Calluses on Toddlers' Feet: Causes and Solutions - Dermatology

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Calluses on the soles of children's feet?


Hello Dr.
Huang,
I would like to ask: My baby started using a crab walker when he was 7-8 months old, and since then, he has developed hard calluses at the junction of the big toe and the sole of his left foot.
Now that he is almost 2 years old, the calluses continue to extend slowly from the big toe to the heel.
What could be the cause of this? Is it related to his footwear or walking posture? For the past few months, I have been soaking his feet for about 20 minutes during bath time, and after bathing, I apply lotion and baby oil while massaging, but there seems to be no significant improvement.
What should I do? Given that the condition is becoming more severe, which specialist should I consult? Thank you for your response, Dr.
Huang!

Xuan Mami, 20~29 year old female. Ask Date: 2009/07/20

Dr. Huang Ruiyun reply Dermatology


Hello: It is most likely a simple callus (the flat type is called a corn, while the one that grows deeper is called a plantar wart).
The cause is a local repetitive pressure that triggers the skin's self-protective mechanism.
No amount of care, massage, or exfoliation will be effective because the underlying issue is the localized pressure; it is necessary to reduce the amount of force applied for it to gradually disappear on its own.
You may want to take your child to see a dermatologist first to confirm whether it is indeed a callus or another issue, and then receive further treatment or advice.
Wishing you peace and health.

Reply Date: 2009/07/20

More Info


Calluses on toddlers' feet can be a common concern for parents, especially when they notice hard, thickened areas of skin developing on their child's feet. Understanding the causes and potential solutions for this condition is essential for ensuring your child's comfort and foot health.


Causes of Calluses in Toddlers
1. Friction and Pressure: Calluses typically form in response to repeated friction or pressure on the skin. In toddlers, this can occur due to various factors, including:
- Improper Footwear: Shoes that do not fit well, are too tight, or lack adequate support can cause friction against the skin, leading to callus formation. It's essential to ensure that your child's shoes are the right size and provide enough room for their toes to move freely.

- Walking Patterns: Toddlers are still developing their walking skills, and their gait may not be fully refined. If they walk on their toes or have an unusual gait, this can lead to increased pressure on specific areas of their feet, resulting in calluses.

- Activities: Engaging in activities that put pressure on the feet, such as riding a push toy or crawling, can also contribute to callus development.

2. Skin Conditions: In some cases, underlying skin conditions such as eczema or psoriasis can lead to thickened skin areas that resemble calluses. If your child has a history of skin issues, this could be a contributing factor.

3. Genetic Factors: Some children may be more prone to developing calluses due to genetic predispositions or skin types that are more susceptible to thickening.


Solutions and Management
1. Footwear: The first step in managing calluses is to evaluate your child's footwear. Ensure that they are wearing shoes that fit properly, provide adequate support, and are made of breathable materials. Avoid shoes with hard seams or rough edges that can irritate the skin.

2. Foot Care Routine: While you are already soaking your child's feet and applying lotion, consider the following additional steps:
- Regular Exfoliation: Gently exfoliating the callused areas with a pumice stone or foot file can help reduce thickness. However, be cautious not to overdo it, as toddlers have sensitive skin.

- Moisturizing: Continue applying a good quality moisturizer or baby oil after bathing. Look for products that contain urea or lactic acid, as these can help soften thickened skin.

3. Observation: Monitor the calluses for any changes. If they become painful, bleed, or show signs of infection (such as redness or swelling), it is essential to seek medical advice.

4. Consulting a Specialist: If the calluses continue to worsen despite your efforts, or if you have concerns about your child's walking pattern, it may be beneficial to consult a pediatric podiatrist or a dermatologist. They can provide a thorough evaluation and recommend appropriate treatments or interventions.

5. Physical Therapy: If your child's walking pattern is contributing to the calluses, a pediatric physical therapist may help improve their gait and reduce pressure on specific areas of the feet.


Conclusion
Calluses on toddlers' feet are often a result of friction and pressure, primarily due to footwear and walking patterns. By ensuring proper shoe fit, maintaining a good foot care routine, and consulting with healthcare professionals when necessary, you can help manage and potentially reduce the occurrence of calluses. If the situation does not improve or worsens, seeking specialized care is crucial for your child's foot health.

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