Callosities & Corns
Callosities (calluses) and corns are areas of thickened skin that develop in response to repeated pressure or friction. While not dangerous, they can become painful — particularly when walking or wearing certain footwear. They are especially common in people with foot deformities, prominent bones, or abnormal walking patterns.
Differences
Calluses are typically larger, flatter, and more diffuse. Corns are smaller, more defined, and may have a central core that presses into deeper skin layers, often over bony prominences.
Symptoms
- Thick, hard, or rough skin on the foot or toes
- Pain when pressure is applied
- Corns may feel like a small pebble under the skin
- Yellowish, grey, or waxy skin appearance over joints or pressure points
Causes
- Tight, ill-fitting, or high-heeled shoes
- Toe deformities such as hammer toes or claw toes
- Bony prominences from arthritis or biomechanical abnormalities
- High-arched or flat feet
- Prolonged standing or barefoot walking
Treatment
- Regular podiatric debridement — safe trimming of calluses or removal of corn cores
- Wide, cushioned footwear with plenty of toe room
- Custom orthotics to redistribute pressure
- Protective pads or toe sleeves to reduce friction
- Urea-based emollient creams to soften skin and reduce build-up
- Physiotherapy or stretching for underlying biomechanical causes
Surgery
Surgery is rarely required for the calluses or corns themselves, but may be indicated if a structural deformity (e.g. hammer toe, bunion, or prominent metatarsal head) is causing recurrent skin breakdown. Correcting the underlying deformity can significantly reduce pressure and prevent recurrence.
Recovery (if surgery required)
| Timeframe | What to Expect |
|---|---|
| 0–2 weeks | Rest, foot elevated. Protective dressing or post-op shoe. |
| 2 weeks | Wound review. Sutures removed. Light walking begins. |
| 2–6 weeks | Increased walking. Supportive footwear and offloading. |
| 6–8 weeks | Return to daily activities. Monitor for recurrence. |
| 12+ weeks | Long-term prevention with footwear advice and custom orthotics. |
To discuss your symptoms with Mr Hester, book a consultation.
To discuss your condition with Mr Hester, please get in touch to arrange a consultation.لمناقشة حالتك مع السيد هيستر، يرجى التواصل معنا لترتيب استشارة.
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