Effective Healing Strategies for Corns on Finger Joints - Dermatology

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Healing of corn on fingers


I would like to ask Dr.
Lee: When I was a child, I scratched a wound on the joint of my thumb, which later got infected and formed a corn.
Recently, I bought corn patches to apply, which worked quite well, and the bacteria were eradicated.
However, the wound on the joint is still present and healing very slowly.
Therefore, I would like to ask the following questions:
(1) Should I buy an ointment to accelerate the healing process?
(2) Since it is on a joint, will there be fine lines in that area? Will those fine lines disappear, or will there be a scar? How should I manage the healing process to avoid an unsightly appearance?
(3) If it recurs, should I buy corn patches again, or should I see a doctor? (I don’t want to go back since the ointment prescribed previously didn’t help much.)
(4) Currently, it appears as a round bump, and the healing skin is developing inward, but the new skin is raised (only a little bit has grown) and is not attached to the underlying tissue like a typical wound.
Should I cut off the raised skin or let it continue to grow?
(5) It has been two weeks since I applied the corn patch.
At first, the tissue was soft, but now it has hardened.
Will this affect the healing process?

Gu Gu, 10~19 year old female. Ask Date: 2015/06/30

Dr. Li Yufen reply Dermatology


Hello: Based on the description, it doesn't seem like a corn.
Corns are generally not caused by infections; they result from uneven pressure on the local skin.
I recommend that you consult another dermatologist nearby for a confirmation of the diagnosis before proceeding with treatment.
Thank you!

Reply Date: 2015/06/30

More Info


Corns on finger joints, especially those resulting from previous injuries or infections, can be quite bothersome and may require a multifaceted approach to healing. Here are some effective strategies and answers to your questions regarding the healing process:
1. Use of Ointments: Applying a topical ointment can indeed help accelerate the healing process. Look for ointments that contain ingredients like aloe vera, vitamin E, or other moisturizing agents that promote skin regeneration. Additionally, if there is any sign of infection, a topical antibiotic ointment may be beneficial. However, it’s essential to ensure that the wound is clean before applying any ointment to prevent further infection.

2. Scarring and Fine Lines: When it comes to healing on a joint, the skin may not return to its original state due to the nature of the tissue and movement in that area. Fine lines or scars may remain, particularly if the injury was deep or if the healing process was complicated by infection. To minimize scarring, keep the area moisturized and protected from the sun. Silicone gel sheets or scar creams can also be effective in reducing the appearance of scars over time.

3. Recurrence of Corns: If you notice the corn returning, it’s advisable to consult a healthcare professional rather than solely relying on over-the-counter corn pads. While these pads can provide temporary relief, they may not address the underlying issue. A doctor can assess the corn and determine if there are any underlying factors contributing to its recurrence, such as improper footwear or skin conditions.

4. Handling Raised Skin: If you have raised skin that appears to be peeling or lifting, it’s generally best to leave it alone unless it is causing pain or discomfort. Cutting it may lead to further irritation or infection. Allowing it to heal naturally is often the best approach. If the skin continues to lift and does not adhere back to the underlying tissue, consult a healthcare provider for advice on whether it needs to be trimmed or treated.

5. Hardening of Tissue: The hardening of the tissue around the corn can be a normal part of the healing process, as the body forms new tissue. However, if the area becomes excessively hard or painful, it may indicate that the healing process is not progressing as it should. In such cases, it’s important to monitor the area and seek medical advice if you notice any signs of infection, such as increased redness, swelling, or discharge.

In summary, managing corns on finger joints involves a combination of proper wound care, moisturizing, and monitoring for signs of infection or recurrence. If you find that over-the-counter treatments are not effective, or if the condition worsens, it’s crucial to consult a healthcare professional for a more tailored treatment plan. Remember, while self-care is important, professional guidance can often lead to better outcomes, especially for persistent or complicated cases.

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