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The Corn

Posted on August 16, 2015 at 12:35 AM

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.

Categories: All things Feet

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