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The Corn

Posted on August 16, 2015 at 12:35 AM Comments comments (3023)

If ever you have had the misfortune to be blighted by this painful manifestation then you will know exactly how troublesome they can be. Corns ( or Heloma/Helomata) come in different sizes, textures and densities and are often the cause of much frustration when trying to maintain comfortable feet.  Corns usually appear between the toes, on the balls of the feet and around the heels, and less commonly, under the nail.

Heloma Molle  (soft corn)

Usually occurs between the toes and can be caused by pressure from either shoes, or when the toes are pressing together. The area is macerated, usually white in appearance, and is of a "rubbery" consistency, making it difficult to reduce chiropodially.This is due to the area being of a higher humidity.  Surgical Spirit applied with a cotton wool ball or bud is usually beneficial in treating  these corns as it acts as an astringent and changes the texture of the corn so that reduction may be carried out. The chiropodist/podiatrist will do this using a surgical scalpel. It is usually quite painless. Interdigital devices can then be used to keep the pressure from causing a recurrence, however it is very common for corns to return and they are often a case of maintenance rather than cure.

Heloma Durum (hard corn)

These corns develop on the bottoms of the feet, or can appear on the tops of the toes, and the sides of the little toes. As their name implies, they are a hard, concentrated area of hard skin, their formation is similar to that of an upside down ice cream cone, larger at the top, tapering down as they go further into the skin. The corn must be "enucleated" to alleviate the discomfort, padding can then be used to provide cushioning and comfort, particularly on the bottoms of the feet. If corns are particularly problematic on the bottoms of the feet it may be neccessary to invest in insoles which fit into footwear and protect against ground reaction forces.

Heloma Milliare (seed corn)

are a result of dryness and friction, often due to twisting and turning motions of the feet, are seen more in people who participate in sporting activities such as golf, are more common in the summer months when socks are less likely to be worn, and seem to be more superficial than hard corns. Moisturising the feet often helps combat seed corns and material such as fleecy web or moleskin can give protection to areas most likely to be subject to friction.

Subungal Heloma

Corns underneath nails can be very painful and often are most difficult to diagnose due to being hidden away. the nail has to be cut back professionally and the corn carefully reduced.

basic self help

Posted on July 15, 2015 at 2:30 PM Comments comments (2)

Ok so now we know how important feet are what can we do to keep them as healthy as possible?  Well a footwear appraisal is always a good place to start. Shoes should be comfortable, with plenty of room in the toe area, and support around the forefoot and ankle in the way of laces or straps, and if you absolutely have to wear high heeled shoes, as such occasions do come to us ladies, wear them for as little time as possible, and be on your feet whilst shod in those gorgeous but gruellingly painful killer heels, as short a time as you can possibly get away with!  if you have certain toes or areas which are vulnerable to shearing stresses and friction, or pressure, make sure you protect those areas. Check with your Chiropodist as to which appliances are suitable for your own individual requirements.There are a wide range of gel products on the market which not only protect against direct pressure, but also against friction. Heels are bad for feet. It has to be said. They tilt your foot into "equinus" which means like a horses hoof, all of the pressure is concentrated on the forefoot, which may lead to corns and callus formation.  A nice, flat, shock absorbing sole is great, and try to avoid materials which make your feet sweat, particularly in the summer.  Sandals are a popular choice of footwear as are flip flops in the summer months, you may find that you require chiropody appointments more often whilst wearing these, as callus seems to accumulate quicker around the heel areas.

Moisturising your feet helps to combat the discomfort associated with hard skin, Flexitol Heel Balm is my personal favourite, however there are many others on the market which would also work wonders for your feet, it is best to apply daily, but take care not to slip! some people prefer to apply cream at night and don a pair of cotton socks for a more intensive effect.this is also handy if you need the loo in the middle of the night! as well as saving your bed sheets. Avoid putting moisturiser between your toes, as this area is already moist and could encourage fungal infections or maceration of the clefts. Pay particular attention to the large toe joint, the ball of the foot and the heels. Do not apply too much pressure when massaging the cream in. Avoid rubbing where there are veins.

maintenance of feet can be achieved by removing callus between Chiropody Appointments with a pumice stone or pediwand. I always reccomend it be done when feet are dry, as it is all too easy to  get carried away and the feet often end up sore as a result of an overly zealous session. It is important to exercise care at all times, consider your feet as you would a shiny new ferrari or bentley car. They deserve to be held in the highest regard and treated with the utmost respect. After all, think of all the miles they have travelled, and the places they have taken you! Never use metal implements on your feet for diy chiropody. To do so can be dangerous.

Introduction-Best Foot Forward

Posted on July 5, 2015 at 9:40 AM Comments comments (1)

Your feet. They are the driving force behind your ability to ultimately get from one destination to the next. They are one of the most articulate examples of biomechanics, the way your bones interact with each other when you walk, your joints, the shock absorption qualities of when your feet hit the ground, they truly are an amazing feature. However, for many, they are taken for granted. There remain a lot of people who do not consider their feet as important, they don't look after them the way that they should, and sadly, this leads to a whole host of problems, some of which can be debilatating, and can even restrict mobility.  The assumption for a lot of people is that," oh, they're only my feet, who sees them? they are just there to walk on." In this section I hope to be able to educate you as to why it is important to look after your feet, what can go wrong if you don't,and what a difference general foot care can make to your life. Sometimes the benefits can be amazing.