Sunday, September 22, 2013

What is a corn and what can be done about it?

One of the most common complaints seen in my office in 23 years of private practice is the simple corn.  Everyone has heard of corns and many of us have experienced the pain of a corn, but do we really understand what it is?
A corn is a thickened, hardened area of skin normally caused by excessive pressure or friction on the skin.  Most often this is due to an enlargement of bone that rubs the skin against the shoe..  With repeated pressure the skin builds thickened layers of hard tissue that causes excessive pressure to the area.  The result can be pain with every step you take.
Treatment by a podiatrist would consist of carefully cutting out the hard tissue and thus relieving all the pressure it causes.  The problem is, corns often come back because the rubbing on the skin is still often there.  Changes in shoe type (generally softer, more accommodating shoes) will often be enough to prevent the corn from returning.  Foam toe spacers, toe sleeves or pads are also a good conservative way to prevent pressure to the toe.
Especially problematic is when a corn occurs under a toenail.  This is often due to an enlarged bony spicule or a bone spur.  This can cause considerable discomfort at or under the nail.  Surgical excision of the bone spur is often necessary.  The most effective way to treat this condition is to make a small opening in the tip of the toe and insert a small surgical instrument to reduce or eliminate the spur.  The bone spur can easily be removed with this technique and helps insure a lasting result.  Healing is usually fast and uneventful.
Whether by conservative methods, or by surgery, there is a solution to the problem of corns.

Dr. Evan B. Kelner D.P.M.


1398 Highway 35

Ocean, NJ 07712

(732) 988-0070


191 Highway 37 W

Toms River, NJ 08755

(732) 286-9200

No comments:

Post a Comment