Plantar corns are more sensitive to direct pressure of the lesion, while a plantar wart is more sensitive on lateral compression of the lesion.7Sharp debridement and a palliative course of treatment for both warts and calluses can define the underlying etiology of the lesion as being either mechanical or viral. Patients who present with diffuse hyperkeratotic lesions that are not painful may be advised to use a pumice stone to reduce the lesion after first soaking the foot in warm water.
Over-the-counter products that contain salicylic acid should be avoided because they may damage surrounding normal tissues, especially in neuropathic and immunocompromised patients.4PADDINGTherapeutic padding can alleviate the patient's symptoms by reducing the amount of mechanical irritation to the site of the corn or callus.


A crest pad is an easily fabricated, two-inch cotton roll (dental roll) that is placed under the interphalangeal joints of the lesser toes, on the plantar aspect. Adhesive felt (one-eighth inch to one-fourth inch) can be used to transfer weight away from the painful area and to the uninvolved areas of the foot. The goal of surgical correction of a hammertoe deformity, claw toe deformity, or mallet toe deformity is to reestablish a rectus alignment of a toe that is also free of painful lesions.9 Hard corns on the fifth toe and soft interdigital corns can be treated by resection of the prominent condyles or excision arthroplasty of the proximal phalanx of the fifth toe.





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Treatment for foot pain and numbness
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