visiting a specialty running store where staff can help you find the right shoes for your foot type and activity level.

2. Foot Care Routine: Regularly exfoliate the callused areas. You can use a pumice stone or a foot file after soaking your feet in warm water. This helps to gently remove the thickened skin. Be cautious not to overdo it, as excessive removal can lead to irritation or injury.

3. Moisturizing: After exfoliating, apply a good moisturizer to your feet, focusing on the areas with calluses. Look for creams that contain urea or salicylic acid, as these ingredients can help soften the skin and reduce callus formation.

4. Padding: Consider using protective pads or cushions designed for calluses. These can help reduce friction and pressure on the affected areas during physical activities. You can find these at most drugstores.

5. Footwear Adjustments: If you notice that certain activities or shoes consistently lead to callus formation, it may be worth adjusting your routine or footwear. For instance, if you are running in shoes that cause friction, consider switching to a different style or brand.

6. Consult a Specialist: If your calluses are painful, bleeding, or not improving with home care, it may be beneficial to consult a podiatrist. They can provide professional treatment options, including custom orthotics, which can help alleviate pressure on specific areas of your feet.


Prevention
To prevent calluses from returning, maintain a consistent foot care routine and pay attention to any changes in your footwear. Regularly check your feet for any signs of irritation or new calluses, and address them promptly.


Conclusion
In summary, addressing calluses on the outer side of your big toes involves a combination of proper footwear, regular foot care, and preventive measures. By taking these steps, you can manage and reduce the formation of calluses, allowing you to continue enjoying your active lifestyle without discomfort. If the problem persists or worsens, seeking professional advice is always a wise choice.

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