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CORNS AND CALLUS – what are they and treatment

Corns and Callus

Callus is the thickening of the skin on the hands and feet. On the feet, callus forms as a reaction from repeated high areas of pressure. This mechanism is to protect the skin from breaking down. Over time however this may lead to discomfort and bruising around the callus.

Corns are similar to callus but they mostly form over joints where there is a focused centre to the pressure. Due to this pressure, the callus forms a nucleus at this location which can become sensitive and painful.

Podiatrist can ‘shave’ down the callus and remove the painful centre of the corns. 

They may also recommend an offloading device to reduce the pressure at those locations.
This can be achieved through:

  • Taping
  • Orthotics
  • Foam or gel pads
  • Toe sleeves

#toesleeves

 

If you are experiencing pain or discomfort, please call us today for an appointment on 5223 1531

 

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

IS WEARING HIGH HEELS DAMAGING YOUR FEET? Check out our latest blog to find out more!

Wearing High Heels

High heels place increased load on the forefoot. Over time this can lead to blisters and the development of callus beneath the foot. Soft tissues along the forefoot also can undergo enormous pressure. Increased load may cause stress to these tissues which may lead to injuries such as stress fractures or inflammation to the area.

Additionally, with extended use of high heels, muscles along the posterior of the legs can tighten and reduce the range of motion of joints such as the ankle. This will mean, that when you return to flat shoes, the tendons and other soft tissues undergo a lot of tension and the risk of injury increases.

If you are wearing heels, things to consider:

  • Ensure they fit properly so your foot will not slide when walking
  • Check regularly for irritation to the skin, i.e. blisters and apply dressings as required.
  • Practice walking in the heels to ensure you feel as stable as possible
  • Trial the shoes around the house before events and check for skin irritation and fatigue.

If you are experiencing pain or discomfort, please call us today for an appointment on 5223 1531

 

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

NARROW FITTING SHOES CAN CAUSE FOOT DAMAGE TO YOUR TOOTSIES! Check out our latest blog for more information…

Narrow Fitting Shoes

When purchasing shoes, always ensure there is enough width around the toes. If a shoe is too narrow, it can lead to blisters and callus or corn development. Over time, the toes can become crowded and lead to pressure spots to develop.

Common problem shoe types

  • Slipper/’Slip ons’ or flats
  • Loader
  • Court

What to look for in a shoe

  • Enough width along the toes
  • ‘Thumbs width’ from your big toe to the end of the shoe
  • Only flexes at the toes
  • There is a strap or laces to hold your foot in the shoe
  • Go shopping at the end of the day 
  • Do not expect your shoes to ‘wear in’, only buy if they are comfortable on the day 

If you are experiencing pain or discomfort, please call us today for an appointment on 5223 1531

 

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

DIABETES WEEK 12-18th of July 2020

DIABETES

Why are the feet affected?

  • Due to the small size of the blood vessels and distance away from the heart, the feet are most commonly among the 1st to be affected.

Main complications are:

  • Neuropathy (decreased sensation in the feet and symptoms such as burning or tingling)
  • Vascular disease (diabetes affects the bodys ability to maintain healthy blood vessel walls)
  • Infection (the body has a decreased ability to fight bacteria and disease)

Other complications:

  • Changes to foot structure creating areas of high load
  • Changes to the skin and sweating regulation
  • Decreased sensation and reduced balance

Where podiatry fits in:

  • We conduct an annual assessment (or more regular if required) which investigates and monitors changes in
    • Blood flow
    • Nerve sensitivity
    • Foot structure
    • Areas of high load
  • We can provide tailored treatment which may include
    • Nail care
    • Callus reduction
    • Orthotics
    • Footwear recommendations
    • Review of activities
    • Referrals to include a multi-disciplinary and whole body approach to care

 

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

NAILS AND SKIN CARE AT TOTAL CARE PODIATRY

At Total Care Podiatry your podiatrist will begin by assessing and treating the area of most concern to you and will cut your nails and painlessly remove any callus or corns. The circulation and sensation in your feet will be assessed, as will any lumps and bumps and/or foot dysfunction that may cause pressure points. Excessive pressure areas under your feet and on your toes can lead to corns and calluses or pressure ulcers.

Conditions this service treats & how does it work

Treatments for nail and skin conditions may include:

  • Painless removal of corns and callus and thickened skin
  • Treatment and ongoing advice on preventing cracked heels
  • Ingrown Toenail surgery to remove nail spike or complete removal of nail if clinically indicated.
  • Fungal nail treatments
  • Removal and treatment of plantar warts
  • Custom made silicon toe wedges or splinting to straighten overlapped toes or protect and prevent rubbing of toes.

What are the benefits of this treatment

Corns, calluses and thickened skin are generally symptoms of other problems, so it is important for your podiatrist to examine your feet to work out what could be causing the pressure so they can provide a treatment plan which includes offloading these areas.

Your podiatrist will also provide you with advice on how you can care for your feet to prevent ongoing problems and on whether further treatment is recommended.

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

BLISTERS…why do they occur and prevention

Blisters form due to repetitive friction and trauma to the skin.

They are most commonly caused by rubbing or friction from footwear applying pressure to the foot and overloading the soft tissue during activity.A blister forms as a clear fluid filled lesion within the outer layers of the skin.

What to do:
– If the blister is closed; keep the blister protected (with a dressing), do not ‘pop’ the blister and reduce activity/change footwear.
– If the blister opens, apply antiseptic (e.g. betadine) to the area and a dressing. Reduce activity and monitor the blister for signs of infection. If any signs of infection occur contact your doctor.

Prevention

  • Appropriate shoe fit and style
  • Double layered socks and/or moisture wicking socks
  • Tapes/dressings
  • Paddings
  • Lubricant

Long term treatment

  • Footwear change
  • Biomechanical assessment to investigate areas of high pressure
  • Sock choice
  • Activity modification
THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

SKIP A STEP & SAVE MONEY…do I need to see my GP or Podiatrist for a foot complaint?

Podiatry

A podiatrist is an Allied health professional in foot care. Podiatrists help people in the care of their lower limbs including the foot and ankle and may also be involved in supporting older people to reduce their risk of falling.

They can treat conditions such as toe fungus, ingrown toenails, corns, calluses, bunions, infections and foot injuries. Podiatrists can perform ingrown toenail surgery using a local anaesthetic.

Where do podiatrists practice?

Podiatrists mainly work in private practices but also work in a range of health settings including hospitals, aged care, sports clinics and research and policy organisations.

When should I see a podiatrist?

There are a wide range of reasons to see a podiatrist but some typical foot conditions include heel pain, bunions, ingrown toenails, tinea, plantar warts, corns and calluses.  Some typical examples of why someone might see a podiatrist are:

  • Patient with diabetes and peripheral vascular disease, or neuropathy
  • Clinical diagnosis or history of foot or lower limb deformity
  • Clinical diagnosis of falls
  • Arthritis
  • Soft tissue and muscular pathologies
  • Circulatory diseases.

What services do podiatrists provide?

Podiatrists provide a wide range of services from the treatment of calluses to the treatment of bone and joint disorders. For conditions such as recurring sprains and chronic pain, podiatrists may prescribe foot orthoses.

The podiatrist’s scope of practice includes areas such as paediatrics, diabetes, sports injuries, structural problems, treatment of the elderly as well as general foot care.

Podiatrists with additional qualifications and registration may also perform foot surgery.

How are podiatrists qualified?

In order to practice in Australia, a podiatrist must complete the following:

  • A Bachelor of Podiatry
  • Australian Health Practitioner Regulation Agency (AHPRA)
  • Continuing professional development.

Skip a step and make a direct booking with one of our qualified podiatrists today on 5223 1531 

TOP TIPS FOR FEET FOR TRAIL RUNNING

There are a few things to consider if you enjoy trail running.

Skin integrity
This may include blisters, callous, corns and dry skin.
To help prevent these from developing, wear appropriate socks.  The best material is predominantly polyester, as this transfers or wicks moisturise away from the skin. This keeps the skin strong and dry, less likely to cause blisters. You can also wear two pairs of socks(to reduce friction); one very thin, without any creases but stretches around the foot and the second pair worn on top, a bit more cushioned. Wearing two pairs creates a barrier, meaning that if there is any friction, it more likely to occur inbetween the two socks rather than directly to the skin.
You may require specific padding to redistribute pressure points in the feet.

Skin and nail preparation
Cut your nails (not too short and not the day before your run)
Moisturise your feet daily to prevent skin irritation from stress. Apply everywhere except inbetween the toes as we want to keep these areas dry. Use a quality urea-based cream.
Address callous and cracked skin if you are not able to manage this.

Footwear
Make sure that you have a well-fitted pair of trail shoes (a cushioned runner with appropriate grip)
Make sure you have a little room in the shoe, if the feet begin to swell. Ability to adjust lace-technique if signs of swelling and pressure from shoes occur is also important.

If you have any lower leg or foot injuries, your risk of injury may be heightened due to the possible uneven trail surfaces.  You may require taping or further advice from your Podiatrist.

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

FEET AND ANKLE INJURY FREE -WHILST SMASHING OUT HIIT SESSIONS

Due to the nature of HIIT (high intensity interval training), certain stresses may be placed on the feet and ankles, especially if this is a new form of exercise for you.

It is important to build the strength in your legs prior to engaging in HIIT training, as movements are often rapid and repetitious. It can place excessive pressure on your joints if your HIIT workouts are too frequent, and you do ‘too much too soon’, like many other activities. There are specific modifications that your trainer may be able to suggest if you have any concerns. Correct technique is crucial, so it is necessary for you and your trainer to be on top of this, to avoid injury.
Should you develop an injury, seek medical advice as soon as possible.

Be sure to wear appropriate footwear. When buying athletic footwear for your HIIT workout, stick with a ‘neutral’ shoe, unless it has been otherwise suggested by your health professional.
The shoe should have a firm heel counter (doesn’t fold right down if you try to push it with your fingers). The shoe should have a moderate amount of cushioning (without it being too heavy), for good shock attenuation to reduce the amount of force on the feet and legs. The softer the outer sole however, the faster it will compress, which we want to avoid.

If you do not feel as you are being adequately ‘supported’ or have enough cushioning, try altering your footwear. If this doesn’t change anything, there may be other things that your Podiatrist can manage or educate you with.

THIS INFORMATION IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT INTENDED TO REPLACE PROFESSIONAL PODIATRIC ADVICE. TREATMENT WILL VARY BETWEEN INDIVIDUALS DEPENDING UPON YOUR DIAGNOSIS AND PRESENTING COMPLAINT. AN ACCURATE DIAGNOSIS CAN ONLY BE MADE FOLLOWING PERSONAL CONSULTATION WITH A PODIATRIST.

MEET THE FRONT DESK TEAM @ TOTAL CARE PODIATRY

At Total Care Podiatry our front desk team guides your first steps into the care we strive to give all our patients.

Our office manager Emily Meek and her team of Suzy Purtill and Kate Wombwell many years experience of service in private health practice. Their care and attention to detail is focused on our patients’ needs.

Our Practice Manager, Rae-Ellen Graham has worked for over 30 years in administration management and is also our shoe fitter and orthotic technician.