The Nantwich Clinic corn Corns

Corns

When we walk or stand, our body weight is carried first on the heel and then on the ball of the foot, where the skin is thicker, to withstand the pressure. When this pressure becomes intense, growths, in the form of corns and callus, may appear. Corns always occur over a bony prominence, such as a joint.

There are five different types of corns. The two most common are hard and soft corns.

Hard Corns

Heloma durum are the most common form of corn and appear as small, concentrated areas of hard skin. Their conically shape intensifies the pressure at the tip and can cause painful deep tissue damage and ulceration.

Soft Corns

Heloma molle develop in a similar way to hard corns. They are whitish and softer in texture, and appear between toes, where the skin is moist from sweat, or from inadequate drying. A Podiatrist will be able to reduce the bulk of the corn, and apply astringents to cut down on sweat retention between the toes.

Seed Corns

Heloma miliare are particularly small and tend to be less painful.

Vascular

Heloma neurovasculare corns incorporate minute blood vessels and fine nerve endings, are likely to bleed when they are cut and can be very painful.

Fibrous Corns

Do not cut corns yourself, especially if you are elderly or diabetic, and do not use corn plasters or paints which can burn the healthy tissue around the corns. Home remedies, such as lambswool around toes, are potentially dangerous. Commercially available ‘cures’ should be used only following professional advice.

There are many things a Podiatrist can do to make walking less painful:

Orthoses are a special type of insole that can be fitted into your shoes. They will help you walk in such a way to minimise the pressure on your affected joints.

As well as a moulded insole, your Podiatrist will help you find shoes that are roomy enough to accommodate your foot – and orthoses – without adding unnecessary pressure. If your toes are beginning to stiffen or curl, for example, it’s important for you to wear a shoe with an extra deep toe box. Your podiatrist may make a cast of your foot, so a shoe can be tailored to your exact foot shape, although we do stock shoes here at the clinic which may be a suitable fit. Protective shields can also relieve pressure and reduce friction.

 

Tool-assisted massage, manipulation and mobilisation techniques:

This can be beneficial to those suffering with arthritis. It is designed to improve the function and alignment of the foot and lower limbs dysfunctional joints through gentle manipulation and massage. Treatment and prescribed exercises are tailored to the patient, depending on the level of care needed. Tom has been taught this technique by two of the worlds most proficient leaders in this field, Ted Jednyak from Australia and Ian Linane in the UK.

As well as a moulded insole, your Podiatrist will help you find shoes that are roomy enough to accommodate your foot – and orthoses – without adding unnecessary pressure. If your toes are beginning to stiffen or curl, for example, it’s important for you to wear a shoe with an extra deep toe box. Your podiatrist may make a cast of your foot, so a shoe can be tailored to your exact foot shape, although we do stock shoes here at the clinic which may be a suitable fit. Protective shields can also relieve pressure and reduce friction.

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