Corns and calluses represent areas of excessive pressure or friction from shoes or hard walking surfaces. Calluses are areas of thickened tough skin generally found on the bottom of the foot. Corns are the rough, thickened skin formation found on the tops and sides of the toes, very often the little toe, and are generally associated with the hammertoe deformity. Most patients do not realize that corns are not a skin related problem. Corns are the direct result of a bone abnormality, and therefore over-the counter corn removal pads will never correct the problem. Instead, corn pads cause more damage to the tender skin and increase the risk of infection to the area.
Cotton or foam cushions offer temporary pressure relief. Extreme caution should be used when using over-the-counter corn and callus remover pads, as they contain acid that burns through the thickened skin to remove it. Diabetics should NEVER use an over-the-counter corn and callous pad (See Diabetics). Surgical removal of the deviated bone is the preferred treatment. The most common remedy is simply trimming down or buffing the thickened area and utilizing foam and padded/cushion inserts.
Never use over-the-counter corn and callus removers, as they burn and damage the skin. Seek podiatric treatment to correct the bone deformity as soon as possible.