NAils, Corns & Callus

Callus

A question many of our patients have is, why do I get hard skin and corns on my feet. Well to simplify this answer, it all comes down to the high localised areas of pressure going through your feet as a direct cause of either poor choice of footwear, foot shape or foot/ lower limb function.

Lets elaborate on this for a second. Essentially any area of friction caused to a certain part of your feet (mainly bony areas) will result in your body producing hard skin or callous (as it’s called) as a defensive mechanism to stop the deeper layers of your natural skin from breaking down. 

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Corns

Once callous is formed, if a high amount of compression forces travel through that area consistently , corns can then form. Corns have sharp cone shaped nucleus’s that can often times feel like a sharp pin is digging into them. As well as developing on the skins of your feet they can also reside Underneath your toe nails. There are several types of corns, but the most painful being the ones that press on your nerves, also known as a Neuro-vascular corns.

A lot of patients initially turn to corn plasters to help treat this corns, however it’s not something we particularly advise, especially if you’re diabetic due to its caustic reaction to your healthy skin and tissue

Lets elaborate on this for a second. Essentially any area of friction caused to a certain part of your feet (mainly bony areas) will result in your body producing hard skin or callous (as it’s called) as a defensive mechanism to stop the deeper layers of your natural skin from breaking down.

Treatment Options

1) Debridement and enucleating – this involves physically cutting away the callosities of the area of hard skin and digging out a corn’s nucleus with a scalpel. As the skin being cut away is just a hyper formation of dead skin, this procedure is for the most part pain free. The likely hood of the same lesions re-appearing is moderately high, which brings us onto our second remedy.

2) Pressure relieving Orthotics – devices that fit into your shoes can certainly help with alleviating pressure from affected areas of your feet. This will usually involve an initial biomechanical [attach link] assessment, followed by a fitting.

Nail Cutting Service

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Nails just like the rest of our bodies can tend to change as we age, as can our ability to reach our feet. The most common reason for our patients visiting us are:

A) They are unable to reach your feet to do their nails
B) They have difficulties managing nail pathologies. These pathologies are as follows:

i) Onychauxic nails (Thickened Nails) – caused my micro-trauma over the years.

ii) Onychogryphosis nails (Grossly thickened and deformed nails) – usually caused by macro trauma and microtrauma/genetics.

iii) Onychomycosis nails (fungal nails) – caused by airborne fungus. Very stubborn and difficult to remedy. We have treatment options however that reap superior results than most. Call us for a free discussion regarding this.

iv) Onychocryptosis nails (ingrowing toe nails) – can many times be solved without nail surgery, but nail surgery is the sure fire way to remedy this condition and to stop it from re-occuring.