Fortnightly Review: Callosities, corns, and callusesBMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7043.1403a (Published 01 June 1996) Cite this as: BMJ 1996;312:1403
- a Institute of Orthopaedics, Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP
- b Baylor College of Medicine, Houston, Texas, USA
- Correspondence to: Mr Singh.
Corns and calluses arise from hyperkeratosis, a normal physiological response to chronic excessive pressure or friction on the skin
They may be caused by excessive irritation from poorly fitting shoes or by abnormal pressure if there is a deformity of the foot
Treatment should therefore not only provide symptomatic relief (such as by regular paring or using keratolytic agents) but should also alleviate the underlying mechanical cause
Most lesions can be managed conservatively by use of sensible footwear (properly fitting shoes with low heels, soft upper, and roomy toebox) and orthoses to redistribute mechanical forces
Surgery is rarely indicated and should be specifi- cally aimed at correcting the abnormal mechanical stresses
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