Hard Bumps on the Sole: Causes and Treatments - Dermatology

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There are calluses on the soles of the feet?


Hello, Doctor! I have a question.
I have round hard lumps on the sole of my foot that feel rough to the touch, but they don't hurt when I press on them.
It's quite bothersome to have these two new things on my foot for no reason.
Here is the picture: http://i.imgur.com/wiZBDzd.jpg.
I would like to know what these are.
Thank you, Doctor.

Cai xx, 10~19 year old female. Ask Date: 2013/10/13

Dr. Lin Xinpeng reply Dermatology


Hello: Generally, a callus-like growth on the sole of the foot may be considered a corn or a viral wart.
Based on your image, it appears more like a corn, as it lacks the characteristics of a viral wart.
However, I still recommend that you visit a dermatologist for a definitive diagnosis, as image-based assessments can sometimes be misleading.
If it is indeed a corn, you may consider cryotherapy or applying a higher concentration of salicylic acid to remove the thickened keratin layer.

Reply Date: 2013/10/13

More Info


The hard bumps you are experiencing on the sole of your foot could be a variety of conditions, but the most common causes are likely to be plantar warts, calluses, or possibly corns. Each of these conditions has distinct characteristics and treatment options.

1. Plantar Warts: These are caused by the human papillomavirus (HPV) and typically appear as small, rough growths on the soles of the feet. They can be skin-colored or slightly darker and may have tiny black dots in the center, which are small blood vessels. While they are usually not painful, they can become uncomfortable if they grow larger or if pressure is applied to them. Treatment options include over-the-counter topical treatments containing salicylic acid, cryotherapy (freezing), or laser therapy performed by a healthcare professional.

2. Calluses: These are thickened areas of skin that develop in response to repeated friction or pressure. They are usually not painful unless they become very thick. Calluses can be treated by soaking the feet in warm water and gently exfoliating the thickened skin with a pumice stone. Moisturizing the area regularly can also help prevent the formation of new calluses.

3. Corns: Similar to calluses, corns are also thickened skin but are usually smaller and have a hard center surrounded by inflamed skin. They often develop on the tops or sides of toes due to friction from footwear. Treatment involves reducing the pressure on the corn, which may include wearing properly fitting shoes, using protective pads, and occasionally, professional removal.

Given that you mentioned the bumps are not painful when pressed, it leans more towards calluses or possibly plantar warts, especially if they have a rough texture. However, without a visual examination, it is difficult to provide a definitive diagnosis.


When to Seek Medical Attention
If the bumps change in appearance, become painful, or do not respond to over-the-counter treatments, it is advisable to consult a healthcare professional, preferably a dermatologist or a podiatrist. They can provide a more accurate diagnosis and recommend appropriate treatments.


Home Care and Prevention
In the meantime, here are some general tips for managing and preventing hard bumps on the soles of your feet:
- Footwear: Ensure that you wear well-fitting shoes that provide adequate support and cushioning. Avoid high heels or shoes that put excessive pressure on certain areas of your feet.

- Foot Hygiene: Keep your feet clean and dry. Regularly inspect your feet for any changes or new growths.

- Moisturizing: Apply a good foot cream to keep the skin hydrated, which can help prevent the formation of calluses and corns.

- Avoiding Barefoot Walking: Walking barefoot in public places can increase the risk of developing plantar warts due to exposure to the HPV virus.

In summary, while the hard bumps on your foot may not be causing you pain, it's essential to monitor them for any changes. If they persist or worsen, seeking professional medical advice is the best course of action.

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