Calouses under the feet are common sources of pain and frustration. Often there is a misconception of what can be treated, as many suggest that they can simply be cut off. This article will discuss what can actually be done to provide treatment and to dispel some of the myths surrounding their treatment.
The feet of the foot are of a natural process designed to protect the skin from excessive pressure. This excessive voltage can come from several sources.
Externally you can get pressure from just walking or standing on the ground, whether you are in a shoe or not. The shoe itself may even be a source of external pressure, although it is usually seen as the result of maize at the tip of the toes (which is the same type of condition as the callus). Inside, pressure can come from the bones that lie in favor of the skin.
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If the bones are unusually visible due to abnormalities of the structure of the foot (such as a wrist or flat legs) or if the skin and the underlying bone are unusually thin, then the pressure will increase on the covering skin. The skin is usually irritated by internal and external pressure sources at the same time when the external walking pressure, combined with internal pressure from protruding bones or thin skin, creates a reaction in the skin tissue. This reaction leads to the formation of compression of the outer layer of the keratinous cells, which are dispersed together to form multiple layers.
Over time, callus (also called hyperkeratosis) develops as the skin becomes too thick at the site of pressure. This callus, if thick enough, can be painful because the initial normal skin layer at the bottom of the callus is damaged by the pressure of the layer that covers it. What has once been a simple protective measure from the skin can become a source of pain and damage to the skin if growth goes far enough. Sometimes the callus grows inward to the base layer of the skin, resulting in the formation of a thick, rigid core that tunnels inwards (but does not break the skin). This is also called non-plantar keratosis and is often mistaken for a wart.
Finally, sweat and other skin glands can be filled with keratin material, forming a small caudate called porokeratosis. This type of callus does not need to have a basic bone beneath it to form, and is usually not painful.
Callus treatment is often misunderstood and may actually be a bit more complicated. The most common form of treatment is simply to shave the callus by yourself, a pedicurist or a pediatrician. Thinning thin skin will make it more comfortable to walk and reduce the pain. However, the cause of the callus will still exist and the callus will always return after a month or two.
This causes great confusion for some people who simply associate a callus with temporary skin growth, and not something that is directly related to the structure and activity of their legs. Using special shoe pads or leg supports to reduce the pressure on the bottom of the foot can help to reduce callus growth when used in combination with callus shaving and appropriate shoes. Unfortunately, they will not eliminate the callus and will only help reduce the total thickness of the callus when it recovers. Even recipe shoes (orthoses) will not permanently reduce the calluses, although they reduce the weight of the better-used by the store inserts, making them custom-made in the shape of the leg.
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It should be noted that diabetics should never try to manage the lashes themselves. Due to the poor sensation of diabetes, diabetics who cut their own mangoes or have an unqualified family member, try this at home can lead to a wound and infection by accidentally cutting normal skin.
Some people suggest that callus can be burned like warts or other skin growths. The use of chemicals, lasers, cold processing and electricity to destroy skin growth is very common and is often effective for other types of skin diseases.
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Unfortunately, these techniques do not work well on the callus tissue since the callus growth is continuous and is not based on the simple presence of abnormal skin cells that can be removed. The callus tissue is a normal tissue, and any destructive procedure against this tissue will only be temporarily successful until skin growth begins again, and the callus reforms. The only exception is porokeratosis, which can be eliminated if the undergone and gland are destroyed.
Surgery is the next level of care for the callus.
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This is another area where there is great confusion and the myths of treatment abound. In short, the calluses can not be cut or otherwise surgically removed, with the expectation that the callus will not return. The new skin that grows after surgery will continue to form a callus, and when combined with a surgical scar, it may be even more painful than the initial callus. The only exception is the porosity that can be successfully removed by surgery.
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The only way to get rid of the callus is to get rid of the underlying bone feature and ensure that the shoes are properly placed and properly stacked to account for the thinning of the skin and tissues over these bones. There are a number of bones in the foot that can cause enough prominence to irritate the skin and as many ways as possible to resolve pressure through bone surgery. Procedures may include lifting bones that steeply go down to the bottom of the foot, removing additional bones that naturally occur during development (very often), shaving or removing bone spurs or free bone fragments or even complete removal of the bone part causes pressure.
Procedures are needed to correct the overall strain causing pressure, such as a bump or abnormality of the arch. The times of healing will change and depends on whether the bone has just been shaved or extracted or whether the bone position has been moved. These procedures are generally successful in eliminating callus formation if performed correctly, although there is a risk that the pressure point of the foot simply moves to the next bone.
Orthoses are often used after surgery to prevent them from occurring.
As can be seen, callus care is not just about shaving or cutting the hard tissue. In fact, this myth does not develop well, and bone surgery is needed to keep the care of the callus in order to become an exercise for regular skin maintenance through regular shaving and shoe inserts. This can provide complete relief for some. For others, surgery is needed to break the long-lasting pain cycle.